CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Midtown Oaks Health and Rehab Center
View the most recent health deficiencies and inspection results for Midtown Oaks Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Midtown Oaks Health and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-27 | 2026-03-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-27 | 2026-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-27 | 2026-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-27 | 2026-03-31 | N |
| 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 | 2026-02-27 | 2026-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-12 | 2026-03-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-12 | 2026-03-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-02-27 | 2026-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-27 | 2026-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-27 | 2026-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-02-27 | 2026-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-30 | 2026-01-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-11 | 2025-10-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-09-11 | 2025-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-11 | 2025-10-14 | 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 | 2025-09-11 | 2025-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-11 | 2025-10-14 | 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 | 2025-09-11 | 2025-10-14 | 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 | 2025-09-11 | 2025-10-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-09-11 | 2025-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-11 | 2025-10-14 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-09-11 | 2025-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-06 | 2025-08-26 | 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 | 2025-08-06 | 2025-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-06 | 2025-08-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-06 | 2025-08-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-06 | 2025-08-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-25 | 2025-07-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-06-16 | 2025-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-22 | 2025-05-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-22 | 2025-05-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-22 | 2025-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-04 | 2025-03-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-28 | 2025-02-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-28 | 2025-02-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-28 | 2025-02-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-23 | 2025-01-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-23 | 2025-01-23 | Y |
| 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 | 2024-08-22 | 2024-11-05 | Y |
| 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 | 2024-08-22 | 2024-11-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-22 | 2024-11-05 | 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 | 2024-08-22 | 2024-11-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-22 | 2024-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-22 | 2024-11-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-22 | 2024-11-05 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-22 | 2024-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-10-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-22 | 2024-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-22 | 2024-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-22 | 2024-10-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-22 | 2024-10-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-22 | 2024-10-01 | 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 | 2024-08-22 | 2024-10-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-22 | 2024-10-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-22 | 2024-10-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-22 | 2024-10-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-22 | 2024-10-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-22 | 2024-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-10-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-22 | 2024-10-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-22 | 2024-10-01 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-08-22 | 2024-10-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-22 | 2024-10-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-22 | 2024-10-01 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-22 | 2024-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-10-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-22 | 2024-10-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-22 | 2024-10-01 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-22 | 2024-10-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-22 | 2024-10-01 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-09-16 | 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 | 2024-08-22 | 2024-09-16 | N |
| Meet other general requirements. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-22 | 2024-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-03 | 2024-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-18 | 2024-08-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-03 | 2024-08-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-03 | 2024-08-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-03 | 2024-08-01 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-07-03 | 2024-08-01 | Y |
| 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 | 2024-07-03 | 2024-08-01 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-07-03 | 2024-08-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-03 | 2024-08-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-03 | 2024-08-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-03 | 2024-08-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-03 | 2024-08-01 | 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 | 2024-07-03 | 2024-08-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-03 | 2024-08-01 | Y |
| 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 | 2024-07-03 | 2024-08-01 | 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 | 2024-07-03 | 2024-08-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-07-03 | 2024-08-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-04-18 | 2024-05-16 | Y |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2024-04-18 | 2024-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-18 | 2024-05-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-18 | 2024-05-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-18 | 2024-05-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-02-02 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-01-05 | 2024-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-05 | 2024-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-05 | 2024-02-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-05 | 2024-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-15 | 2023-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-12-13 | 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 | 2023-11-15 | 2023-12-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-15 | 2023-12-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-15 | 2023-12-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-13 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-11-15 | 2023-12-13 | 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 | 2023-11-15 | 2023-12-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-08 | 2023-10-06 | Y |
| 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 | 2023-09-08 | 2023-10-06 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-08 | 2023-10-06 | Y |