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Deficiency Records for Oakcrest Nursing and Rehabilitation Center
A list of the most recent deficiencies for Oakcrest Nursing and Rehabilitation 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 Oakcrest Nursing and Rehabilitation 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-04-11 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-05 | 2023-11-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-05 | 2023-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-05 | 2023-10-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-19 | 2023-06-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-06-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-03 | 2023-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-03 | 2023-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-03 | 2023-05-31 | N |
| Post nurse staffing information every day. | Health | 2023-05-03 | 2023-05-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-10 | 2023-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-10 | 2023-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-03 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-20 | 2022-04-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-23 | 2022-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-23 | 2022-03-02 | 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 | 2022-02-23 | 2022-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-23 | 2022-02-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-23 | 2022-02-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-23 | 2022-02-24 | 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 | 2022-02-23 | 2022-02-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-23 | 2022-02-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-23 | 2022-02-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-23 | 2022-02-24 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-02-23 | 2022-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-12 | 2020-03-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-12 | 2020-03-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-12 | 2020-03-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-12 | 2020-03-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-12 | 2020-03-09 | 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 | 2020-02-12 | 2020-03-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-12 | 2020-03-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-13 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-13 | 2020-02-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-12 | 2020-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-12 | 2020-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-13 | Not Fixed | N |
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