A list of the most recent deficiencies for Oak Park Place of Janesville. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-10-02 | 2023-10-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Develop a communication plan. | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-03-30 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-30 | 2023-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-30 | 2023-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-30 | 2023-04-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-30 | 2023-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-30 | 2023-04-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-30 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-30 | 2023-03-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-01 | 2022-11-25 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-23 | 2022-05-11 | 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 | 2021-12-23 | 2022-02-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-12-23 | 2022-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-23 | 2022-02-14 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2021-12-23 | 2022-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-23 | 2022-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-22 | 2022-01-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-22 | 2022-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-22 | 2022-01-21 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-12-22 | 2022-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-22 | 2022-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-22 | 2022-01-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-22 | 2022-01-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-22 | 2022-01-21 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-23 | 2022-01-13 | 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 | 2021-12-23 | 2021-12-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-23 | 2021-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-23 | 2021-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-23 | 2021-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-30 | 2019-10-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-30 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-30 | 2019-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
