Deficiency Records for Forrest Oakes Healthcare Center
Updated as of October 01, 2021
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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2021-06-02 | 2021-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-02 | 2021-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-20 | 2021-06-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-20 | 2021-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-20 | 2021-06-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-20 | 2021-06-05 | 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 | 2021-05-20 | 2021-06-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-20 | 2021-06-05 | 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 | 2021-05-20 | 2021-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-20 | 2021-06-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-06-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-05 | 2021-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-01 | 2020-10-21 | 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 | 2020-10-01 | 2020-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-01 | 2020-10-21 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-10-01 | 2020-10-21 | Y |
| 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 | 2020-10-01 | 2020-10-21 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2020-06-19 | 2020-07-09 | Y |
| Install proper backup exit lighting. | Fire Safety | 2019-11-21 | 2020-01-02 | 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 | 2019-11-21 | 2020-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2020-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-21 | 2020-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2020-01-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-10-31 | 2019-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-31 | 2019-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-18 | 2018-12-01 | N |
| 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 | 2018-10-18 | 2018-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-18 | 2018-12-01 | 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 | 2018-10-18 | 2018-12-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-10-18 | 2018-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-18 | 2018-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-18 | 2018-12-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-27 | 2018-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-27 | 2018-10-11 | 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 | 2018-09-27 | 2018-10-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-27 | 2018-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-11 | N |
