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Deficiency Records for Generations Oakton Pavillion
A list of the most recent deficiencies for Generations Oakton Pavillion. 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 Generations Oakton Pavillion. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-21 | 2024-09-16 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-21 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-21 | 2024-09-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-21 | 2024-08-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-21 | 2024-08-22 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2024-08-21 | 2024-08-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-08-21 | 2024-08-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-21 | 2024-08-21 | 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 | 2024-08-21 | 2024-08-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-23 | 2024-06-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-06-03 | 2024-06-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-01-31 | Y |
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 | 2024-01-19 | 2024-01-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-08 | 2024-01-31 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2024-01-20 | Y |
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 | 2024-01-02 | 2024-01-20 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-04 | 2023-10-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-03 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-12 | 2023-10-03 | Y |
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 | 2023-08-25 | 2023-09-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-09-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-25 | 2023-09-07 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-25 | 2023-09-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-25 | 2023-09-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-22 | 2023-06-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-28 | 2023-03-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-28 | 2023-03-22 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-28 | 2023-03-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-22 | Y |
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 | 2023-02-28 | 2023-03-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-22 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-22 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-10 | 2023-03-08 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-22 | 2023-01-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-18 | Y |
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 | 2022-10-28 | 2022-11-16 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-22 | 2022-08-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-22 | 2022-08-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-22 | 2022-08-10 | 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 | 2022-07-22 | 2022-08-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-08-10 | 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 | 2022-07-22 | 2022-08-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-22 | 2022-08-10 | 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 | 2022-07-22 | 2022-08-10 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-30 | 2022-02-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-30 | 2022-02-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-10 | 2022-02-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-10 | 2022-02-03 | Y |
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 | 2021-12-05 | 2021-12-15 | Y |
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