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Deficiency Records for The Oaks at Battle Creek
A list of the most recent deficiencies for The Oaks at Battle Creek. 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 Oaks at Battle Creek. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-20 | 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 | 2024-04-18 | 2024-05-20 | 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 | 2024-04-17 | 2024-05-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-17 | 2024-05-20 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2023-09-19 | 2023-10-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-28 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-28 | 2023-07-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-25 | 2023-03-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-01-25 | 2023-03-01 | 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 | 2023-01-25 | 2023-03-01 | 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 | 2023-01-25 | 2023-03-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-25 | 2023-03-01 | N |
| Provide appropriate foot care. | Health | 2023-01-25 | 2023-03-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-25 | 2023-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-25 | 2023-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-30 | 2023-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-23 | 2022-03-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-23 | 2022-03-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-23 | 2022-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-03-22 | 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 | 2022-02-23 | 2022-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-23 | 2022-03-22 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2022-02-23 | 2022-03-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-02-23 | 2022-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-03-22 | 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 | 2022-02-16 | 2022-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-16 | 2022-03-22 | N |
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