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Deficiency Records for Oak Knoll Skilled Nursing and Rehabilitation Center
A list of the most recent deficiencies for Oak Knoll Skilled Nursing and Rehabilitation 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 Oak Knoll Skilled Nursing and Rehabilitation 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 | 2024-05-24 | 2024-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-07-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-24 | 2024-07-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-24 | 2024-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-24 | 2024-07-08 | 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 | 2024-05-24 | 2024-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-24 | 2024-07-08 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-24 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-23 | 2024-07-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-15 | 2023-12-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-23 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-23 | 2023-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-11 | 2023-01-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-23 | 2023-01-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-23 | 2023-01-06 | 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 | 2022-11-23 | 2023-01-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-23 | 2023-01-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-11-11 | 2022-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-11 | 2022-12-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-11 | 2022-12-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-11 | 2022-12-26 | 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 | 2022-11-11 | 2022-12-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-11 | 2022-12-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-11 | 2022-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-11 | 2022-12-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-11 | 2022-12-26 | 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 | 2022-11-11 | 2022-12-26 | N |
| Post nurse staffing information every day. | Health | 2022-11-11 | 2022-12-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-11 | 2022-12-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-11 | 2022-12-26 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-24 | 2019-11-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-24 | 2019-11-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-24 | 2019-11-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-24 | 2019-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-24 | 2019-11-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-24 | 2019-11-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-24 | 2019-11-08 | 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 | 2019-09-24 | 2019-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
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