Deficiency Records for The Oaks Rehabilitation and Healthcare Center
Updated as of June 01, 2023
This is not the most recent data for The Oaks Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for The Oaks Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-23 | 2022-08-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-23 | 2022-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-23 | 2022-08-04 | 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 | 2022-06-23 | 2022-08-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-08-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-21 | 2022-06-01 | Y |
| 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 | 2022-04-21 | 2022-06-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-07 | 2021-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-23 | 2019-07-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-23 | 2019-07-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-05-23 | 2019-07-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-23 | 2019-07-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-23 | 2019-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-23 | 2019-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-07-08 | 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 | 2019-05-23 | 2019-07-08 | 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 | 2019-05-23 | 2019-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-07-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-21 | 2019-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-08 | 2018-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-08 | 2018-08-16 | 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 | 2018-06-12 | 2018-07-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-12 | 2018-07-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-12 | 2018-07-16 | 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 | 2018-06-12 | 2018-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-08 | 2018-07-16 | N |
