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Deficiency Records for Oak Grove Manor

View the most recent health deficiencies and inspection results for Oak Grove Manor. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Oak Grove Manor. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-09-25 2025-11-17 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-09-25 2025-11-17 Y
Have simulated fire drills held at unexpected times. Fire Safety 2025-07-01 2025-07-25 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 2025-07-01 2025-07-25 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2025-07-01 2025-07-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-07-01 2025-07-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-07-01 2025-07-25 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2025-07-01 2025-07-25 N
Observe each nurse aide's job performance and give regular training. Health 2025-07-01 2025-07-25 N
Ensure medication error rates are not 5 percent or greater. Health 2025-07-01 2025-07-25 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2025-07-01 2025-07-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-07-01 2025-07-25 N
Provide and implement an infection prevention and control program. Health 2025-07-01 2025-07-25 N
Have policies on smoking. Health 2025-07-01 2025-07-25 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-07-01 2025-07-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-07-01 2025-07-25 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 2024-12-23 2024-12-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-23 2024-12-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-29 2024-11-22 Y
Respond appropriately to all alleged violations. Health 2024-10-29 2024-11-22 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-10-29 2024-11-22 Y
Ensure that residents are free from significant medication errors. Health 2024-07-31 2024-08-22 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-31 2024-08-22 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-31 2024-08-22 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-31 2024-08-22 Y
Dispose of garbage and refuse properly. Health 2024-05-16 2024-06-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-16 2024-06-07 Y
Ensure that residents are free from significant medication errors. Health 2024-05-16 2024-06-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-16 2024-06-07 Y
Ensure the activities program is directed by a qualified professional. Health 2024-05-16 2024-06-07 Y
Provide activities to meet all resident's needs. Health 2024-05-16 2024-06-07 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 2024-05-16 2024-06-07 Y
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 2024-05-16 2024-06-07 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-16 2024-06-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-16 2024-06-07 N
Keep residents' personal and medical records private and confidential. Health 2024-05-16 2024-06-07 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2024-05-16 2024-06-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-05-16 2024-06-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-16 2024-06-07 N
Have proper medical gas storage and administration areas. Fire Safety 2024-05-16 2024-06-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-16 2024-06-07 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-05-16 2024-06-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-05-16 2024-06-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-16 2024-06-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-05-16 2024-06-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-16 2024-06-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-16 2024-06-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-02-06 2024-02-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-06 2024-02-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-06 2024-02-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-06 2024-02-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-06 2024-02-24 Y
Provide and implement an infection prevention and control program. Health 2024-02-06 2024-02-24 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-06 2024-02-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-27 2024-02-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-21 2023-12-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-21 2023-12-01 Y
Provide and implement an infection prevention and control program. Health 2023-09-26 2023-10-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-01 2023-09-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-01 2023-09-01 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-31 2023-09-01 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-07-31 2023-09-01 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-11-15 2023-03-14 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-11-15 2023-03-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-15 2023-03-07 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 2022-11-15 2023-03-07 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-11-15 2023-03-07 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-11-15 2023-03-07 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-11-15 2023-03-07 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-11-15 2023-03-07 N
Provide and implement an infection prevention and control program. Health 2022-11-15 2023-03-07 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 2022-11-15 2023-03-07 N
Ensure medication error rates are not 5 percent or greater. Health 2022-11-15 2023-03-07 N
Ensure that residents are free from significant medication errors. Health 2022-11-15 2023-03-07 N
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 2022-11-15 2023-03-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-15 2023-03-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-11-15 2023-03-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-15 2023-03-07 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-15 2023-03-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-15 2023-03-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-15 2023-03-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-15 2023-03-07 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-11-15 2023-03-07 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 2022-11-15 2023-03-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-15 2023-03-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-11-15 2023-03-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-15 2023-03-07 N
Provide properly protected cooking facilities. Fire Safety 2022-11-15 2023-03-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-15 2023-03-06 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2022-11-15 2023-03-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-15 2023-03-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-15 2023-03-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-15 2023-03-06 N

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