A list of the most recent deficiencies for Oaks at Northpointe. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-08-02 | Y |
| 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 | 2023-07-17 | 2023-08-02 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-28 | 2022-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-28 | 2022-07-27 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-28 | 2022-07-27 | 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 | 2022-06-28 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-28 | 2022-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-07-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-28 | 2022-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-07-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-28 | 2022-07-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-28 | 2022-07-27 | 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 | 2022-06-28 | 2022-07-27 | 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 | 2022-06-21 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-21 | 2022-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-21 | 2022-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-21 | 2022-07-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-21 | 2019-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2019-12-13 | 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 | 2019-11-21 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-13 | 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 | 2019-11-20 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-20 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-20 | 2019-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-20 | 2019-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-20 | 2019-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-04 | 2018-12-07 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-10-04 | 2018-12-07 | N |
| 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 | 2018-10-04 | 2018-12-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-04 | 2018-12-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-04 | 2018-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-04 | 2018-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-01 | 2018-12-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-01 | 2018-12-07 | N |
