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? |
|---|---|---|---|---|
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-02 | 2019-11-13 | 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 | 2019-10-02 | 2019-11-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-02 | 2019-11-13 | 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 | 2019-10-02 | 2019-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-02 | 2019-11-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-02 | 2019-11-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-30 | 2019-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-30 | 2019-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-02 | 2019-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-30 | 2019-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-30 | 2019-10-01 | N |
