Deficiency Records for Three Oaks Health Services
Updated as of April 01, 2017
This is not the most recent data for Three Oaks Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Three Oaks Health Services. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined safe. | Health | 2016-08-04 | 2016-09-04 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-04 | 2016-09-04 | Y |
| 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 | 2016-08-04 | 2016-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-04 | 2016-09-04 | Y |
| 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 | 2016-08-04 | 2016-09-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-04 | 2016-09-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-06-27 | 2016-07-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-27 | 2016-07-22 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-27 | 2016-07-22 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2015-10-07 | 2015-10-23 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-08-06 | 2015-09-04 | 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 | 2015-08-06 | 2015-09-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-06 | 2015-09-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-06 | 2015-09-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-08-06 | 2015-09-04 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-06 | 2015-09-04 | Y |
| 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 | 2015-08-06 | 2015-09-04 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-08-06 | 2015-09-04 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-08-06 | 2015-09-04 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-06 | 2015-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-30 | 2015-01-30 | Y |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2014-10-15 | 2014-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-15 | 2014-11-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-10 | 2014-10-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-09-10 | 2014-10-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-10 | 2014-10-10 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-09-10 | 2014-10-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-09-10 | 2014-10-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-10 | 2014-10-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-15 | 2014-06-15 | 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 | 2014-05-15 | 2014-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-05-15 | 2014-06-08 | N |
| 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 | 2014-05-15 | 2014-06-08 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-05-15 | 2014-06-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-05-15 | 2014-06-08 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-05-15 | 2014-06-08 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-05-15 | 2014-06-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-15 | 2014-06-08 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-05-15 | 2014-06-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-05-15 | 2014-06-08 | N |
