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Deficiency Records for Rambling Oaks Courtyard Extensive Care Community
A list of the most recent deficiencies for Rambling Oaks Courtyard Extensive Care Community. 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 Rambling Oaks Courtyard Extensive Care Community. 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 | 2024-06-14 | 2024-07-11 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-18 | 2023-10-29 | 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 | 2023-09-18 | 2023-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-18 | 2023-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-18 | 2023-10-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-18 | 2023-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-10-29 | 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 | 2023-09-14 | 2023-10-12 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-09-14 | 2023-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-14 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-02-10 | 2023-02-23 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-02-04 | 2023-02-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-04 | 2023-02-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-27 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-27 | 2022-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-27 | 2022-08-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-24 | 2022-06-23 | Y |
| 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 | 2022-05-24 | 2022-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-10 | 2021-03-11 | N |
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