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Deficiency Records for Oakwood Health Services
A list of the most recent deficiencies for Oakwood Health Services. 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 Oakwood Health Services. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-26 | 2024-09-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-26 | 2024-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-08-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-09 | 2024-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-09 | 2024-08-12 | Y |
| 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 | 2023-10-24 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-25 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-10 | 2023-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-04-13 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-15 | 2023-04-13 | 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 | 2022-10-05 | 2022-11-04 | 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 | 2022-10-05 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-11-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-03 | 2022-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-03 | 2022-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-03 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-05 | 2021-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-05 | 2021-11-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-05 | 2021-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-08-30 | 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 | 2021-08-04 | 2021-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-04 | 2021-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-04 | 2021-08-30 | 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 | 2021-08-04 | 2021-08-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-04 | 2021-08-30 | 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 | 2021-08-04 | 2021-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-04 | 2021-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-05 | 2021-08-30 | N |
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