Oak View Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Oak View Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 27, 2025

  Based on kitchen food service observations, staff interviews, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility's kitchen, by failing to date fresh fruit and vegetable products stored in open bins in the walk-in refrigerator. Food handling and sanitation are important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A tour of the kitchen was conducted on 02/24/25 at 10:13 AM. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2021

  Based on observation and staff interview, the facility did not ensure appropriate sanitation and Food Code Standard procedures were maintained to prevent the potential for the spread of foodborne illness. The nourishment room refrigerators, microwave, ice machine, sink and contact surfaces were not clean. Cross contamination can occur when harmful substances, such as chemical or disease-causing microorganisms are transferred to food by unsanitary food contact surfaces. Any resident receiving anything from either the east or west wing nourishment room was at risk. The findings include: During a tour of the east wing nourishment room on 08/26/2021 at 9:18 AM, the ice machine was observed to have black biological grown on the inside. […]

• No harm, potential for more than minimal, patternF812Apr 20, 2023

  Based on interviews, record review, a review of the Food Code, and policy and procedure review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, by failing to ensure that one of three resident meals (04/19/23 Lunch Meal) was served at a safe temperature. This failure had the potential to impact all residents eating the meal from the facility's kitchen. The findings include: During a tour of the kitchen on 04/19/2023 at 10:58 AM, an observation of the Food Sample Temperature Form located in the temperature logbook, dated April 16-22, 2023, revealed it was incomplete. (Copy obtained) An observation of the tray line was conducted on 04/19/23 at 11:02 AM during the tour. […]

• No harm, potential for more than minimal, patternF584Aug 26, 2021

  Based on observation, family interview, clinical record review, and staff interview, the facility failed to ensure a clean living environment for four (Residents #26, #30, #53 and #97) of 11 residents receiving enteral feedings. Enteral food product was observed on various surfaces in the residents' rooms throughout the survey. Failure to maintain a clean living environment may create the potential for infection and affect the resident's ability to attain or maintain his/her highest practicable physical, mental, and social well-being. The findings include: 1. An observation was made of Resident #30 on 08/23/21 at 12:51 PM and an interview was conducted with his father at that time. […]

• No harm, potential for more than minimal, patternF761Aug 26, 2021

  Based on observation, interview and record review, the facility failed to ensure drugs and biologicals were stored in locked compartments under proper temperature controls for three og three medication carts inspected for medication storage from a total of four medication carts in the facility. The findings include: On 08/25/21 at 4:06 PM, the medication cart for the west wing front hall was observed at the end of the hall close to the exit door located near room [ROOM NUMBER]. The medication cart was unlocked and the nurse assigned to the cart was not administering medication and was away from the unit. […]