Deficiency Records for Oakwood Village East Health and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Oakwood Village East Health and Rehab 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-27 | 2023-08-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-27 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-03-16 | 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 | 2022-05-26 | 2022-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-26 | 2022-06-15 | Y |
| Provide appropriate foot care. | Health | 2021-12-01 | 2021-12-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-30 | 2021-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-01 | 2021-12-16 | 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 | 2021-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2021-12-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-30 | 2021-12-14 | 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 | 2021-11-30 | 2021-12-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-30 | 2021-12-14 | 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 | 2021-12-01 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-28 | 2021-08-07 | Y |
| 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 | 2021-06-28 | 2021-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 2021-07-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-28 | 2021-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-18 | 2020-01-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-12-18 | 2020-01-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-18 | 2020-01-24 | 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 | 2019-12-18 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-18 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-01-15 | N |
