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? |
|---|---|---|---|---|
| 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 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-04 | 2020-01-08 | 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 | 2019-12-04 | 2020-01-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-04 | 2020-01-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-04 | 2020-01-08 | 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 | 2019-12-04 | 2020-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-04 | 2020-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-04 | 2020-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-04 | 2020-01-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-04 | 2020-01-08 | 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 | 2019-12-04 | 2020-01-08 | 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 | 2019-12-04 | 2020-01-08 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-04 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-04 | 2020-01-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-04 | 2020-01-08 | N |
