Oaks, The

In the surveyor’s words

From the most serious findings on record at Oaks, The, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Mar 10, 2026

  Based on interviews, record review, and observation, the facility failed to follow the consultant's recommendation to obtain a Bilevel Positive Airway Pressure (BiPAP) machine timely for one Resident (#59), out of a sample of 24 residents. Findings include: Review of the facility's policy titled BiPAP/CPAP (Continuous positive airway pressure) Administration Policy, last revised 9/3/2024, indicated but was not limited to the following:-The facility will ensure that each resident receives necessary respiratory care and services (BiPAP/CPAP) that are in accordance with professional standards of practice, the resident's care plan, federal and state regulations.-BiPAP- Is a noninvasive ventilation machine that can generate two adjustable pressure levels.-When a CPAP or BIPAP is ordered, the… […]

• No harm, potential for more than minimal, patternF756Dec 12, 2024

  Based on record review and interview, the facility failed to ensure irregularities identified by the pharmacist during the monthly Medication Regimen Review (MRR) were reviewed and acted upon timely for three Residents (#1, #2, and #73), out of a total sample of five residents selected for unnecessary medication review. Specifically, the facility failed: 1. For Resident #1, to clarify the as needed (PRN) acetaminophen order by adding a strength and to add a stop date to the PRN Ativan/Lorazepam (anti-anxiety); 2. […]

• No harm, potential for more than minimal, patternF758Dec 12, 2024

  Based on record review and interview, the facility failed to ensure the residents' medication regimen was free from unnecessary psychotropic (anti-anxiety, antidepressant, and antipsychotic) as needed (PRN) medications and they were limited to 14 days and not extended without the physician evaluating and documenting a rationale for continued use for three Residents (#1, #2, and #90), out of a total sample of five residents selected for unnecessary medication review. Specifically, the facility failed to ensure: 1. For Resident #1, PRN Ativan (anti-anxiety) was limited to 14 days and if the physician deemed it necessary to extend the PRN he/she documented in the medical record and a new order was written with an extended stop date; 2. […]

• No harm, potential for more than minimal, patternF880Dec 12, 2024

  Based on observation, document review, record review, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and potential transmission of communicable diseases and infections when the facility was currently experiencing an outbreak of COVID-19 infection on one (Maplewood) of three units, and failed to adhere to infection control procedures during a wound dressing change for one Resident (#89) out of a sample size of 22 residents. Specifically, the facility failed to: 1. […]

• No harm, potential for more than minimal, patternF908Sep 12, 2023

  Based on observation, interview, and record review, the facility failed to ensure one refrigerator in the main kitchen was maintained in good working condition as evidenced by the refrigerator not maintaining an internal temperature at or below 41 degrees Fahrenheit (F). Specifically, the facility failed to record the internal temperature twice a day, routinely clean the condenser coils, and maintain the door gasket to create a working seal. Findings include: Review of the U.S. Food and Drug Administration (FDA) Food Code, dated 2022, indicated but was not limited to the following: -FDA continues to recommend that food establishments limit the cold storage of time/temperature control for safety foods, ready to-eat foods to a maximum temperature of 41 degrees F. […]