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Deficiency Records for Oxford Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Oxford Rehabilitation and Healthcare 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 Oxford Rehabilitation and Healthcare 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-10 2024-04-24 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-12-21 2024-01-24 N
Provide properly protected cooking facilities. Fire Safety 2023-12-21 2024-01-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-21 2024-01-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-21 2024-01-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-21 2024-01-24 N
Have proper medical gas storage and administration areas. Fire Safety 2023-12-21 2024-01-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-12 2024-01-09 N
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 2023-12-12 2024-01-09 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-12-12 2024-01-09 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-12-12 2024-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-12 2024-01-09 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 2023-12-12 2024-01-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-12-12 2024-01-09 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 2023-12-12 2024-01-09 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-12-12 2024-01-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-12 2024-01-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-18 2023-06-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-09 2023-06-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-09 2023-06-06 Y
Meet other general requirements. Fire Safety 2023-01-30 2023-03-21 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 2023-01-30 2023-03-21 N
Provide properly protected cooking facilities. Fire Safety 2023-01-30 2023-03-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-30 2023-03-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-30 2023-03-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-01-30 2023-03-21 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-01-30 2023-03-21 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-01-30 2023-03-21 N
Have proper medical gas storage and administration areas. Fire Safety 2023-01-30 2023-03-21 N
Ensure each resident receives an accurate assessment. Health 2023-01-10 2023-01-31 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 2023-01-10 2023-01-31 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-10 2023-01-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-10 2023-01-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-04 2022-08-31 Y
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 2022-08-04 2022-08-31 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-04 2022-08-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-17 2022-05-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-03 2022-05-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-03 2022-05-31 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-01-24 2022-03-01 N
Install an approved automatic sprinkler system. Fire Safety 2022-01-24 2022-03-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-24 2022-03-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-01-24 2022-03-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-01-24 2022-03-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-01-24 2022-03-01 N
Have power receptacles that are properly grounded. Fire Safety 2022-01-24 2022-03-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-01-24 2022-03-01 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-01-21 2022-02-15 N
Provide enough food/fluids to maintain a resident's health. Health 2022-01-21 2022-02-15 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 2022-01-21 2022-02-15 N

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