Deficiency Records for The Oaks at Timberline
Updated as of July 01, 2021
This is not the most recent data for The Oaks at Timberline. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-29 | 2020-02-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-29 | 2020-02-14 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-29 | 2020-02-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-29 | 2020-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-05 | 2019-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2019-12-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-10-29 | 2019-12-26 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-24 | 2019-08-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-07 | 2019-08-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-07 | 2019-08-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-07 | 2019-08-26 | Y |
| 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 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-19 | 2019-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-19 | 2019-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-19 | 2019-04-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-22 | 2019-04-25 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-09-12 | 2018-10-24 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-12 | 2018-10-24 | 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 | 2018-09-12 | 2018-10-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-12 | 2018-10-24 | 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 | 2018-09-12 | 2018-10-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-12 | 2018-10-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-09-12 | 2018-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-12 | 2018-10-24 | 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 | 2018-09-12 | 2018-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-12 | 2018-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-12 | 2018-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-12 | 2018-10-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-12 | 2018-10-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-12 | 2018-10-24 | 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 | 2018-09-12 | 2018-10-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-12 | 2018-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-12 | 2018-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-12 | 2018-10-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-12 | 2018-10-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-12 | 2018-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-20 | 2018-10-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-13 | 2018-10-24 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-08-13 | 2018-10-24 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-09-11 | 2018-10-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-10 | 2017-11-03 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-10 | 2017-11-03 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-10 | 2017-11-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-10 | 2017-11-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-10 | 2017-11-03 | 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 | 2017-10-10 | 2017-11-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-10 | 2017-11-03 | N |
| Use approved construction type or materials. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-09 | 2017-11-01 | N |
