CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Oak Ridge Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Oak Ridge Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Oak Ridge Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-22 | 2026-05-22 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-04-22 | 2026-05-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-02-06 | 2026-03-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-02-06 | 2026-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-06 | 2026-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-06 | 2026-03-20 | 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 | 2026-02-06 | 2026-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-06 | 2026-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-06 | 2026-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-06 | 2026-03-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-06 | 2026-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-06 | 2026-03-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-06 | 2026-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-06 | 2026-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-06 | 2026-03-12 | 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 | 2026-02-06 | 2026-03-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-02-06 | 2026-03-12 | N |
| Respond appropriately to all alleged violations. | Health | 2025-09-24 | 2025-10-07 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-08-12 | 2025-08-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-25 | 2025-05-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-25 | 2025-05-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-04-25 | 2025-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-25 | 2025-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-25 | 2025-05-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-25 | 2025-05-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-04-25 | 2025-05-23 | 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 | 2025-04-25 | 2025-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-25 | 2025-04-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-25 | 2025-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-25 | 2025-04-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-04-25 | 2025-04-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-10 | 2024-08-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-10 | 2024-08-10 | 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 | 2024-05-10 | 2024-07-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-10 | 2024-07-24 | 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 | 2024-05-10 | 2024-07-24 | N |
| 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 | 2024-05-10 | 2024-07-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-10 | 2024-07-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-10 | 2024-07-24 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-10 | 2024-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-07-24 | 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 | 2024-05-10 | 2024-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-10 | 2024-07-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-10 | 2024-07-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-10 | 2024-07-24 | 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 | 2024-05-10 | 2024-07-24 | 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 | 2024-05-10 | 2024-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-07-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-05-10 | 2024-07-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-10 | 2024-07-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-10 | 2024-07-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-10 | 2024-07-24 | N |
| Have policies on smoking. | Health | 2024-05-10 | 2024-07-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-05-10 | 2024-07-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-10 | 2024-07-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-02-27 | 2024-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-27 | 2024-04-11 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-02-27 | 2024-04-11 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-27 | 2024-04-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-27 | 2024-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-25 | 2024-04-11 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-25 | 2024-04-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-02-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-25 | 2024-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-25 | 2024-02-27 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-01-25 | 2024-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-01-25 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-09-20 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-15 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-08-07 | 2023-08-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-07 | 2023-08-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-07 | 2023-08-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-19 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-06 | Not Fixed | N |