Deficiency Records for Oakhurst Health and Rehabilitation
Updated as of July 01, 2018
This is not the most recent data for Oakhurst Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Oakhurst Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2018-02-28 | 2018-04-24 | 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 | 2018-02-28 | 2018-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-28 | 2018-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-28 | 2018-04-24 | 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 | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide appropriate foot care. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | 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 ne | Health | 2018-02-08 | 2018-03-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-08 | 2018-03-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-08 | 2018-03-14 | 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 | 2016-12-21 | 2017-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-12-08 | 2017-01-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-08 | 2017-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-08 | 2017-01-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-08 | 2017-01-20 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-12-08 | 2017-01-20 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-11-23 | 2016-02-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-23 | 2016-02-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-23 | 2016-01-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-12 | 2015-12-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-11-12 | 2015-12-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-12 | 2015-12-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-12 | 2015-12-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-12 | 2015-12-15 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-11-12 | 2015-12-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-11-12 | 2015-12-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-12 | 2015-12-15 | Y |
