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Deficiency Records for English Oaks Convalescent and Rehabilitation Hospita
View the most recent health deficiencies and inspection results for English Oaks Convalescent and Rehabilitation Hospita. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for English Oaks Convalescent and Rehabilitation Hospita. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-02 | 2026-03-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-16 | 2026-01-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2026-01-16 | 2026-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-16 | 2026-01-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-16 | 2026-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-16 | 2026-01-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-16 | 2026-01-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-16 | 2026-01-28 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-11-26 | 2026-01-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-20 | 2025-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-31 | 2025-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-12 | 2025-10-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-03-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-06 | 2025-03-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-10-11 | 2024-10-29 | Y |
| 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 | 2024-09-20 | 2024-10-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-20 | 2024-10-14 | 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 | 2024-09-20 | 2024-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-20 | 2024-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-20 | 2024-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-20 | 2024-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-20 | 2024-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-20 | 2024-10-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-20 | 2024-10-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-09-20 | 2024-10-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-20 | 2024-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-20 | 2024-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-20 | 2024-10-14 | N |
| Keep all essential equipment working safely. | Health | 2024-09-20 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-20 | 2024-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-20 | 2024-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-20 | 2024-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-20 | 2024-10-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-20 | 2024-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-20 | 2024-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-07-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-05 | 2024-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-21 | 2024-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2024-01-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-13 | 2023-11-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-06-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-17 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-17 | 2023-03-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-17 | 2023-03-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-17 | 2023-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-17 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-17 | 2023-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-17 | 2023-03-21 | 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 | 2023-02-17 | 2023-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-17 | 2023-03-21 | 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 | 2023-02-17 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-17 | 2023-03-09 | N |