Deficiency Records for Scarlet Oaks Nursing and Rehabilitation Center
Updated as of January 01, 2021
This is not the most recent data for Scarlet Oaks Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-12-03 | 2020-12-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-03 | 2020-12-17 | N |
| Respond appropriately to all alleged violations. | Health | 2020-12-03 | 2020-12-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-12-03 | 2020-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-03 | 2020-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-03 | 2020-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-03 | 2020-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-19 | 2020-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-19 | 2020-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-21 | 2020-08-12 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-11-14 | 2019-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-14 | 2019-12-06 | Y |
| 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 | 2019-11-14 | 2019-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-24 | 2019-10-05 | Y |
| 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 |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-13 | 2019-05-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-19 | 2019-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-04 | 2019-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-04 | 2019-02-28 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-12-03 | 2018-12-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-03 | 2018-12-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-12-03 | 2018-12-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-03 | 2018-12-21 | Y |
| 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 | 2018-09-20 | 2018-09-24 | Y |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-02-27 | 2018-05-30 | 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 protected exits that allow the resident to escape the building. | 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 |
| Be properly staffed | 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 |
| 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 |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-01-24 | 2017-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-24 | 2017-02-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-01-24 | 2017-02-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-01-24 | 2017-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-24 | 2017-02-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-19 | 2017-02-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-19 | 2017-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-29 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-29 | Not Fixed | N |
