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Deficiency Records for Grand Oaks Nursing Center
A list of the most recent deficiencies for Grand Oaks Nursing 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 Grand Oaks Nursing 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-23 | 2024-06-21 | 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 | 2024-03-19 | 2024-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-19 | 2024-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-19 | 2024-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-19 | 2024-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-19 | 2024-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-20 | 2024-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-20 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-20 | 2024-04-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-05 | 2023-05-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-05 | 2023-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-05 | 2023-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-05 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-05 | 2023-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-05 | 2023-05-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-05 | 2023-05-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-29 | 2023-04-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-29 | 2023-04-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-04 | 2022-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-03 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-03 | 2022-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-03 | 2022-06-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-22 | 2021-11-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-22 | 2021-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2021-11-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-22 | 2021-11-17 | Y |
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