A list of the most recent deficiencies for Oak Hills Nursing 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-04 | 2022-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-09-15 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-01 | 2022-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-25 | 2022-04-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-16 | 2022-03-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-15 | 2019-09-25 | N |
| 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 | 2019-08-15 | 2019-09-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-15 | 2019-09-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-15 | 2019-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-15 | 2019-09-25 | 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 | 2019-08-15 | 2019-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-15 | 2019-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-13 | 2019-09-25 | N |
| 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 | 2018-07-03 | 2018-08-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-03 | 2018-08-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-03 | 2018-08-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-03 | 2018-08-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-03 | 2018-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-03 | 2018-08-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-03 | 2018-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-03 | 2018-08-07 | 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 | 2018-07-03 | 2018-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-03 | 2018-08-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-03 | 2018-08-07 | 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 | 2018-07-05 | 2018-08-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-05 | 2018-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-05 | 2018-08-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-05 | 2018-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-05 | 2018-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-05 | 2018-08-07 | N |
