Oakview Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Oakview Skilled Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF628Jul 16, 2026

  Based on interview and record reviews, the facility failed to ensure written bed-hold notice was provided to the resident representative at the time of transfer to the hospital for 1 of 12 sampled residents (Resident 51). This failure had the potential to prevent the resident representative from understanding the duration of the bed hold policy and the resident's rights to return to the facility. During a review of Resident 51's admission Record (AR), dated 7/16/26, the AR indicated, Resident 51 was admitted in the facility on 5/2/26. During a review of Resident 51's Progress Note (PN), dated 5/26/26, the note indicated, Resident 51 was transferred to hospital for further evaluations. […]

• No harm, potential for more than minimal, isolatedF641Jul 16, 2026

  Based on record review and interview, the facility failed to ensure specific diagnoses were included in the MDS (Minimum Data Set - a health status screening and assessment tool used for all residents of long term care nursing facilities) assessment for 1 of 12 sampled residents (Resident 22). This oversight resulted in an inaccurate representation of Resident 22's health condition and could potentially introduce risks to the resident's health and safety. During a review of Resident 22's hospital records, prior to admission to this facility, the Emergency Provider Report (emergency room physician documentation that details a patient's urgent medical visit. assessment findings. […]

• No harm, potential for more than minimal, isolatedF656Jul 16, 2026

  Based on interview and record review the facility failed to develop a comprehensive care plan addressing anticoagulant medication use and the associated risk for bleeding for one of 12 sampled residents (Resident 17).This failure had the potential for staff to be unaware of the interventions necessary to monitor for and reduce the risk of bleeding complications. During a review of the facility's policy and procedure (P&P) titled, Nursing Services - Care Plan, dated 10/24/25, the P&P indicated, The facility shall implement each patient's care plan according to patient needs, physician orders, resident preferences, and facility protocols as indicated. […]

• No harm, potential for more than minimal, isolatedF657Jul 16, 2026

  Based on record review and interview, the facility failed to ensure the care plan on self-administration of medications was updated accordingly based on staff evaluation and resident preferences for 1 of 12 sampled residents (Resident 47). This failure had the potential to negatively affect Resident 47's responsiveness to care and treatment. During a review of Resident 47's admission Record (AR), dated 7/16/26, the AR indicated in part that Resident 47 is a [AGE] year-old female who was initially admitted to the facility on [DATE], with admitting diagnoses including chronic diastolic congestive heart failure (a condition where the heart becomes stiff and can not relax properly between beats), gastroesophageal reflux disease (GERD - a chronic digestive condition where stomach acid… […]

• No harm, potential for more than minimal, isolatedF578Aug 12, 2025

  Based on interview and record review, the facility failed to ensure policies and procedures (P&P) were implemented for two of three sampled Residents (Resident 1 and Resident 3) when nursing staff failed to verify residents' wishes regarding Cardiopulmonary Resuscitation (CPR - is an emergency lifesaving procedure performed when the heart stops beating) upon admission. This failure had the potential to result in the facility staff providing or delaying medical treatment and services against the will of the residents.During a review of the facility's policy and procedure (P&P) titled, Resident Rights, dated 05/2024, the P&P indicated, Policy: . […]