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Deficiency Records for Grand Oaks Care
A list of the most recent deficiencies for Grand Oaks Care. 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 Grand Oaks Care. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-20 | 2024-06-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-20 | 2024-06-21 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-06-20 | 2024-06-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-07 | 2024-05-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-07 | 2024-05-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-23 | 2024-04-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-13 | 2024-02-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-07 | 2024-02-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-07 | 2024-02-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-22 | 2024-01-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-22 | 2024-01-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-02 | 2023-12-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2023-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-28 | 2023-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-23 | 2023-03-23 | 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 | 2022-10-13 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-11-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-13 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-13 | 2022-11-17 | 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 | 2022-10-13 | 2022-11-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-13 | 2022-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-13 | 2022-11-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-10-13 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-11-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-05 | 2022-08-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-05 | 2022-08-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-05 | 2022-08-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-22 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-17 | 2022-06-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-17 | 2022-06-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-08 | 2022-04-27 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-30 | 2021-12-30 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-04-18 | 2019-06-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-21 | 2019-04-29 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-03-21 | 2019-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-21 | 2019-04-29 | 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 | 2019-03-21 | 2019-04-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-21 | 2019-04-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-03-21 | 2019-04-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-03-21 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-29 | N |
| Keep all essential equipment working safely. | Health | 2019-03-21 | 2019-04-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-03 | 2018-04-19 | 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 | 2018-04-03 | 2018-04-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-03 | 2018-04-19 | 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 | 2018-04-03 | 2018-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-03 | 2018-04-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-04-03 | 2018-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-03 | 2018-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-03 | 2018-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-11 | 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 | 2018-03-15 | 2018-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-15 | 2018-04-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-03-15 | 2018-04-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-15 | 2018-04-11 | 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 | 2018-03-15 | 2018-04-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-15 | 2018-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-15 | 2018-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-11 | N |
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