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Deficiency Records for The Oxford Rehabilitation and Health Care Center
A list of the most recent deficiencies for The Oxford Rehabilitation and Health Care 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 The Oxford Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-11 | 2024-07-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-11 | 2024-07-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-29 | 2024-07-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-29 | 2024-07-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-29 | 2024-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-06-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-11 | 2024-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-29 | 2024-05-07 | 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 | 2024-03-29 | 2024-05-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-29 | 2024-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-29 | 2024-05-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-29 | 2024-05-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-29 | 2024-05-02 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-29 | 2024-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-29 | 2024-05-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-29 | 2024-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-22 | 2023-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-22 | 2023-05-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-05-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-11 | 2023-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-11 | 2023-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-05-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-11 | 2023-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-11 | 2023-05-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-11 | 2023-05-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-11 | 2023-05-12 | 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 | 2023-05-11 | 2023-05-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-11 | 2023-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-12 | 2023-02-24 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-24 | 2022-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-24 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-08-30 | 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 | 2022-06-24 | 2022-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-24 | 2022-08-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-24 | 2022-08-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-24 | 2022-08-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-24 | 2022-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-24 | 2022-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-24 | 2022-08-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-24 | 2022-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-08-07 | 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 | 2022-06-24 | 2022-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-24 | 2022-08-07 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-06-24 | 2022-08-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-24 | 2022-08-07 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-24 | 2022-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-08-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-24 | 2022-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-03 | N |
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