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Deficiency Records for The Oaks at Woodfield
A list of the most recent deficiencies for The Oaks at Woodfield. 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 Woodfield. 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? |
---|---|---|---|---|
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-16 | 2024-06-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-16 | 2024-06-22 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-16 | 2024-06-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-06-22 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-06-20 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-09 | 2023-12-08 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-12-08 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2023-05-23 | 2023-08-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-23 | 2023-08-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-08-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-23 | 2023-08-08 | 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 | 2023-05-25 | 2023-07-06 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-25 | 2023-07-06 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-25 | 2023-07-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-07-06 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-25 | 2023-07-06 | Y |
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 | 2023-05-25 | 2023-07-06 | Y |
Implement emergency and standby power systems. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-17 | 2023-02-28 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-17 | 2023-02-28 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-17 | 2022-12-22 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-17 | 2022-12-16 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-16 | 2022-01-20 | 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 | 2021-12-16 | 2022-01-20 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-16 | 2022-01-20 | 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 | 2021-12-15 | 2022-01-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2022-01-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-15 | 2022-01-20 | N |
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