A list of the most recent deficiencies for The Oaks at Timberline. 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? |
|---|---|---|---|---|
| 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 | 2023-03-27 | 2023-04-26 | 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 | 2023-03-27 | 2023-04-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-27 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-27 | 2023-04-26 | N |
| Post nurse staffing information every day. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-27 | 2023-04-26 | 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 | 2023-03-27 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-04-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-23 | 2022-10-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-23 | 2022-10-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-28 | 2021-11-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-28 | 2021-11-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-28 | 2021-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-28 | 2021-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-11-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-28 | 2021-11-24 | N |
| Post nurse staffing information every day. | Health | 2021-10-28 | 2021-11-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-28 | 2021-11-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-28 | 2021-11-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-28 | 2021-11-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-24 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-20 | 2021-11-19 | 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 | 2021-10-20 | 2021-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-20 | 2021-11-19 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-06-11 | 2021-07-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-07-16 | 2019-08-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-16 | 2019-08-26 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-07-16 | 2019-08-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-16 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-16 | 2019-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-16 | 2019-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-16 | 2019-08-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-16 | 2019-08-26 | N |
| Post nurse staffing information every day. | Health | 2019-07-16 | 2019-08-26 | 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 | 2019-07-16 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-10 | 2019-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-10 | 2019-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-10 | 2019-08-01 | N |
