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Deficiency Records for Grande Oaks
A list of the most recent deficiencies for Grande Oaks. 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 Grande Oaks. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-10-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-18 | 2024-10-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-18 | 2024-10-08 | Y |
| 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 | 2024-09-18 | 2024-10-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-11 | 2024-10-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-11 | 2024-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-20 | 2024-06-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-20 | 2024-06-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-20 | 2024-06-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-21 | 2024-04-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-21 | 2024-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-04-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-18 | 2024-01-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-06 | 2023-07-17 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-06 | 2023-07-17 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-05-17 | 2023-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-17 | 2023-07-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-09 | 2022-11-23 | 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 | 2022-09-09 | 2022-11-23 | 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 | 2022-09-09 | 2022-11-23 | 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 | 2022-09-09 | 2022-11-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-09 | 2022-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-09 | 2022-11-23 | 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 | 2022-09-09 | 2022-11-23 | 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 | 2022-09-09 | 2022-11-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-09-09 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-11-23 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-09 | 2022-11-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-09 | 2022-11-23 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-09 | 2022-11-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-09 | 2022-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-11-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-09 | 2022-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-11-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-11-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-09 | 2022-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-11-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-09 | 2022-11-23 | Y |
| 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 | 2022-11-08 | 2022-11-23 | Y |
| 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 | 2022-08-02 | 2022-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-11-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-01 | 2022-11-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-08-02 | 2022-09-09 | Y |
| 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 | 2022-04-18 | 2022-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-18 | 2022-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-18 | 2022-05-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-18 | 2022-05-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-18 | 2022-05-03 | Y |
| 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 | 2022-04-18 | 2022-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-18 | 2022-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-18 | 2022-05-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-11 | 2022-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-11 | 2022-05-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-11 | 2022-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-03 | 2022-05-03 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-11 | 2022-05-03 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-11 | 2022-05-03 | Y |
| 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 | 2019-08-22 | 2019-11-12 | N |
| Establish methods for sharing information. | Fire Safety | 2019-08-20 | 2019-11-12 | N |
| Meet other general requirements. | Fire Safety | 2019-08-20 | 2019-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-20 | 2019-11-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-20 | 2019-11-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-20 | 2019-11-12 | 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 | 2019-08-22 | 2019-10-22 | 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 | 2019-08-22 | 2019-10-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-22 | 2019-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-20 | 2019-10-22 | 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 | 2019-08-20 | 2019-10-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-20 | 2019-10-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-19 | 2018-08-17 | 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 | 2018-07-19 | 2018-08-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-19 | 2018-08-17 | N |
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