Deficiency Records for Oakland Heights Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Oakland Heights Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-03 | 2023-12-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-03 | 2023-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2023-12-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-03 | 2023-12-08 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-03 | 2023-12-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-03 | 2023-12-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-03 | 2023-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-12-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-11-03 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-12-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-03 | 2023-12-08 | N |
| Keep all essential equipment working safely. | Health | 2023-11-03 | 2023-12-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-04 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2022-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2022-01-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-04 | 2021-12-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-08 | 2019-11-28 | N |
