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Deficiency Records for The Oaks - Bethany Skilled Nursing

A list of the most recent deficiencies for The Oaks - Bethany Skilled Nursing. 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 The Oaks - Bethany Skilled Nursing. 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?
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 2023-10-05 2023-11-17 Y
Ensure each resident receives an accurate assessment. Health 2023-10-05 2023-11-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-05 2023-11-17 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-12-20 2023-02-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-20 2023-02-05 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-12-22 2023-02-03 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 2020-02-13 2020-03-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-13 2020-03-29 N
Provide and implement an infection prevention and control program. Health 2020-02-13 2020-03-29 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-08-16 2018-09-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-08-16 2018-09-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-08-16 2018-09-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-08-16 2018-09-15 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 2018-08-16 2018-09-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-08-16 2018-09-15 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2018-08-16 2018-09-15 N

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