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Deficiency Records for The Oaks at Timberline
A list of the most recent deficiencies for The Oaks at Timberline. 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 The Oaks at Timberline. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-27 | 2025-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-27 | 2025-03-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-27 | 2025-03-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-27 | 2025-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-27 | 2025-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-27 | 2025-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-27 | 2025-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-27 | 2025-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-24 | 2025-02-28 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-08-12 | 2024-08-30 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-03-29 | 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 | 2024-02-07 | 2024-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-07 | 2024-03-04 | N |
| 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 | 2023-03-27 | 2023-04-26 | 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 | 2023-03-27 | 2023-04-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-27 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-27 | 2023-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-27 | 2023-04-26 | N |
| Post nurse staffing information every day. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-27 | 2023-04-26 | 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 | 2023-03-27 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-04-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-23 | 2022-10-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-23 | 2022-10-19 | Y |
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