A list of the most recent deficiencies for Oxford Nursing 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-13 | 2021-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-13 | 2021-08-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-13 | 2021-08-17 | 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 | 2021-07-13 | 2021-08-17 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-13 | 2021-08-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-13 | 2021-08-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-07-13 | 2021-08-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-13 | 2021-08-17 | 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 | 2021-07-13 | 2021-08-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-07-13 | 2021-08-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-13 | 2021-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-13 | 2021-08-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-13 | 2021-08-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-13 | 2021-08-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-08-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-07-13 | 2021-08-06 | 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 | 2021-07-13 | 2021-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-13 | 2021-08-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-13 | 2021-08-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-13 | 2021-08-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-22 | 2019-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-22 | 2019-04-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-02-22 | 2019-04-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-02-22 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-22 | 2019-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-22 | 2019-03-31 | 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 | 2017-06-16 | 2017-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-16 | 2017-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-16 | 2017-07-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-26 | Not Fixed | Y |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-06-16 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-06-16 | Not Fixed | N |
