CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Tudor Oaks Health Center
View the most recent health deficiencies and inspection results for Tudor Oaks Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tudor Oaks Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-05 | 2025-12-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-16 | 2025-09-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-06 | 2025-08-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-06 | 2025-08-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-06 | 2025-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-16 | 2025-08-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-06-16 | 2025-08-20 | 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 | 2025-06-16 | 2025-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-16 | 2025-08-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-06-16 | 2025-07-16 | 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 | 2025-06-16 | 2025-07-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-16 | 2025-07-16 | N |
| Provide appropriate foot care. | Health | 2025-06-16 | 2025-07-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-16 | 2025-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-16 | 2025-07-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-06-16 | 2025-07-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-06-16 | 2025-07-14 | N |
| Post nurse staffing information every day. | Health | 2025-06-16 | 2025-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-16 | 2025-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-16 | 2025-07-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-06-16 | 2025-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-16 | 2025-07-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-16 | 2025-07-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-06-16 | 2025-06-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-16 | 2025-06-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-16 | 2025-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-23 | 2025-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-06-10 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-10 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-26 | 2023-09-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-26 | 2023-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-05 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-21 | 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 | 2023-01-05 | 2023-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-05 | 2023-02-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-05 | 2023-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-05 | 2023-02-21 | 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 | 2023-01-05 | 2023-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-05 | 2023-02-21 | 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 | 2023-01-05 | 2023-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-05 | 2023-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-02-21 | 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 | 2023-01-05 | 2023-02-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-01-05 | 2023-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-05 | 2023-01-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-05 | 2023-01-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-05 | 2023-01-25 | N |