A list of the most recent deficiencies for Oak Grove Retirement Home. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-06-16 | Y |
| 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 | 2023-06-01 | 2023-06-16 | Y |
| 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 | 2023-04-13 | 2023-05-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-13 | 2023-05-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-13 | 2023-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-05-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-04-13 | 2023-05-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-13 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-11 | 2023-05-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-11 | 2023-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-09 | 2020-04-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-02-23 | 2019-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-23 | 2019-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-23 | 2019-04-10 | 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 | 2019-02-23 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-23 | 2019-04-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-21 | 2019-04-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-21 | 2019-04-10 | N |
