Deficiency Records for Oak Grove Nursing Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Oak Grove Nursing Home. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-04 2024-01-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-04 2024-01-15 Y
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 2024-01-04 2024-01-09 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-11 2023-08-01 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-07-11 2023-07-31 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-07-11 2023-07-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-11 2023-07-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-11 2023-07-20 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-07-11 2023-07-20 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 2023-07-11 2023-07-12 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 2022-05-24 2022-06-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-25 2022-06-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-24 2022-06-06 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 2022-05-24 2022-05-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-25 2022-05-26 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 2020-02-11 2020-03-11 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2020-02-11 2020-03-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-11 2020-03-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-11 2020-03-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-11 2020-03-11 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 2020-02-11 2020-02-25 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2020-02-11 2020-02-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-07-11 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-24 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-02-11 Not Fixed N