Deficiency Records for Oakland Manor Nursing and Rehab Center LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Oakland Manor Nursing and Rehab Center LLC. 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 electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-12-07 | 2024-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-07 | 2024-01-15 | 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 | 2023-12-07 | 2024-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2024-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-07 | 2024-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2024-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-07 | 2024-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-23 | 2022-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-24 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-24 | 2022-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-04-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-24 | 2022-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-04-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-24 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-04-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-24 | 2022-04-04 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-24 | 2022-04-04 | N |
| Keep all essential equipment working safely. | Health | 2022-02-24 | 2022-04-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-21 | 2021-11-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-09-24 | 2020-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-28 | 2020-11-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-09-28 | 2020-10-26 | 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 | 2020-09-28 | 2020-10-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-28 | 2020-10-26 | 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 | 2020-09-28 | 2020-10-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-28 | 2020-10-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-28 | 2020-10-26 | N |
| Respond appropriately to all alleged violations. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-28 | 2020-10-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-28 | 2020-10-26 | 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 | 2020-09-28 | 2020-10-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-28 | 2020-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-09-28 | 2020-10-26 | 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 | 2020-09-28 | 2020-10-26 | 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 | 2020-09-28 | 2020-10-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-09-28 | 2020-10-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-28 | 2020-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-28 | 2020-10-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-09-28 | 2020-10-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-24 | 2020-10-26 | 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 | 2020-09-24 | 2020-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-24 | 2020-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-24 | 2020-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-24 | 2020-10-26 | N |
