Deficiency Records for Oak Manor of Commerce Nursing and Rehabilitation

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Updated as of March 01, 2024

A list of the most recent deficiencies for Oak Manor of Commerce 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-18 2024-02-15 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-01-18 2024-02-15 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-28 2024-01-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-28 2024-01-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-12-28 2024-01-22 N
Ensure each resident receives an accurate assessment. Health 2023-10-11 2023-11-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-11 2023-11-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-11 2023-11-01 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 2023-10-11 2023-11-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-11 2023-11-01 N
Ensure each resident receives an accurate assessment. Health 2022-08-24 2022-09-24 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-08-24 2022-09-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-24 2022-09-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-24 2022-09-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-24 2022-09-24 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-08-24 2022-09-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-24 2022-09-24 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-08-24 2022-09-24 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 2022-08-23 2022-09-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-23 2022-09-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-23 2022-09-23 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-03-30 2022-04-30 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-30 2022-04-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-30 2022-04-30 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-10-06 2021-10-11 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-06-16 2021-07-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-16 2021-07-31 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 2021-06-16 2021-07-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-06-16 2021-07-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-06-16 2021-07-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-16 2021-07-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-16 2021-07-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-23 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-16 Not Fixed N