A list of the most recent deficiencies for Oakhurst Healthcare 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-29 | 2024-01-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-13 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-13 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2023-11-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-09 | 2023-09-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-09 | 2023-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-05-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-05 | 2022-05-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-18 | 2021-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-18 | 2021-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-07-23 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-30 | 2019-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-30 | 2019-11-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-08-30 | 2019-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-30 | 2019-11-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-30 | 2019-11-22 | 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 necessary and PRN use is limited. | Health | 2019-08-30 | 2019-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-30 | 2019-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-11-22 | N |
| Keep all essential equipment working safely. | Health | 2019-08-30 | 2019-11-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-02 | 2019-10-28 | 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 | 2019-10-02 | 2019-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-02 | 2019-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-21 | 2019-01-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-21 | 2019-01-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-09-21 | 2019-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-21 | 2019-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-21 | 2019-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-21 | 2019-01-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-21 | 2019-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-21 | 2019-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-21 | 2019-01-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-21 | 2019-01-15 | N |
| Provide or obtain dental services for each resident. | Health | 2018-09-21 | 2019-01-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-21 | 2019-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-21 | 2019-01-15 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-09-21 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2019-01-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Develop a communication plan. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-29 | 2018-12-24 | 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 | 2018-11-29 | 2018-12-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-29 | 2018-12-24 | N |
| Use approved construction type or materials. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-20 | 2017-10-26 | 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 | 2017-09-20 | 2017-10-26 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-20 | 2017-10-26 | N |
| Tell 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 | 2017-09-14 | 2017-10-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-14 | 2017-10-09 | N |
