Deficiency Records for Oak Hill Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Oak Hill Health 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-05 | 2023-10-31 | 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 | 2023-09-13 | 2023-10-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-06-19 | 2023-07-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-06-19 | 2023-07-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-19 | 2023-07-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-19 | 2023-07-11 | N |
| 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 | 2023-06-19 | 2023-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-19 | 2023-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-19 | 2023-07-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-19 | 2023-07-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-19 | 2023-07-11 | 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 | 2023-06-19 | 2023-07-11 | 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 | 2023-06-19 | 2023-07-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-19 | 2023-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-19 | 2023-07-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-19 | 2023-07-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-06-19 | 2023-07-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-01 | 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 | 2023-05-24 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-24 | 2022-08-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-13 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-07-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-28 | 2022-07-28 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-06-29 | 2022-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-07-22 | Y |
| 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 | 2022-05-11 | 2022-06-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-11 | 2022-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-10 | N |
| Provide appropriate foot care. | Health | 2022-05-11 | 2022-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-11 | 2022-06-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-11 | 2022-06-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-05-11 | 2022-06-10 | 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 | 2022-05-11 | 2022-06-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-11 | 2022-06-10 | 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 | 2022-05-11 | 2022-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-11 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-11 | 2022-06-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-11 | 2022-06-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-05-11 | 2022-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-04 | 2022-04-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-21 | 2022-04-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-21 | 2022-04-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-25 | 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 | 2022-02-23 | 2022-03-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-23 | 2022-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-07 | 2022-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2021-12-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-14 | 2021-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2021-12-21 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-23 | 2021-12-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2021-12-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-19 | 2021-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-19 | 2021-11-15 | 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 | 2021-09-26 | 2021-10-12 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-26 | 2021-10-12 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-26 | 2021-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-03 | 2021-06-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-25 | 2021-04-23 | 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 | 2021-03-25 | 2021-04-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-25 | 2021-04-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-25 | 2021-04-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-25 | 2021-04-23 | Y |
| Provide appropriate foot care. | Health | 2021-03-25 | 2021-04-23 | 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 | 2021-03-25 | 2021-04-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-25 | 2021-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-25 | 2021-04-23 | 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 | 2021-03-25 | 2021-04-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-25 | 2021-04-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-23 | Y |
