North Oaks Communities

In the surveyor’s words

From the most serious findings on record at North Oaks Communities, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 20, 2025

  Based on observation during the initial tour of the main kitchen with facility staff it was determined that the facility staff failed to store food items in a manner that maintains professional standards of food service safety and prepare food under sanitary conditions. The findings include: On 11/17/25 at 8AM, a tour of the kitchen with the Food and Beverage Director revealed the following: 1. Grease was layered on the tiled baseboards and on every wall edge in the kitchen. 2. The freezer and refrigerator floors with blacken areas and the area was littered with debris. 3. The handwashing sinks were blocked with trash cans. 4. The ceiling tiles were noted with areas of brown stains throughout the kitchen. 5. […]

• No harm, potential for more than minimal, widespreadF812Jul 22, 2024

  Based on observations and staff interview, it was determined that the facility failed to store cold foods in a safe manner and failed to ensure staff had access to proper hand washing facilities. This practice was evident for multiple areas of the main kitchen during the initial kitchen tour and had the potential to affect all residents eating food prepared in the facility's kitchen. The findings include: During observation rounds of kitchen on 7/18/24 at 8:15 AM, the initial kitchen tour was conducted by Dietary Manager (Staff #5). During initial observation, the kitchen was noted to have a stream of clear drainage coming from the dishwashing area. Upon closer observation, a pipe from underneath the manual dishwashing station was leaking. […]

• No harm, potential for more than minimal, isolatedF638Nov 20, 2025

  Based on medical record review and interview, the facility staff failed to assess a resident using the standardized Quarterly Review assessment tool at least once every three (3) months between comprehensive assessments (resident #18). This was evident for 1 out of 19 residents reviewed while completing the facility assessment facility task for the facility's annual survey. Findings include: The annual survey team reviewed resident #18's medical records on 11/19/25 at 12:45pm to complete the facility assessment facility task for the facility's annual survey. The medical record revealed that the resident was overdue for a quarterly assessment. The quarterly assessment was due on 10/14/2025. […]

• No harm, potential for more than minimal, isolatedF865Nov 20, 2025

  Based on a revisit of previous annual surveys and deficient practices identified during this survey, it was determined that the facility failed to have an effective Quality Assurance Program as evidenced by the identification of repeat deficiency. The failure to identify and develop appropriate plans of correction to correct quality deficiencies places all residents at risk.The findings include: The repeat deficiencies reviewed included area of store, preparation, distribute, and serve food in accordance with professional standards for food service safety. […]

• No harm, potential for more than minimal, isolatedF842Jul 22, 2024

  Based on medical record review and staff interview, it was determined that the facility failed to maintain accurate medical records on each resident. This was evident for 1 (resident #19) out of 8 residents that were reviewed during the survey. The findings include: On 07/18/24 at 9:30 AM the facility submitted a Matrix Roster to the survey team for review. The matrix roster revealed that Resident #19 was not on palliative care. Review of Resident #19 medical record on 07/19/24 at 10:15 AM revealed a Maryland Medical Orders for Life-Sustaining Treatment (MOLST) form dated 03/27/2024. The MOLST form stated that Resident #19 was a [name of hospice provider] patient. […]