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Deficiency Records for Big Oak Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Big Oak Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Big Oak Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-26 | 2026-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-26 | 2026-05-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2026-03-26 | 2026-04-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2026-03-26 | 2026-04-22 | N |
| Dispose of garbage and refuse properly. | Health | 2026-03-26 | 2026-04-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-03-26 | 2026-04-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2026-03-26 | 2026-04-10 | Y |
| Implement a program that monitors antibiotic use. | Health | 2026-03-26 | 2026-04-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-07-25 | 2025-08-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-11 | 2025-01-08 | 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 | 2024-12-11 | 2025-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-12-11 | 2024-12-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-12-11 | 2024-12-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-12-11 | 2024-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-11 | 2024-12-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-11 | 2024-12-24 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-12-11 | 2024-12-24 | 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 | 2024-12-11 | 2024-12-24 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-11 | 2024-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-11 | 2024-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-11 | 2024-12-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-11 | 2024-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-11 | 2024-12-16 | N |
| 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 | 2024-12-11 | 2024-12-12 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-12-11 | 2024-12-12 | N |
| Dispose of garbage and refuse properly. | Health | 2024-12-11 | 2024-12-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-12-11 | 2024-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-11 | 2024-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-11 | 2024-12-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-12-11 | 2024-12-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-11 | 2024-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-11 | 2024-12-12 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-07 | 2023-10-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-07 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-09-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-07 | 2023-09-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-07 | 2023-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-07 | 2023-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-07 | 2023-09-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-07 | 2023-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-09-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-09-09 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-07 | 2023-09-08 | N |