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Deficiency Records for North Oaks Communities
View the most recent health deficiencies and inspection results for North Oaks Communities. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for North Oaks Communities. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-11-20 | 2026-03-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-11-20 | 2026-03-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-11-20 | 2026-01-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-20 | 2026-01-10 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-11-20 | 2025-11-24 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-22 | 2024-09-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-22 | 2024-09-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-22 | 2024-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-22 | 2024-09-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-22 | 2024-09-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-22 | 2024-08-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-22 | 2024-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-22 | 2024-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-22 | 2024-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-15 | 2019-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-15 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-15 | 2019-12-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-15 | 2019-12-19 | N |
| Post nurse staffing information every day. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-10-15 | 2019-12-19 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-15 | 2019-12-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-15 | 2019-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-15 | 2019-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-15 | 2019-12-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-15 | 2019-12-19 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-10-15 | 2019-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-15 | 2019-12-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-15 | 2019-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-11-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-15 | 2019-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-15 | 2019-10-28 | N |