A list of the most recent deficiencies for Oak Hills Living 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-12-21 | 2024-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-21 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-06 | 2024-02-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-06 | 2023-12-18 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-11-06 | 2023-12-18 | 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 | 2023-11-06 | 2023-12-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-06 | 2023-12-18 | 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 | 2023-01-13 | 2023-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-06 | 2022-10-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-30 | 2022-10-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-20 | 2021-10-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-20 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-08 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-20 | 2021-10-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-26 | 2021-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-26 | 2021-07-16 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-18 | 2021-05-21 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-11 | 2019-07-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-11 | 2019-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-16 | 2019-06-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-16 | 2019-06-03 | N |
| 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 | 2019-04-16 | 2019-06-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-16 | 2019-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-16 | 2019-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-16 | 2019-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-16 | 2019-06-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-16 | 2019-06-03 | 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 | 2019-04-16 | 2019-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-16 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-16 | 2019-06-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-16 | 2019-06-03 | 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 | 2019-04-11 | 2019-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-11 | 2019-06-03 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Have an externally vented heating system. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-28 | 2018-04-25 | N |
