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Deficiency Records for Oasis Pavilion Nursing and Rehabilitation Center

A list of the most recent deficiencies for Oasis Pavilion Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Oasis Pavilion 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-07 2024-06-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-25 2024-06-03 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-07 2024-05-17 N
Keep residents' personal and medical records private and confidential. Health 2024-03-07 2024-05-17 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 2024-03-07 2024-05-17 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 2024-03-07 2024-05-17 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 2024-03-07 2024-05-17 N
Provide and implement an infection prevention and control program. Health 2024-03-07 2024-05-17 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-07 2024-05-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-02 2023-05-30 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-02 2023-05-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-02 2023-05-30 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-11-17 2023-01-23 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-11-17 2023-01-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-17 2023-01-23 N
Respond appropriately to all alleged violations. Health 2022-11-17 2023-01-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-17 2023-01-23 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-11-17 2023-01-23 N
Assess the resident when there is a significant change in condition Health 2022-11-17 2023-01-23 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 2022-11-17 2023-01-23 N
Post nurse staffing information every day. Health 2022-11-17 2023-01-23 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 2022-11-17 2023-01-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-11-17 2023-01-23 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-11-17 2023-01-23 N
Provide and implement an infection prevention and control program. Health 2022-11-17 2023-01-23 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-17 2023-01-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-17 2023-01-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-17 2023-01-23 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-11-17 2023-01-23 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-11-17 2023-01-23 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-17 2023-01-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-27 2021-08-01 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-05-27 2021-08-01 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 2021-05-27 2021-08-01 N
Provide activities to meet all resident's needs. Health 2021-05-27 2021-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-27 2021-08-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-27 2021-08-01 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2021-05-27 2021-08-01 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-05-27 2021-08-01 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-05-27 2021-08-01 N

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