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Deficiency Records for Oak Hill Health and Rehabilitation Center

A list of the most recent deficiencies for Oak Hill Health 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 Hill Health 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?
Ensure each resident receives an accurate assessment. Health 2024-07-19 2024-08-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-19 2024-08-17 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 2024-07-19 2024-08-17 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 2024-07-19 2024-08-17 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-19 2024-08-17 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-19 2024-08-17 N
Provide and implement an infection prevention and control program. Health 2024-07-19 2024-08-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-07-19 2024-08-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-06 2024-06-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-05 2023-10-31 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 2023-09-13 2023-10-10 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-06-19 2023-07-11 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-06-19 2023-07-11 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-06-19 2023-07-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-06-19 2023-07-11 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 2023-06-19 2023-07-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-19 2023-07-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-19 2023-07-11 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-06-19 2023-07-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-06-19 2023-07-11 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 2023-06-19 2023-07-11 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 2023-06-19 2023-07-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-06-19 2023-07-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-19 2023-07-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-19 2023-07-11 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-06-19 2023-07-11 N
Ensure that residents are free from significant medication errors. Health 2023-05-24 2023-06-01 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 2023-05-24 2023-06-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-08 2023-02-08 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-08-24 2022-08-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-07-13 2022-07-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-28 2022-07-28 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-28 2022-07-28 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-06-29 2022-07-22 Y
Provide and implement an infection prevention and control program. Health 2022-06-29 2022-07-22 Y
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 2022-05-11 2022-06-10 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-05-11 2022-06-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-11 2022-06-10 N
Provide appropriate foot care. Health 2022-05-11 2022-06-10 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-11 2022-06-10 N
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 2022-05-11 2022-06-10 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2022-05-11 2022-06-10 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 2022-05-11 2022-06-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-05-11 2022-06-10 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 2022-05-11 2022-06-10 N
Ensure that residents are free from significant medication errors. Health 2022-05-11 2022-06-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-11 2022-06-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-11 2022-06-10 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-05-11 2022-06-10 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-05-11 2022-06-10 N
Ensure that residents are free from significant medication errors. Health 2022-04-04 2022-04-29 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-21 2022-04-11 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-03-21 2022-04-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-23 2022-03-25 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-02-23 2022-03-25 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-23 2022-03-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-07 2022-03-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-14 2021-12-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-14 2021-12-21 Y
Provide and implement an infection prevention and control program. Health 2021-12-14 2021-12-21 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-11-23 2021-12-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-23 2021-12-07 Y
Provide and implement an infection prevention and control program. Health 2021-11-23 2021-12-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-19 2021-11-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-19 2021-11-15 Y

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