Deficiency Records for West Oaks Nursing and Rehabilitation Center
Updated as of March 01, 2021
This is not the most recent data for West Oaks Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for West Oaks Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-06-09 | 2020-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-06-09 | 2020-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-27 | 2020-04-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
| 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 | 2020-03-11 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-11 | 2020-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-11 | 2020-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-11 | 2020-04-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-11 | 2020-04-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-11 | 2020-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-11 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-11 | 2019-05-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-11 | 2019-05-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-11 | 2019-05-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-05-20 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-09 | 2019-04-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-12 | 2018-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-12 | 2018-05-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-04-12 | 2018-05-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-12 | 2018-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-05-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-10 | 2018-05-04 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-05-04 | N |
