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Deficiency Records for Saint Therese at Oxbow Lake
View the most recent health deficiencies and inspection results for Saint Therese at Oxbow Lake. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint Therese at Oxbow Lake. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2026-02-26 | 2026-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-26 | 2026-04-20 | 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 | 2026-02-26 | 2026-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-26 | 2026-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-26 | 2026-04-20 | N |
| Provide activities to meet all resident's needs. | Health | 2026-02-26 | 2026-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-26 | 2026-04-20 | 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 | 2026-02-26 | 2026-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-26 | 2026-04-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-26 | 2026-04-20 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-26 | 2026-04-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-02-26 | 2026-04-20 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-02-26 | 2026-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-26 | 2026-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-26 | 2026-04-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-02-26 | 2026-04-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-12-06 | 2025-01-27 | 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 | 2024-12-06 | 2025-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-06 | 2025-01-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-06 | 2025-01-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-06 | 2025-01-17 | 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 | 2024-12-06 | 2025-01-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-06 | 2024-12-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-06 | 2024-12-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-11 | 2024-11-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-07 | 2024-09-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-09-11 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-07 | 2024-05-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-03-07 | 2024-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-07 | 2024-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-07 | 2024-05-03 | 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 | 2024-03-07 | 2024-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-05-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-07 | 2024-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-07 | 2024-05-03 | 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 | 2024-03-07 | 2024-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-07 | 2024-04-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-07 | 2024-03-27 | N |