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Deficiency Records for Complete Care at Oak Ridge LLC
A list of the most recent deficiencies for Complete Care at Oak Ridge LLC. 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 Complete Care at Oak Ridge LLC. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 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 |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 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 |
| 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 |
| 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 |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | 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 |
| Provide and implement an infection prevention and control program. | 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-25 | 2024-09-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-23 | 2024-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-23 | 2024-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-23 | 2024-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-23 | 2024-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-08-07 | 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 |
| 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 and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-15 | 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 |
| 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 | 2023-02-14 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-03-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-01 | 2021-12-20 | 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 | 2021-12-01 | 2021-12-20 | 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 | 2021-12-01 | 2021-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-01 | 2021-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-30 | 2021-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-30 | 2021-12-15 | N |
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