Deficiency Records for Oak Manor Nursing Center
Updated as of May 01, 2021
This is not the most recent data for Oak Manor Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-01-13 | 2021-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-15 | 2020-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-17 | 2020-05-08 | 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-08-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-06 | 2019-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-06 | 2019-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-06 | 2019-03-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-12-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-25 | 2018-11-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-25 | 2018-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-25 | 2018-11-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-25 | 2018-11-27 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-09-25 | 2018-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-27 | 2018-10-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-09-27 | 2018-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-27 | 2018-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-27 | 2018-10-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-22 | 2017-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-22 | 2017-10-16 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-22 | 2017-10-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-22 | 2017-10-16 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-09-22 | 2017-10-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-22 | 2017-10-16 | N |
| Dispose of garbage and refuse properly. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-22 | 2017-10-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-22 | 2017-10-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-09-22 | 2017-10-16 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-09-22 | 2017-10-16 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-09-22 | 2017-10-16 | N |
