Deficiency Records for Scarlet Oaks Nursing and Rehabilitation Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Scarlet Oaks Nursing and Rehabilitation 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-24 2023-09-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-24 2023-09-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-12 2023-07-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-12 2023-07-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-29 2023-01-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-29 2023-01-11 Y
Report COVID19 data to residents and families. Health 2022-12-29 2023-01-11 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 2022-11-29 2023-01-11 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-11-29 2023-01-11 Y
Respond appropriately to all alleged violations. Health 2022-11-29 2023-01-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-22 2022-08-23 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-20 2022-07-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-20 2022-07-01 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 2022-05-20 2022-07-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-20 2022-07-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-20 2022-07-01 N
Provide emergency officials' contact information. Fire Safety 2022-05-19 2022-07-01 N
Establish emergency prep training and testing. Fire Safety 2022-05-19 2022-07-01 N
Establish staff and initial training requirements. Fire Safety 2022-05-19 2022-07-01 N
Conduct testing and exercise requirements. Fire Safety 2022-05-19 2022-07-01 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 2022-05-19 2022-07-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-05-19 2022-07-01 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-05-19 2022-07-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-19 2022-07-01 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-05-19 2022-07-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-19 2022-07-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-05-19 2022-07-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-19 2022-07-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-19 2022-07-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-19 2022-07-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-05-19 2022-07-01 N
Have proper power supply for life support equipment. Fire Safety 2022-05-19 2022-07-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-05-19 2022-07-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-17 2021-11-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-01 2021-11-19 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-11-01 2021-11-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-01 2021-11-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-09-28 2021-11-19 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-09-28 2021-11-19 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-03-29 2021-04-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-15 2021-04-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-03-15 2021-04-10 Y
Ensure that residents are free from significant medication errors. Health 2021-03-15 2021-04-10 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-03-28 2019-05-03 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2019-03-28 2019-05-03 N
Observe each nurse aide's job performance and give regular training. Health 2019-03-28 2019-05-03 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 2019-03-28 2019-05-03 N
Ensure medication error rates are not 5 percent or greater. Health 2019-03-28 2019-05-03 N
Provide and implement an infection prevention and control program. Health 2019-03-28 2019-05-03 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-03-26 2019-05-03 N
Have exits that are accessible at all times. Fire Safety 2019-03-26 2019-05-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-03-26 2019-05-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-03-26 2019-05-03 N
Install an approved automatic sprinkler system. Fire Safety 2019-03-26 2019-05-03 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2018-02-27 2018-05-30 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2018-03-01 2018-04-15 N
Ensure each resident receives an accurate assessment. Health 2018-03-01 2018-04-15 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2018-03-01 2018-04-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-02-27 2018-04-15 N
Install proper backup exit lighting. Fire Safety 2018-02-27 2018-04-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-02-27 2018-04-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-02-27 2018-04-15 N
Have an enclosure around a vertical opening shaft. Fire Safety 2018-02-27 2018-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-02-27 2018-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-02-27 2018-04-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-02-27 2018-04-15 N
Have power receptacles that are properly grounded. Fire Safety 2018-02-27 2018-04-15 N