Deficiency Records for Oakpointe Senior Care and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Oakpointe Senior Care and Rehab 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-03 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-03 | 2023-07-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-03 | 2023-07-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-03 | 2023-07-26 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-28 | 2023-07-26 | 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 | 2023-06-28 | 2023-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-28 | 2023-07-26 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-06-28 | 2023-07-26 | 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 | 2022-05-16 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-16 | 2022-05-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-16 | 2022-05-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-29 | 2022-05-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-29 | 2022-05-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-29 | 2022-05-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-29 | 2022-05-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-04 | 2021-11-30 | Y |
| 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 | 2021-11-04 | 2021-11-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-04 | 2021-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-04 | 2021-11-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-04 | 2021-11-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-04 | 2021-11-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-24 | 2021-04-16 | 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 | 2021-03-24 | 2021-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-24 | 2021-04-12 | 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 | 2021-03-24 | 2021-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-04-12 | N |
