Oak View Home, Inc

In the surveyor’s words

From the most serious findings on record at Oak View Home, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 18, 2025

  Based on observation, staff interview, and review of the facility policies titled Storage Areas and Cleaning and Sanitizing, the facility failed to ensure food items were discarded on or before the discard or expiration date. In addition, the facility failed to maintain sanitary conditions for dishware and utensils. The deficient practices had the potential to place the 80 residents receiving nutrition and hydration from the kitchen at increased risk of foodborne illness. Findings include: Review of the facility policy titled Storage Areas, reviewed 12/27/2024, revealed the Guideline section included, First in first out (FIFO) should be followed.Review of facility policy titled Cleaning and Sanitizing, reviewed 12/27/2024, revealed the Intent section included, It is the intent of this… […]

• No harm, potential for more than minimal, patternF921Mar 10, 2021

  Based on observation, interviews, and review of the Housekeeping policy; the facility failed to maintain the main shower room in a sanitary condition. The facility census was 76. Findings include: Review of the Housekeeping policy (revised and updated for release September 2015) revealed it is the intent of the center to maintain a clean and sanitary center that is free from odor and other environmental factors that may affect the quality of life of our patients. Procedural Guidelines: 1. This center should be cleaned in manner that is consistent with protocols and recommendations from the manufacturer of the chemicals and supplies used. An observation on 3/9/21 at 9:53 a.m. of the C-Hall shower room revealed four shower stalls with privacy curtains. […]

• No harm, potential for more than minimal, isolatedF695Sep 18, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled Use of Oxygen Therapy, the facility failed to ensure that one of 13 residents (R) (R3) with oxygen orders was administered oxygen therapy in accordance with the physician's orders. This deficient practice had the potential to place R3 at increased risk of respiratory complications. Findings include:Review of the facility's policy titled Use of Oxygen Therapy, reviewed 12/27/2024, revealed the Guideline section included, Physician's order for oxygen should be obtained and include: Oxygen with liter flow as ordered.Review of the Face Sheet for R3 revealed diagnoses including, but not limited to, chest pain, shortness of breath, chronic bronchitis, and chronic respiratory failure with… […]

• No harm, potential for more than minimal, isolatedF759Sep 18, 2025

  Based on observation, record review, staff interviews, review of the manufacturer's package insert, and review of the facility's policies titled Pharmacy Services Medication Administration-General, Pharmacy Services Medication Orders, and Pharmacy Services Insulin Administration, the facility failed to ensure a medication error rate below five percent. There were two errors with 28 opportunities for two of 19 residents (R) (R4 and R71) observed, for a medication error rate of 7.14 percent. This deficient practice had the potential to result in medication not being given in accordance with the physician's orders and adversely affect R6 and R11's clinical condition. […]

• No harm, potential for more than minimal, isolatedF880Sep 18, 2025

  Based on observations, staff interviews, record review, and review of the facility policy titled Hand Hygiene, the facility failed to ensure that staff followed hand hygiene practices during the delivery of resident clothes on one of three units (Hall B) and during wound care for one of five residents (R) (R7) with wounds. These deficient practices had the potential to place the residents residing on Hall B and R7 at risk of infection due to cross-contamination. Findings Include:Review of the facility's policy titled Hand Hygiene, revised 12/27/2024, revealed the Guideline section included, Associates should use alcohol based hand rub or wash hands with soap and water for the following indications: Immediately before touching a patient. Before performing aseptic tasks. […]