Deficiency Records for Oak Ridge Rehabilitation and Healthcare Center
Updated as of January 01, 2019
This is not the most recent data for Oak Ridge Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Oak Ridge Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-02 | 2018-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-02 | 2018-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-02 | 2018-12-12 | 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 | 2018-11-02 | 2018-12-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-11-02 | 2018-12-12 | 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 schedul | Health | 2018-11-02 | 2018-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-02 | 2018-12-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-02 | 2018-12-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-02 | 2018-12-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-07 | 2018-11-26 | 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 | 2018-11-07 | 2018-11-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-07 | 2018-11-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-07 | 2018-11-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-31 | 2018-02-22 | 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 | 2017-12-15 | 2018-01-19 | 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 | 2017-12-15 | 2018-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-15 | 2018-01-19 | 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 ne | Health | 2017-12-15 | 2018-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-19 | 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 | 2017-12-15 | 2018-01-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-15 | 2018-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-15 | 2018-01-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-15 | 2018-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-15 | 2018-01-19 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-12-15 | 2018-01-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-20 | 2017-12-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-12-20 | 2017-12-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-20 | 2017-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-20 | 2017-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-11-29 | 2017-12-15 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-27 | 2017-11-29 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-27 | 2017-11-29 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-09-27 | 2017-10-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-21 | 2017-08-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-21 | 2017-05-24 | Y |
| Meet other general requirements. | Fire Safety | 2016-11-22 | 2017-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-14 | 2016-12-28 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-11-18 | 2016-12-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-18 | 2016-12-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-18 | 2016-12-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-18 | 2016-12-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-18 | 2016-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-18 | 2016-12-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-18 | 2016-12-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-18 | 2016-12-28 | N |
| Dispose of garbage and refuse properly. | Health | 2016-11-18 | 2016-12-28 | N |
| Keep all essential equipment working safely. | Health | 2016-11-18 | 2016-12-28 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-11-18 | 2016-12-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-18 | 2016-12-28 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-07-05 | 2016-09-15 | Y |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2016-07-05 | 2016-09-15 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-07-05 | 2016-08-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-08-18 | Not Fixed | Y |
