Deficiency Records for The Oxford Rehabilitation and Health Care Center
Updated as of May 01, 2018
This is not the most recent data for The Oxford Rehabilitation and Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for The Oxford Rehabilitation and Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2017-09-19 | 2017-10-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-01 | 2017-06-30 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-01 | 2017-06-30 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-01 | 2017-06-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-01 | 2017-06-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-01 | 2017-06-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-01 | 2017-06-20 | Y |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-05-01 | 2017-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-01 | 2017-06-20 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-05-01 | 2017-06-20 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-01 | 2017-06-14 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-04 | 2017-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-04 | 2017-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-04 | 2017-02-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-01-04 | 2017-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-04 | 2017-02-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-18 | 2017-01-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-18 | 2017-01-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-18 | 2017-01-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-18 | 2017-01-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-18 | 2017-01-06 | N |
| Provide or obtain dental services for each resident. | Health | 2016-11-18 | 2017-01-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-18 | 2017-01-06 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-11-18 | 2017-01-06 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-08-31 | 2016-10-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-31 | 2016-10-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-31 | 2016-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-31 | 2016-09-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-24 | 2016-01-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-24 | 2016-01-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-24 | 2015-12-21 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-11-24 | 2015-12-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-24 | 2015-12-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-24 | 2015-12-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-24 | 2015-12-18 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-24 | 2015-12-18 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-10-09 | 2014-12-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-09-11 | 2014-10-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-09-11 | 2014-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-09-11 | 2014-10-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-11 | 2014-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-11 | 2014-10-17 | N |
