Deficiency Records for The Oaks at Timberline

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Updated as of May 01, 2024

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Deficiency Records for The Oaks at Timberline

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.

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?
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-02-07 2024-03-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-07 2024-03-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-07 2024-03-29 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-07 2024-03-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-07 2024-03-29 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 2024-02-07 2024-03-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-07 2024-03-04 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 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

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