A list of the most recent deficiencies for Hartwyck at Oak Tree. 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? |
|---|---|---|---|---|
| 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 | 2023-08-22 | 2023-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-08-22 | 2023-08-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-22 | 2023-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-22 | 2023-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-08-29 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-11-09 | 2021-12-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-02 | 2021-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-02 | 2021-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-02 | 2021-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-02 | 2021-06-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-02 | 2021-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-02 | 2021-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-06-18 | 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 | 2019-07-10 | 2019-08-01 | 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 | 2019-07-10 | 2019-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-10 | 2019-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-10 | 2019-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-10 | 2019-08-01 | N |
