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Deficiency Records for The Oaks Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for The Oaks Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Oaks Rehabilitation and Healthcare Center. 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 | 2025-12-01 | 2026-01-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-01 | 2026-01-09 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-29 | 2025-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-29 | 2025-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-29 | 2025-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-29 | 2025-08-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-29 | 2025-08-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-29 | 2025-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-29 | 2025-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-16 | 2025-07-08 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-06-16 | 2025-07-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-06-16 | 2025-07-08 | Y |
| 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 | 2025-06-16 | 2025-07-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-16 | 2025-07-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide appropriate foot care. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-16 | 2025-07-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-16 | 2025-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-16 | 2025-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-25 | 2024-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-25 | 2024-07-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-25 | 2024-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-25 | 2024-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-25 | 2024-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-25 | 2024-07-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-06-25 | 2024-07-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-25 | 2024-07-18 | 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 | 2024-06-25 | 2024-07-18 | 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 | 2024-06-25 | 2024-07-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-25 | 2024-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-25 | 2024-07-18 | 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 | 2024-06-25 | 2024-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-25 | 2024-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-25 | 2024-07-18 | 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 | 2024-06-25 | 2024-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-25 | 2024-07-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-25 | 2024-07-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-25 | 2024-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-25 | 2024-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-25 | 2024-07-18 | N |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-08-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| 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 |
| 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 |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 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 |
| Respond appropriately to all alleged violations. | 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 |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | 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 | 2022-06-28 | 2022-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-28 | 2022-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-07-27 | N |