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Deficiency Records for Shady Oak Nursing and Rehabilitation

View the most recent health deficiencies and inspection results for Shady Oak Nursing and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Shady Oak Nursing and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-09-05 2025-10-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-09-05 2025-10-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-09-05 2025-09-26 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2025-09-05 2025-09-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-09-05 2025-09-08 N
Provide and implement an infection prevention and control program. Health 2025-09-05 2025-09-08 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2025-09-05 2025-09-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-08-08 2024-08-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-08 2024-08-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-08 2024-08-09 N
Provide properly protected cooking facilities. Fire Safety 2024-08-08 2024-08-09 N
Provide and implement an infection prevention and control program. Health 2024-08-08 2024-08-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-08-08 2024-08-09 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2023-07-14 2023-08-11 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-07-14 2023-08-11 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-07-14 2023-08-09 N
Provide training in compliance and ethics. Health 2023-07-14 2023-08-09 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-07-14 2023-08-09 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 2023-07-14 2023-08-09 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 2023-07-14 2023-08-09 N
Assess the resident when there is a significant change in condition Health 2023-07-14 2023-08-09 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-07-14 2023-08-09 N
Assure the security of all personal funds of residents deposited with the facility. Health 2023-07-14 2023-08-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-14 2023-07-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-07-14 2023-07-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-14 2023-07-19 N

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