Deficiency Records for Oak Manor of Commerce Nursing and Rehabilitation
Updated as of August 01, 2023
This is not the most recent data for Oak Manor of Commerce Nursing and Rehabilitation. For the most recent information, click here.
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? |
---|---|---|---|---|
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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-11 | 2020-06-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-03-11 | 2020-05-26 | N |
Keep residents' personal and medical records private and confidential. | Health | 2020-03-11 | 2020-05-04 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-11 | 2020-04-25 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-03-11 | 2020-03-13 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-11 | 2020-03-12 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-11 | 2020-03-12 | N |
Respond appropriately to all alleged violations. | Health | 2020-03-11 | 2020-03-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-03-11 | 2020-03-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-11 | 2020-03-12 | 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 |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-11 | Not Fixed | N |