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Deficiency Records for Northern Oaks Living and Rehabilitation Center
A list of the most recent deficiencies for Northern Oaks Living 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 Northern Oaks Living 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 | 2024-10-29 | 2024-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-29 | 2024-11-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-29 | 2024-11-22 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-10-30 | 2024-11-22 | 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 | 2024-10-30 | 2024-11-22 | 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 | 2024-10-30 | 2024-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-10-30 | 2024-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-30 | 2024-11-22 | 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 | 2023-09-20 | 2023-10-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-20 | 2023-10-12 | 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 | 2023-08-29 | 2023-09-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-29 | 2023-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-29 | 2023-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-29 | 2023-09-22 | 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 | 2023-08-29 | 2023-09-22 | N |
| Post nurse staffing information every day. | Health | 2023-08-29 | 2023-09-22 | 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 | 2023-08-29 | 2023-09-22 | 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 | 2023-08-29 | 2023-09-22 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-29 | 2023-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-29 | 2023-09-22 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-08-29 | 2023-09-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-29 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-22 | 2023-06-23 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-06-22 | 2023-06-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-06-24 | N |
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