Oak Harbor Healthcare

In the surveyor’s words

From the most serious findings on record at Oak Harbor Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 9, 2023

  Based on interview, record review, and review of facility policy, the facility failed to maintain resident safety from harm for 1 of 1 resident. Specifically, while bathing Resident (R)1 on 09/01/23, Certified Nursing Assistant (CNA)1 grabbed the bed linen/sheet and attempted to move/reposition R1 resulting in R1 falling to the floor and suffering injuries. On 11/09/23 the facility presented a Time Line of events. The survey team's investigation revealed the facility implemented interventions to address the noncompliance, indicating past noncompliance as of 09/02/23. […]

• No harm, potential for more than minimal, widespreadF812Mar 29, 2024

  Based on observations, staff interviews, record review, and facility policy review, the facility failed to ensure the kitchen was properly cleaned, food was properly handled, and the dish machine was working in accordance with professional standards for food service safety as required for 121 census residents who received meals from the facility kitchen. These failures had the potential to lead to food-borne illness among all facility residents. Findings include: The facility's policy titled, Dishwashing: Machine Operation, dated 2020, documented The Dining Services staff shall maintain the operation and manufacturer guidelines posted or contained in this guideline to ensure effective cleaning and sanitizing of all tableware and equipment used in the preparation and service of food .All… […]

• No harm, potential for more than minimal, patternF761May 15, 2025

  Based on review of the facility policy, observations, and interviews, the facility failed to ensure that medications were properly stored in 3 of 3 medication rooms. Findings include: Review of the facility policy entitled Medication Access and Storage . revised 7/2022 states It is the policy of this facility to store all drugs and biological in locked compartments under proper temperature controls Medications requiring refrigeration or temperatures between 2 degrees (C) Centigrade 36 degrees (F) Fahrenheit and 8 degrees C and (26 degrees F) are kept in a refrigerator with a thermometer to allowing temperature monitoring. Temperatures will be monitored each shift. If temperature is found out of range, adjust temperatures and recheck in 30 minutes. […]

• No harm, potential for more than minimal, patternF880Mar 29, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure effective hand hygiene during wound care and there was a way to restrict air flow between the dirty laundry and clean laundry area. This had the potential to cause wound infection and exposure to viruses and bacteria to any of the 121 residents in the facility. Findings include: Review of the facility's policy titled, Hand Hygiene, reviewed 12/23, showed: .3. Washing Hands a. Vigorous lather hands with soap and rub them together, creating friction to all surfaces, for a minimum of 20 seconds (or longer) under a moderate stream of running water, at a comfortable temperature .b. Rinse hands thoroughly under running water. Hold hands lower than wrists. Do not touch fingertips to inside of sink. c. […]

• No harm, potential for more than minimal, isolatedF574May 15, 2025

  Based on record review and interviews, the facility failed to ensure residents were informed of their right to have access to names, addresses and telephone numbers of all pertinent state regulatory and informational agencies, resident advocacy groups and information on filing a complaint and or reporting alleged abuse violations. The facility further failed to ensure residents knew where the above information was located within the facility as revealed by 10 of 10 residents during 1 of 1 resident council meeting. […]