A list of the most recent deficiencies for Oaks at Bethesda The. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-22 | 2024-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-22 | 2024-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-22 | 2024-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-22 | 2024-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-22 | 2024-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-22 | 2024-02-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-22 | 2024-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-16 | 2024-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-16 | 2024-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-05 | 2023-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-05 | 2023-07-21 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-02 | 2022-05-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-02 | 2022-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-02 | 2022-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-02 | 2022-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-02 | 2022-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-02 | 2022-05-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-02 | 2022-05-26 | N |
| 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 | 2022-05-02 | 2022-05-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-02 | 2022-05-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-26 | 2022-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-05-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-26 | 2022-05-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-01 | 2019-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-01 | 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 | 2019-08-01 | 2019-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-01 | 2019-09-01 | 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 | 2019-08-01 | 2019-09-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-01 | 2019-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-01 | 2019-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-01 | 2019-09-01 | 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 | 2019-08-02 | 2019-09-01 | N |
