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Deficiency Records for Oasis at Galleria LLC
A list of the most recent deficiencies for Oasis at Galleria LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Oasis at Galleria LLC. 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? |
|---|---|---|---|---|
| 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 | 2024-02-13 | 2024-03-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-13 | 2024-03-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-13 | 2024-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-13 | 2024-03-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-13 | 2024-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-13 | 2024-03-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-14 | 2024-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-14 | 2024-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-08 | 2023-12-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-08 | 2023-12-11 | Y |
| 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 | 2023-08-18 | 2023-08-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-30 | 2023-07-03 | Y |
| Keep all essential equipment working safely. | Health | 2022-11-23 | 2022-12-12 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-23 | 2022-12-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-23 | 2022-12-11 | 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 | 2022-11-23 | 2022-12-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-23 | 2022-12-02 | 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 | 2022-11-23 | 2022-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-23 | 2022-12-02 | 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 | 2022-11-23 | 2022-12-02 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-15 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-15 | 2022-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-15 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-23 | 2022-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-23 | 2022-11-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-09-03 | 2021-10-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-03 | 2021-10-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-03 | 2021-10-08 | 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 | 2021-09-03 | 2021-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-03 | 2021-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-03 | 2021-10-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-09-03 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-03 | 2021-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-03 | 2021-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-03 | 2021-10-08 | N |
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