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Deficiency Records for The Oaks at Byron Center
View the most recent health deficiencies and inspection results for The Oaks at Byron Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Oaks at Byron Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish policies and procedures including evacuation. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-12-03 | 2026-01-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-03 | 2025-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-03 | 2025-12-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-03 | 2025-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-03 | 2025-12-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-03 | 2025-12-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-17 | 2024-11-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-17 | 2024-11-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-17 | 2024-11-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-10-17 | 2024-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-17 | 2024-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-17 | 2024-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-17 | 2024-11-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-17 | 2024-11-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-17 | 2024-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-17 | 2024-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-21 | 2023-10-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-21 | 2023-10-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-21 | 2023-10-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-21 | 2023-10-13 | Y |