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Deficiency Records for Three Oaks Health Services
View the most recent health deficiencies and inspection results for Three Oaks Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Three Oaks Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-05 | 2026-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-05 | 2026-04-03 | N |
| Dispose of garbage and refuse properly. | Health | 2026-03-05 | 2026-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-05 | 2026-04-03 | 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 | 2026-03-05 | 2026-04-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-03-05 | 2026-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-05 | 2026-04-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-17 | 2026-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-17 | 2026-01-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-11 | 2025-04-02 | Y |
| 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 | 2025-03-11 | 2025-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-11 | 2025-04-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-11 | 2025-04-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-12 | 2025-01-12 | 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 | 2024-12-12 | 2025-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-12 | 2025-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-12 | 2025-01-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-12-12 | 2025-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-12 | 2025-01-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-12 | 2025-01-12 | 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 | 2024-12-12 | 2025-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-12 | 2025-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-12 | 2025-01-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-12 | 2025-01-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-04 | 2024-02-19 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-17 | 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 | 2023-11-01 | 2023-11-17 | 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 | 2023-11-01 | 2023-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-17 | N |