Oak Village Healthcare

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF908Jun 10, 2026

  Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents requiring Hoyer lift transfers on 2ut of 2 hallways, reviewed or environment. The facility failed to remove a broken electric Hoyer lift (a mechanical assistive device that uses a sling and sturdy frame to safely transfer immobile residents to and from bed) from continued use rotation on facility residents requiring Hoyer lift transfers. The facility failed to repair a broken electric Hoyer lift that was used for Sunset and Rodeo facility hallways. […]

• No harm, potential for more than minimal, patternF641Apr 30, 2025

  Based on interview and record review, the facility failed to accurately assess each resident's status for 3 (Resident #11, #35, and Resident #38) of 20 residents reviewed for accuracy of assessments. 1. The facility failed to ensure Resident # 11's annual MDS assessment, dated 02/09/25, did not reflect her hearing deficit, and her oral cavity. 2. The facility failed to ensure Resident #35's Quarterly MDS assessment dated [DATE] and Significant Change in Status MDS dated [DATE] accurately reflected the resident's antiplatelet medication use and incorrectly coded the resident for anticoagulant medication use. 3. […]

• No harm, potential for more than minimal, patternF812Apr 30, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. The Dietary Manager failed to wear hair net in the kitchen. 2. The facility failed to keep the cooking area clean and free of grease build up on the stove. 3. The facility failed to ensure the tabletop can opener blade and base were free of grime and debris. 4. The facility failed to ensure kitchen cooking equipment was cleaned. 5. The facility failed to label, and date left over food items in walk in refrigerator\freezer. 6. […]

• No harm, potential for more than minimal, isolatedF685Jun 10, 2026

  Based on observation, interview and record review, the facility failed to ensure that residents receive proper treatment and assistive devices to maintain vision abilities for 1 ( Resident # 1) of 4 residents reviewed for quality of care. The facility failed to provide necessary arrangements to repair broken eyeglasses for Resident # 1.This failure could lead to injury and/or decreased quality of life. Findings included:Record review of Resident # 1's face sheet dated, 6/9/2026 revealed a [AGE] year old male, admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF689Jun 10, 2026

  Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 out of 1 residents (Resident #1) reviewed for adequate supervision, accidents, and hazards. CNA A and CNA B failed to provide adequate supervision to Resident #1 during a Hoyer lift transfer and Resident #1 sustained a skin tear to his right shin. This failure could place residents at risk for injury and harm. […]