CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Oak Ridge LLC
View the most recent health deficiencies and inspection results for Complete Care at Oak Ridge LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Oak Ridge LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-05 | 2025-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-05 | 2025-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-05 | 2025-07-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-06-05 | 2025-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-05 | 2025-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-05 | 2025-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-05 | 2025-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-05 | 2025-06-21 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-06-05 | 2025-06-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-06-05 | 2025-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-05 | 2025-06-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-05 | 2025-06-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-06-05 | 2025-06-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-06-05 | 2025-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-09-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-25 | 2024-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-25 | 2024-09-04 | 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 | 2024-07-25 | 2024-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-25 | 2024-09-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-25 | 2024-09-04 | 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 | 2024-07-25 | 2024-09-04 | N |
| Post nurse staffing information every day. | Health | 2024-07-25 | 2024-09-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-25 | 2024-09-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-07-25 | 2024-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-09-04 | 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 | 2024-07-25 | 2024-09-04 | 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 | 2024-07-25 | 2024-09-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-25 | 2024-09-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-25 | 2024-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-25 | 2024-09-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-25 | 2024-09-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-25 | 2024-09-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-25 | 2024-09-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-25 | 2024-09-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-25 | 2024-09-04 | 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 | 2024-07-25 | 2024-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-25 | 2024-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-25 | 2024-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-25 | 2024-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-25 | 2024-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-25 | 2024-08-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-02-15 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-15 | 2023-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-15 | 2023-03-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-15 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-15 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-15 | 2023-03-07 | N |