Deficiency Records for English Oaks Convalescent and Rehabilitation Hospita
Updated as of September 01, 2020
This is not the most recent data for English Oaks Convalescent and Rehabilitation Hospita. For the most recent information, click here.
A list of the most recent deficiencies for English Oaks Convalescent and Rehabilitation Hospita. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-15 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-15 | 2019-11-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-15 | 2019-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-15 | 2019-11-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-11-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-15 | 2019-11-21 | 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 | 2019-08-15 | 2019-11-21 | 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 | 2019-08-15 | 2019-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-15 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-11-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-15 | 2019-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-15 | 2019-11-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-15 | 2019-11-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-15 | 2019-11-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-08-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-09 | 2018-08-24 | 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 | 2018-08-09 | 2018-08-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-09 | 2018-08-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-14 | 2017-08-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-14 | 2017-08-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-14 | 2017-08-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-14 | 2017-08-08 | Y |
