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Deficiency Records for River Oaks Post Acute and Rehabilitation Center
A list of the most recent deficiencies for River Oaks Post Acute and Rehabilitation Center. 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 River Oaks Post Acute and Rehabilitation Center. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-05 | 2024-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-05 | 2024-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-05 | 2024-08-06 | 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 | 2024-06-07 | 2024-07-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-07 | 2024-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-07 | 2024-07-04 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-05 | 2024-07-04 | 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 | 2024-06-05 | 2024-07-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-18 | 2022-07-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-18 | 2022-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-18 | 2022-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-18 | 2022-07-12 | Y |
| 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 | 2019-03-15 | 2019-05-08 | N |
| 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 | 2019-03-15 | 2019-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-05-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-15 | 2019-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-05 | 2018-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-05 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-05 | 2018-02-09 | 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 | 2018-01-04 | 2018-02-09 | 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 | 2018-01-04 | 2018-02-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-01-04 | 2018-02-09 | N |
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