Deficiency Records for Oak Hill Healthcare and Rehabilitation Center
Updated as of March 01, 2021
This is not the most recent data for Oak Hill Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Oak Hill Healthcare and Rehabilitation 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 and implement an infection prevention and control program. | Health | 2020-06-24 | 2020-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Be properly staffed | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-11-18 | 2020-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-15 | 2019-12-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-15 | 2019-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-15 | 2019-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-15 | 2019-12-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-15 | 2019-12-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-15 | 2019-12-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-15 | 2019-12-11 | 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 | 2019-11-15 | 2019-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-15 | 2019-12-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-15 | 2019-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-26 | 2019-07-25 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-26 | 2019-07-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-26 | 2019-07-25 | Y |
| 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 | 2019-06-26 | 2019-07-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-26 | 2019-07-25 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-06-26 | 2019-07-25 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-03-29 | 2019-04-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-17 | 2018-11-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-13 | 2018-11-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-13 | 2018-11-06 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-09-13 | 2018-11-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-09-13 | 2018-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-13 | 2018-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-13 | 2018-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-11-06 | 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 | 2018-09-13 | 2018-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-13 | 2018-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-13 | 2018-11-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-13 | 2018-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-13 | 2018-11-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-13 | 2018-11-06 | 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 | 2018-09-13 | 2018-11-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-13 | 2018-11-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-13 | 2018-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-11-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-13 | 2018-11-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-05 | 2018-07-10 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-10-12 | 2017-11-28 | N |
| 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 | 2017-10-12 | 2017-11-28 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-12 | 2017-11-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-10-12 | 2017-11-28 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-12 | 2017-11-28 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-10-12 | 2017-11-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-10-12 | 2017-11-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-12 | 2017-11-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-12 | 2017-11-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-12 | 2017-11-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-12 | 2017-11-28 | 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 | 2017-10-12 | 2017-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-12 | 2017-11-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-12 | 2017-11-28 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-10-12 | 2017-11-28 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-12 | 2017-11-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-12 | 2017-11-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-12 | 2017-11-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-12 | 2017-11-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-12 | 2017-11-28 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2017-10-12 | 2017-11-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-12 | 2017-11-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-12 | 2017-11-28 | 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 | 2017-10-23 | 2017-11-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-10-23 | 2017-11-05 | N |
