Northern Oaks Living & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Northern Oaks Living & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF809Aug 29, 2023

  Based on interviews, and record reviews, the facility failed to ensure no more than 14 hours between a substantial evening meal and breakfast the following day, except when a nourishing snack is served at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span. Facility failed to include a resident group in the decision to change the timing/hours between the supper and breakfast meal; the current schedule is for 15 hours between the meal times. This failure placed residents at risk of their nutritional needs, preferences, and requests being met. Findings include: Record review of Facility Meal Service Times undated revealed Breakfast at 7:15AM, Lunch at 11:15AM and Supper at 4:15PM. […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2023

  Based on observations, interviews, and record reviews, the facility failed to properly store food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food safety. The facility failed to store foods in the refrigerators and freezers properly. These findings placed residents at risk of food borne illnesses. Findings included: During an observation and interviews on 08/27/23 beginning at 9:49AM in 1 of 1 kitchen with DC revealed: Breakfast Freezer -Corn tortillas with a date of 5/15 with obvious white crystals touching the food items and throughout the bag. Walk-In Refrigerator -2 Whole sandwiches that were not sealed, did not have a label to identify what the item was, an/or when it had been prepared. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2021

  Based on observations, interviews and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for 1 of 1 kitchen's reviewed for food safety. 1.Food stored in dry storage, freezer and refrigerator not sealed and/or labeled properly. 2.Foods in dry storage had grime on lids. 3.Foods in refrigerator stored past their use by date. These failures placed residents that eat food from the kitchen at risk for foodborne illnesses. Findings included: In an observation on 03/30/21 at 9:15AM of the facility kitchen revealed the following: Dry Storage 1 .3-quart bin of cookies with no label. 2. Peanut Butter container with grime on the lid. 3. 2 bags of what appeared to be Croutons with no label opened date. 4. […]

• No harm, potential for more than minimal, patternF605Jan 22, 2026

  Based on observation, interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the residents' medical symptoms for 3 (Resident #55, Resident #78, and Resident #87) of 20 residents reviewed for unnecessary medications. The facility failed to ensure Resident #55's PRN Lorazepam (medicine used to treat the symptoms of anxiety) was discontinued after 14 days or a documented rational for the continued provision of the medication. The facility failed to ensure Resident #78's PRN Lorazepam discontinued after 14 days or a documented rational for the continued provision of the medication. […]

• No harm, potential for more than minimal, patternF755Jan 22, 2026

  Based on observations, interviews, and record review the facility failed to dispose of mediations that were expired in accordance with professional standards for 1 of 3 medication carts (medication cart for Hall 200/300) reviewed for pharmacy services. The facility failed to ensure Resident #15's Nitroglycerin (medication used to treat chest pain) was not expired and was on the medication cart for Hall 200/300. The facility failed to ensure Resident #33's Ondansetron (medication used to treat nausea) was not expired and was on the medication cart for Hall 200/300. […]