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Deficiency Records for Oakwood Village East Health and Rehab Center
A list of the most recent deficiencies for Oakwood Village East Health and Rehab 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 Oakwood Village East Health and Rehab 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 receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-06 | 2024-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-06 | 2024-07-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-06 | 2024-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-06 | 2024-06-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-06-06 | 2024-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-06 | 2024-06-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-06-06 | 2024-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-06 | 2024-06-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-06 | 2024-06-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-06 | 2024-06-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-06-06 | 2024-06-10 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-06-06 | 2024-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-06 | 2024-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-27 | 2023-08-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-27 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-14 | 2023-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-03-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-05-26 | 2022-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-26 | 2022-06-15 | Y |
| Provide appropriate foot care. | Health | 2021-12-01 | 2021-12-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-30 | 2021-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-01 | 2021-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-01 | 2021-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2021-12-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-30 | 2021-12-14 | 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 | 2021-11-30 | 2021-12-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-30 | 2021-12-14 | 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 | 2021-12-01 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
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