A list of the most recent deficiencies for Oakwood Health and Rehab 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-28 | 2023-10-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-07-28 | 2023-09-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-28 | 2023-09-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-28 | 2023-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-26 | 2023-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-26 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-26 | 2023-08-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-26 | 2023-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-26 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-13 | 2023-03-24 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-13 | 2023-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-19 | 2022-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-19 | 2022-08-02 | 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 | 2022-05-19 | 2022-08-02 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-27 | 2022-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-27 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-27 | 2022-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-27 | 2022-07-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-27 | 2022-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-19 | 2022-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-19 | 2022-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-19 | 2022-06-21 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-05-19 | 2022-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-19 | 2022-06-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-19 | 2022-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-21 | 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 | 2022-05-19 | 2022-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-19 | 2022-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-19 | 2022-06-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-19 | 2022-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-19 | 2022-06-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-05-19 | 2022-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-05-19 | 2022-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-19 | 2022-06-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-19 | 2022-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-21 | N |
| Keep all essential equipment working safely. | Health | 2022-05-19 | 2022-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-19 | 2020-11-12 | 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 | 2020-02-06 | 2020-03-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-06 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-18 | N |
