Deficiency Records for Oak Manor Nursing Center

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Updated as of May 01, 2024

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Deficiency Records for Oak Manor Nursing Center

A list of the most recent deficiencies for Oak Manor Nursing Center. 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 Oak Manor Nursing Center. 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?
Install an approved automatic sprinkler system. Fire Safety 2024-02-22 2024-03-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-22 2024-03-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-22 2024-03-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-22 2024-03-07 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 2024-01-09 2024-01-31 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-06-14 2023-06-14 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 2023-06-14 2023-06-14 N
List the names and contact information of those in the facility. Fire Safety 2023-01-26 2023-03-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-26 2023-03-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-26 2023-03-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-26 2023-03-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-26 2023-03-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-07 2022-12-30 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-06-01 2022-06-15 Y
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 2022-04-29 2022-05-20 Y
Keep residents' personal and medical records private and confidential. Health 2022-04-29 2022-05-20 Y
Ensure each resident receives an accurate assessment. Health 2022-04-29 2022-05-20 Y
Post nurse staffing information every day. Health 2022-04-29 2022-05-20 Y
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 2022-04-29 2022-05-20 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-04-29 2022-05-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-29 2022-05-20 Y
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 2022-04-29 2022-05-20 Y
Provide and implement an infection prevention and control program. Health 2022-04-29 2022-05-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-08-25 2021-09-21 Y
Keep residents' personal and medical records private and confidential. Health 2019-09-27 2019-10-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-27 2019-10-27 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 2019-09-27 2019-10-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-09-27 2019-10-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-27 2019-10-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-27 2019-10-27 N
Provide and implement an infection prevention and control program. Health 2019-09-27 2019-10-27 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-09-24 2019-10-10 N
Conduct testing and exercise requirements. Fire Safety 2019-09-24 2019-10-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-09-24 2019-10-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-24 2019-10-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-24 2019-10-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-09-24 2019-10-10 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2019-09-24 2019-10-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-24 2019-10-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-24 2019-09-25 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-06-22 Not Fixed Y

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