Deficiency Records for Oak Hills Nursing Center
Updated as of September 01, 2019
This is not the most recent data for Oak Hills Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-06-10 | 2019-07-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-10 | 2019-07-02 | Y |
| 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 |
| 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 ne | 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 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-01 | 2017-06-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-01 | 2017-06-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-01 | 2017-06-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-04 | 2017-06-02 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-05-04 | 2017-06-02 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-04 | 2017-06-02 | Y |
| 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 | 2017-05-04 | 2017-06-02 | Y |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-02-17 | 2016-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-18 | 2016-03-17 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-02-18 | 2016-03-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-18 | 2016-03-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-18 | 2016-03-17 | N |
