Deficiency Records for The Oxford Rehabilitation and Health Care Center
Updated as of July 01, 2022
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-03 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-09-20 | 2021-10-25 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-01 | 2021-10-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-27 | 2021-10-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-27 | 2021-10-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-27 | 2021-10-01 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-27 | 2021-10-01 | 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 | 2021-08-27 | 2021-10-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-27 | 2021-10-01 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-27 | 2021-10-01 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-08-27 | 2021-10-01 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-02-25 | 2021-03-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-25 | 2021-03-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-25 | 2021-03-16 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-02-25 | 2021-03-16 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-02-25 | 2021-03-16 | 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 | 2021-02-25 | 2021-03-16 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-25 | 2021-03-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-25 | 2021-03-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-02-16 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Use approved construction type or materials. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-12 | 2020-10-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-09 | 2020-10-26 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-30 | 2020-09-25 | 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 | 2020-01-30 | 2020-09-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-30 | 2020-09-25 | 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 | 2020-01-30 | 2020-09-25 | N |
Provide and implement an infection prevention and control program. | Health | 2020-07-20 | 2020-09-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-30 | 2020-03-12 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-01-30 | 2020-03-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-03-12 | 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 | 2020-01-30 | 2020-03-12 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-03-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-03-12 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-30 | 2020-03-12 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-30 | 2020-03-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-03-12 | N |
Provide or obtain dental services for each resident. | Health | 2020-01-30 | 2020-03-12 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-03 | 2019-11-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-24 | 2019-11-04 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-24 | 2019-11-04 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-04 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-10-24 | 2019-11-04 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-24 | 2019-11-04 | Y |
Respond appropriately to all alleged violations. | Health | 2019-09-10 | 2019-10-24 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-08-22 | 2019-10-14 | Y |
Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-10-14 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-10-14 | Y |