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Deficiency Records for Seven Oaks Nursing and Rehabilitation

A list of the most recent deficiencies for Seven Oaks Nursing and Rehabilitation. 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 Seven Oaks 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?
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-23 2024-07-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-23 2024-07-26 N
Provide properly protected cooking facilities. Fire Safety 2024-07-23 2024-07-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-19 2024-07-20 Y
Ensure each resident receives an accurate assessment. Health 2024-06-18 2024-06-19 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-06-18 2024-06-19 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 2024-06-18 2024-06-19 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 2024-06-18 2024-06-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-18 2024-06-19 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-06-18 2024-06-19 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-05-03 2023-06-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-03 2023-06-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-18 2023-05-10 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-04-18 2023-05-10 N
Keep residents' personal and medical records private and confidential. Health 2023-04-18 2023-05-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-18 2023-05-10 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-04-18 2023-05-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-18 2023-05-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-18 2023-05-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-18 2023-05-10 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 2023-04-18 2023-05-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-18 2023-05-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-18 2023-05-10 N
Provide and implement an infection prevention and control program. Health 2023-04-18 2023-05-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-18 2023-05-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-03 2023-05-04 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-03-02 2022-04-20 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2022-03-02 2022-03-03 N
Provide care by qualified persons according to each resident's written plan of care. Health 2022-03-02 2022-03-03 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-03-02 2022-03-03 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-07-23 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-23 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-03 Not Fixed N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-02 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-02 Not Fixed N

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