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Deficiency Records for Oaknoll Retirement Residence
A list of the most recent deficiencies for Oaknoll Retirement Residence. 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 Oaknoll Retirement Residence. 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? |
|---|---|---|---|---|
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-09-04 | 2024-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-04 | 2024-09-06 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-09-04 | 2024-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-04 | 2024-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-04 | 2024-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-28 | 2024-08-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-04 | 2024-04-25 | 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 | 2024-04-04 | 2024-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-25 | 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 | 2024-04-04 | 2024-04-25 | 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 | 2024-04-04 | 2024-04-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-04-04 | 2024-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-11 | 2024-04-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2022-12-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-06 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-06 | 2022-12-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-06 | 2022-12-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-06 | 2022-12-07 | N |
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