A list of the most recent deficiencies for The Oaks. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-12 | 2023-10-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-12 | 2023-10-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-12 | 2023-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | 2023-10-04 | 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 | 2023-09-12 | 2023-10-04 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-12 | 2023-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-12 | 2023-10-04 | N |
| Keep all essential equipment working safely. | Health | 2023-09-12 | 2023-10-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-29 | 2021-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-28 | 2021-06-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-28 | 2021-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-06 | 2019-05-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-06 | 2019-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-06 | 2019-05-30 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-06 | 2019-05-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-06 | 2019-05-30 | N |
| Post nurse staffing information every day. | Health | 2019-05-06 | 2019-05-30 | 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 | 2019-05-06 | 2019-05-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-06 | 2019-05-30 | N |
