CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Oaks-Brevard
View the most recent health deficiencies and inspection results for The Oaks-Brevard. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Oaks-Brevard. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-03-05 | 2026-04-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-03-05 | 2026-04-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-03-05 | 2026-04-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-03-05 | 2026-04-01 | 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 | 2024-12-18 | 2025-04-27 | 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 | 2024-12-18 | 2025-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-18 | 2025-04-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-12-18 | 2025-01-16 | 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 | 2024-12-18 | 2025-01-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-18 | 2025-01-16 | 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 | 2024-12-18 | 2025-01-16 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-12-18 | 2025-01-16 | N |
| Provide activities to meet all resident's needs. | Health | 2024-12-18 | 2025-01-16 | 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 | 2024-12-18 | 2025-01-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-12-18 | 2025-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-18 | 2024-08-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-17 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-17 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-17 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-17 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-17 | 2023-10-06 | 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 | 2023-08-17 | 2023-10-06 | 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 | 2023-08-17 | 2023-10-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-17 | 2023-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-17 | 2023-09-06 | 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 | 2023-08-17 | 2023-09-06 | 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 | 2023-08-17 | 2023-09-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-17 | 2023-09-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-17 | 2023-09-06 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-08-17 | 2023-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-09-06 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-17 | 2023-09-06 | 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 | 2023-08-17 | 2023-09-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-17 | 2023-09-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-17 | 2023-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-07-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-07 | 2022-03-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-07 | 2022-03-16 | N |