Oakview Nursing & Rehablitation - Marion

In the surveyor’s words

From the most serious findings on record at Oakview Nursing & Rehablitation - Marion, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 12, 2022

  Based on observation, record review, staff and resident responsible party (RP) interviews, the facility failed to maintain an environment free of accident hazards and failed to provide adequate supervision of meal services for residents dependent on feeding assistance and supervision from staff that resulted in a serious burn injury for 1 of 4 resident records reviewed (Resident #4). The failure of supervision resulted in Immediate Jeopardy to the health, safety, and security of the residents. The facility reported a census of 36 residents. Findings Include: The 4/14/22 Minimum Data Set (MDS) Discharge Assessment tool revealed Resident #4 admitted to the facility 4/8/22 as a transfer from another nursing home. […]

• Actual harm, isolatedF684May 12, 2022

  Based on record review, and staff and resident's responsible party (RP) interviews, the facility failed to provide accurate assessments with timely interventions, failed to obtain appropriate physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] #4). The facility reported a census of 36 residents. Findings Include: The 4/14/22 Minimum Data Set (MDS) Discharge Assessment tool revealed Resident #4 admitted to the facility 4/8/22 as a transfer from another nursing home. The MDS identified the resident with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident required extensive assistance of at least 1 staff to reposition in bed, transfer to and from bed and chair, eating, dressing, toileting, bathing and personal hygiene, the resident unable to stand or ambulate. […]

• No harm, potential for more than minimal, patternF804Aug 15, 2024

  Based on observation, policy review, and staff interview, the facility failed to hold hot foods at an adequate minimum temperature for 1 of 1 meal service observed. The facility reported a census of 39 residents. Findings include: The 2/24 facility Dietary Policies and Procedures with the subject of Food Temperatures stated the minimum temperature of hot foods was 135 degrees Fahrenheit. On 8/13/24 at 12:29 p.m., Staff D Dietary Aide served the last meal in the B Wing. Immediately after the service, he obtained the following temperatures: Sweet potatoes 119 degrees Fahrenheit Green Beans 120 degrees Fahrenheit Pork 130 degrees Fahrenheit. Pureed meatballs 96 degrees Fahrenheit. Pureed sweet potatoes 99 degrees Fahrenheit. Gravy 90 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF812Aug 15, 2024

  Based on observation, policy review, and staff interviews, the facility failed to store and prepare food under sanitary conditions for 3 of 3 kitchen areas reviewed. The facility reported a census of 39 residents. Findings include: The facility undated [name redacted(name of detergent company)] Detergent Services policy stated (dishwasher) rinse temperatures should reach between 176 degrees Fahrenheit to 185 degrees Fahrenheit. The 2/24 facility Dietary Policies and Procedures with the subject of Good Safety and Sanitation Guidelines stated the facility would utilize the current food code for standards of practice for the dietary department to meet the needs of safe food handling and sanitation of the kitchen. […]

• No harm, potential for more than minimal, patternF865Aug 15, 2024

  Based on review of Quality Assurance and Performance Improvement(QAPI) meeting documentation, policy review, and staff interview, the facility failed to carry out Quality Assurance(QA) activities to obtain feedback, use data, and take action to conduct structured, systematic investigations and analysis of underlying causes or contributing factors of problems affecting facility-wide processes that impact quality of care, quality of life, and resident safety. The facility reported a census of 39 residents. Findings include: The Centers for Medicare and Medicaid Services(CMS) 2567, dated 2/15/24, listed, in part, the following concerns: F812 QAPI Sign-In Sheets documented the facility had QAPI meetings on the following dates: 4/19/24 and 7/26/24. […]