Deficiency Records for Forrest Oakes Healthcare Center
Updated as of September 01, 2016
This is not the most recent data for Forrest Oakes Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Forrest Oakes Healthcare 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? |
|---|---|---|---|---|
| Approved construction type or materials. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Proper backup exit lighting. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-04 | 2016-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-10-07 | 2015-11-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-10-07 | 2015-11-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-10-07 | 2015-11-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-07 | 2015-11-03 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-07 | 2015-11-03 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-10-07 | 2015-11-03 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-10-07 | 2015-11-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-10-07 | 2015-11-03 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-10-07 | 2015-11-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-07 | 2015-11-03 | Y |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-12-10 | 2014-12-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-10 | 2014-12-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-11-20 | 2014-12-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-11-20 | 2014-12-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-11-20 | 2014-12-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-20 | 2014-12-18 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-11-20 | 2014-12-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-11-20 | 2014-12-18 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-11-20 | 2014-12-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2014-11-20 | 2014-12-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-20 | 2014-12-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-20 | 2014-12-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-11-20 | 2014-12-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-02-25 | 2014-03-28 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-02-25 | 2014-03-28 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-02-25 | 2014-03-28 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-02-25 | 2014-03-28 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-25 | 2014-03-28 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-02-25 | 2014-03-28 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-09-10 | 2013-10-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-09-10 | 2013-10-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-09-10 | 2013-10-14 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-08-22 | 2013-09-19 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2013-08-22 | 2013-09-19 | N |
| Maintain comfortable and safe temperature levels. | Health | 2013-08-22 | 2013-09-19 | N |
| Maintain comfortable sound levels. | Health | 2013-08-22 | 2013-09-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-08-22 | 2013-09-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-08-22 | 2013-09-19 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2013-08-22 | 2013-09-19 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2013-08-22 | 2013-09-19 | N |
| Provide food in a way that meets a resident's needs. | Health | 2013-08-22 | 2013-09-19 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2013-08-22 | 2013-09-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-08-22 | 2013-09-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-08-22 | 2013-09-19 | N |
