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Deficiency Records for The Oaks Healthcare Center
View the most recent health deficiencies and inspection results for The Oaks Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Oaks Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-21 | 2025-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-21 | 2025-09-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-26 | 2025-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-26 | 2025-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-26 | 2025-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-26 | 2025-04-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-02-26 | 2025-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-26 | 2025-04-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-26 | 2025-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-26 | 2025-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-26 | 2025-04-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-02-26 | 2025-04-08 | 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 | 2025-02-26 | 2025-04-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-26 | 2025-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-26 | 2025-04-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-26 | 2025-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-26 | 2025-04-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-02-26 | 2025-04-08 | 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 | 2024-11-01 | 2024-12-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-23 | 2024-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-11 | 2024-08-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-11 | 2024-08-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-11 | 2024-08-20 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-11 | 2024-08-20 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-27 | 2024-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-27 | 2024-05-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-27 | 2024-05-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-27 | 2023-12-11 | 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 | 2023-10-27 | 2023-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-12-11 | 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 | 2023-10-27 | 2023-12-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-27 | 2023-12-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-27 | 2023-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-27 | 2023-12-11 | 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 | 2023-10-27 | 2023-12-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-27 | 2023-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-13 | 2022-08-15 | 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 | 2022-07-13 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-13 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-13 | 2022-08-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-13 | 2022-08-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-13 | 2022-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-13 | 2022-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-13 | 2022-08-05 | 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 | 2022-07-13 | 2022-08-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-12-03 | Not Fixed | Y |