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Deficiency Records for Anew Healthcare Oxford
A list of the most recent deficiencies for Anew Healthcare Oxford. 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 Anew Healthcare Oxford. 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 | 2024-05-16 | 2024-06-14 | 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 | 2024-05-16 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-05-16 | 2024-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-25 | 2024-06-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-25 | 2024-06-07 | 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 | 2024-06-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-25 | 2024-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-25 | 2024-06-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-25 | 2024-06-07 | Y |
| 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 | 2024-04-25 | 2024-06-07 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-25 | 2024-06-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-06-07 | 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 | 2024-04-25 | 2024-06-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-25 | 2024-06-07 | 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 | 2024-04-25 | 2024-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-25 | 2024-06-07 | 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 | 2024-04-25 | 2024-06-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-25 | 2024-06-07 | 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 | 2024-04-25 | 2024-06-07 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-04-25 | 2024-06-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-06-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-25 | 2024-06-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-25 | 2024-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-06-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-25 | 2024-06-07 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-25 | 2024-06-07 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Establish methods for sharing information. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| 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 | 2023-11-06 | 2023-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-06 | 2023-11-21 | 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 | 2023-11-06 | 2023-11-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-11 | 2023-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-11 | 2023-11-15 | 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 | 2023-10-11 | 2023-11-15 | 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 | 2023-10-11 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-11 | 2023-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-11 | 2023-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-25 | 2023-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-10 | 2023-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-10 | 2023-05-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-10 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-10 | 2023-05-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-27 | 2023-03-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-05 | 2023-01-30 | Y |
| 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 | 2022-05-26 | 2022-06-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-26 | 2022-06-22 | 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 | 2022-05-26 | 2022-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-07 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-07 | 2022-05-11 | N |
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