Deficiency Records for Oxford Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Oxford 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-21 | 2024-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-12 | 2024-01-09 | 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 | 2023-12-12 | 2024-01-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-12 | 2024-01-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-12 | 2024-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2024-01-09 | 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 | 2023-12-12 | 2024-01-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-12 | 2024-01-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-12 | 2024-01-09 | 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 | 2023-12-12 | 2024-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-06-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-09 | 2023-06-06 | Y |
| Meet other general requirements. | Fire Safety | 2023-01-30 | 2023-03-21 | 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 | 2023-01-30 | 2023-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-10 | 2023-01-31 | 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 | 2023-01-10 | 2023-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-10 | 2023-01-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-10 | 2023-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-31 | 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 | 2022-08-04 | 2022-08-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-04 | 2022-08-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-05-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-03 | 2022-05-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-24 | 2022-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-21 | 2022-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-21 | 2022-02-15 | 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 | 2022-01-21 | 2022-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-20 | 2021-08-25 | Y |
