Oakwood Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Oakwood Manor Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 26, 2023

  Based on interview and record review the facility failed to implement the ongoing system of surveillance to identify possible communicable diseases and infections before they can spread to other persons in the facility for 12 of 12 employees reviewed for annual tuberculosis (TB) screening. The facility required TB screening annually but did not have documentation of the annual TB screening done for the ADM, AD, ADON, BOM, DM, HS, MD, PT, ST, LVN D, LVN E, and CNA F. This failure could place residents, staff, and visitors at risk of being exposed of being exposed to a communicable disease and the facility not being aware of TB to report to the health department. […]

• No harm, potential for more than minimal, patternF755Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring and administering of all drugs to meet the needs for 1 of 4 halls (hall 300) reviewed for controlled medications and 1 of 19 residents rooms reviewed for unsecured medication, and 1 of 1 medication rooms reviewed for expired medications. The facility failed to ensure controlled medications were counted on 12/14/25 between the night and day shift for the 300 hall med cart. The facility failed to ensure controlled medications were counted on 12/15/25 between the day and night shift for the 300 hall med cart. The facility failed to ensure no loose pills were left on the floor of Resident #98's room. […]

• No harm, potential for more than minimal, patternF761Dec 17, 2025

  Based on observation, interview and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles for 1 of 1 treatment cart and 1 of 1 medication storage rooms reviewed for storage of drugs and biologicals. The facility failed to ensure the treatment cart was locked and secured when the Wound Care Nurse left the treatment cart unlocked and unattended on [DATE] at 7:45 a.m. The facility failed to ensure the treatment cart #1 was locked and secured when the Wound Care Nurse left the treatment cart unlocked and unattended on [DATE] at 9:42 a.m. The facility failed to ensure Hall200's medication aides' medication cart was free of loose pills at the bottom of the medication cart on [DATE] at 12:00 p.m. […]

• No harm, potential for more than minimal, patternF806Jul 26, 2023

  Based on observation, interview, and record review the facility failed to ensure food was provided that accommodated food preference for 4 of 23 residents reviewed for food choices (Resident #7, #43, #66 and #75) in that: Residents #7, #43, #66, and #75 preferred fried eggs and did not receive fried eggs. This failure could place residents at risk for poor oral intake, weight loss, and poor quality of life. Findings included: 1. Record review of an admission face sheet for Resident #7 indicated she was admitted [DATE] with diagnoses of high blood pressure and pain. Record review of the physician orders dated July 2023 indicated Resident #7 had a diet order for Low concentrated sweet, no salt on tray and no fried foods. […]

• No harm, potential for more than minimal, patternF761Mar 3, 2021

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were in locked compartments, and permit only authorized personnel to have access to 1 of 2 nurse medication carts (300 Hall Nurse Medication Cart) and 1 of 1 medication refrigerators reviewed for labeling and storage, in that: 300-hall nurse treatment cart was left unlocked, unsecured and unattended inside the ppe doffing station room (also used as staff breakroom) with IV medication sitting on top of the cart. Resident food storage refrigerator had medications stored in it. These deficient practices could place residents that receive medication at risk of medications being improperly stored/secured. The findings were: Observation on 03/1/21 from 10:10 a.m. to 10:20 a.m. […]