Deficiency Records for Oak Knoll Skilled Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Oak Knoll Skilled Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-15 | 2023-12-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-23 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-23 | 2023-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-11 | 2023-01-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-23 | 2023-01-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-23 | 2023-01-06 | 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 | 2022-11-23 | 2023-01-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-11-11 | 2022-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-11 | 2022-12-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-11 | 2022-12-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-11 | 2022-12-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-11 | 2022-12-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-11 | 2022-12-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-11 | 2022-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-11 | 2022-12-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-11 | 2022-12-26 | 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 | 2022-11-11 | 2022-12-26 | N |
| Post nurse staffing information every day. | Health | 2022-11-11 | 2022-12-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-11 | 2022-12-26 | 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 | 2022-11-11 | 2022-12-26 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-24 | 2019-11-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-24 | 2019-11-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-24 | 2019-11-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-24 | 2019-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-24 | 2019-11-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-24 | 2019-11-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-24 | 2019-11-08 | 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 | 2019-09-24 | 2019-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-25 | 2018-11-09 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-09-25 | 2018-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-25 | 2018-11-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-25 | 2018-11-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-09-25 | 2018-11-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-25 | 2018-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-25 | 2018-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-25 | 2018-11-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-25 | 2018-11-09 | N |
| Post nurse staffing information every day. | Health | 2018-09-25 | 2018-11-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-25 | 2018-11-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-25 | 2018-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-25 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-11-09 | N |
| Use approved construction type or materials. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Have an externally vented heating system. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-09-25 | 2018-11-09 | N |
