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Deficiency Records for Glen Oaks Health Campus

A list of the most recent deficiencies for Glen Oaks Health Campus. 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 Glen Oaks Health Campus. 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?
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 2024-08-29 2024-09-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-29 2024-09-13 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-08-13 2024-08-30 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 2024-08-13 2024-08-30 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 2024-08-13 2024-08-30 N
Provide enough food/fluids to maintain a resident's health. Health 2024-08-13 2024-08-30 N
Implement emergency and standby power systems. Fire Safety 2023-07-05 2023-08-16 N
Meet other general requirements. Fire Safety 2023-07-05 2023-08-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-07-05 2023-08-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-05 2023-08-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-05 2023-08-16 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-07-05 2023-08-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-05 2023-08-16 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-07-05 2023-08-16 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-06-16 2023-07-05 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-16 2023-07-05 N
Provide activities to meet all resident's needs. Health 2023-06-16 2023-07-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-16 2023-07-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-16 2023-07-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-16 2023-07-05 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 2023-06-16 2023-07-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-16 2023-07-05 N
Provide family notifications of emergency plan. Fire Safety 2022-04-04 2022-04-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-04 2022-04-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-04 2022-04-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-04 2022-04-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-04 2022-04-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-04 2022-04-22 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-23 2022-04-18 N
Ensure each resident receives an accurate assessment. Health 2022-03-23 2022-04-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-23 2022-04-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-23 2022-04-18 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 2022-03-23 2022-04-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-23 2022-04-18 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 2022-03-23 2022-04-18 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-23 2022-04-18 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 2022-03-23 2022-04-18 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 2022-03-23 2022-04-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-23 2022-04-18 N
Provide and implement an infection prevention and control program. Health 2022-03-23 2022-04-18 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-23 2022-04-18 N
Provide and implement an infection prevention and control program. Health 2021-10-22 2021-11-05 N

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