Deficiency Records for Saint Therese at Oxbow Lake
Updated as of April 01, 2020
This is not the most recent data for Saint Therese at Oxbow Lake. For the most recent information, click here.
A list of the most recent deficiencies for Saint Therese at Oxbow Lake. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-18 | 2019-02-27 | 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 | 2019-01-18 | 2019-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-18 | 2019-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-18 | 2019-02-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-18 | 2019-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-09 | 2017-12-12 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-11-02 | 2017-12-12 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-02 | 2017-12-12 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-02 | 2017-12-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-02 | 2017-12-12 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-11-02 | 2017-12-12 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-11-02 | 2017-12-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-02 | 2017-12-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-02 | 2017-12-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-02 | 2017-12-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2017-12-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-02 | 2017-12-12 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-01-06 | 2017-02-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-06 | 2017-02-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-06 | 2017-02-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-06 | 2017-02-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-06 | 2017-02-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-06 | 2017-02-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-06 | 2017-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-06 | 2017-02-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-06 | 2017-02-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-06 | 2017-02-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-06 | 2017-02-10 | N |
