A list of the most recent deficiencies for Oxford Health and Rehab 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-23 | 2023-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-23 | 2023-09-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-12 | 2023-06-25 | 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 | 2023-05-12 | 2023-06-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-12 | 2023-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-06-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-12 | 2023-06-25 | 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 | 2023-05-12 | 2023-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-06-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-12 | 2023-06-25 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-09 | 2023-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-10 | 2023-01-10 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-05-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-04-29 | 2021-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-29 | 2021-05-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-29 | 2021-05-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-23 | 2020-03-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-23 | 2020-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-23 | 2020-03-09 | 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 | 2020-01-23 | 2020-03-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-23 | 2020-03-09 | 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 | 2020-01-23 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-03-09 | N |
