Deficiency Records for Tudor Oaks Health Center
Updated as of April 01, 2019
This is not the most recent data for Tudor Oaks Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Tudor Oaks Health Center. 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 | 2019-02-25 | 2019-03-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-25 | 2019-03-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-25 | 2019-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-25 | 2019-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-25 | 2019-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-25 | 2019-03-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-25 | 2019-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-25 | 2019-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-05-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-12-01 | 2017-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-01 | 2017-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-01 | 2017-12-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2017-12-06 | 2017-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-06 | 2017-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-06 | 2017-12-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-06 | 2017-12-27 | 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 ne | Health | 2017-12-06 | 2017-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-06 | 2017-12-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2017-12-06 | 2017-12-27 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-16 | 2017-09-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-16 | 2017-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-16 | 2017-09-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2016-12-07 | 2016-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-07 | 2016-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-07 | 2016-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2016-12-07 | 2016-12-30 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-12 | 2016-12-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-12 | 2016-12-30 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-12 | 2016-12-29 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-12 | 2016-12-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-12 | 2016-12-29 | 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 | 2016-12-12 | 2016-12-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-12 | 2016-12-22 | 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 | 2016-12-12 | 2016-12-22 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2016-12-07 | 2016-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-07 | 2016-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-12-07 | 2016-12-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-12 | 2016-12-13 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2016-12-07 | 2016-12-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-12-07 | 2016-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-07 | 2016-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-07 | 2016-12-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-09 | 2016-06-24 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-09 | 2016-06-24 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-06-09 | 2016-06-24 | Y |
