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Deficiency Records for The Oaks at Byron Center

A list of the most recent deficiencies for The Oaks at Byron 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 Oaks at Byron 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?
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-10-17 2024-11-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-10-17 2024-11-12 N
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 2024-10-17 2024-11-12 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 2024-10-17 2024-11-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-17 2024-11-12 N
Provide and implement an infection prevention and control program. Health 2024-10-17 2024-11-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-10-17 2024-11-12 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-10-17 2024-11-12 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-10-17 2024-11-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-17 2024-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-21 2023-10-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-21 2023-10-13 N
Ensure that residents are free from significant medication errors. Health 2023-09-21 2023-10-13 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-09-21 2023-10-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-21 2023-10-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-14 2022-08-09 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 2022-07-14 2022-08-09 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 2022-07-14 2022-08-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-14 2022-08-09 N
Provide and implement an infection prevention and control program. Health 2022-07-14 2022-08-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-14 2022-08-06 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 2022-07-14 2022-08-06 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-07-14 2022-08-06 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 2022-07-14 2022-08-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-14 2022-08-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-07-14 2022-08-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-07-14 2022-08-06 N

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