Deficiency Records for Oxford Rehabilitation and Healthcare Center
Updated as of February 01, 2022
This is not the most recent data for Oxford Rehabilitation and Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-08 | 2021-04-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-02-08 | 2021-03-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-08 | 2021-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-08 | 2021-03-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-02-08 | 2021-03-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-02-08 | 2021-03-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-08 | 2021-03-25 | 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 | 2021-01-28 | 2021-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-28 | 2021-03-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-13 | 2019-10-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-10-29 | 2018-12-28 | 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 | 2018-10-29 | 2018-12-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-29 | 2018-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-29 | 2018-12-28 | 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 | 2018-10-26 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-23 | N |
