Oasis Center for Rehabilitation and Healing

In the surveyor’s words

From the most serious findings on record at Oasis Center for Rehabilitation and Healing, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 13, 2024

  Based on record review, observation and interview, the facility failed to develop and implement an effective and individualized pressure ulcer prevention program for Resident #101 to prevent the development of a facility acquired pressure ulcer to the back of the resident's neck. Actual Harm occurred on 02/27/24 when Resident #101, who was cognitively impaired, ventilator dependent, at risk for pressure ulcer development and required total dependence on staff for bed mobility and all activities of daily living, was assessed on 02/27/24 by Wound Nurse Practitioner (NP) #703 to have a Stage IV (full thickness skin and tissue loss) facility acquired pressure ulcer with correction of the staging completed on 03/05/24 to an unstageable (full thickness loss of tissue completely covered by dead… […]

• No harm, potential for more than minimal, widespreadF812Sep 11, 2024

  Based on observation, record review and interview, the facility failed to ensure food was stored, prepared and served under sanitary conditions. This had the potential to affect all residents who received meals from the kitchen. The facility identified seven residents (#7, #25, #44, #50, #52, #61, and #85) as receiving nothing by mouth. The census was 92. Findings include: 1.Observation of the kitchen on 09/10/24 from 8:14 A.M. to 8:35 A.M. with Cook/Assistant Dietary Director (DD) #365 and DD #366 revealed the following concerns: In the walk in cooler, there was one half factory bag of shredded mozzarella cheese opened and resealed with plastic wrap with no date; four waffles wrapped in plastic wrap with no date; one hardboiled egg wrapped in plastic wrap with no date; one factory bag… […]

• No harm, potential for more than minimal, widespreadF835Sep 11, 2024

  Based on observation, interviews, and review of facility policies, facility menu, and job descriptions, the facility administration failed to ensure there was an adequate supply of emergency food and water on hand as required. This had the potential to affect all 92 residents in the facility. The facility census was 92. Findings include: Review of the administrator job description revealed the administrator was responsible for establishing systems to enforce the facility policies and procedures and to ensure compliance with all federal, state, and local regulations. […]

• No harm, potential for more than minimal, widespreadF812Apr 12, 2024

  Based on observation, interview, and review of the Hydrion Test Strip instructions the facility failed to maintain a sanitary kitchen to prepare food in a manner to prevent contamination and food borne illness. This had the potential to affect all residents (#15, #16, #18, #28 and #31) who received nothing by mouth. The facility census was 92. Findings include: Observation on [DATE] at 10:05 A.M. during a tour of the kitchen revealed a puree prep station with a buildup of grease and dirt on the bottom shelf. The top shelf of the puree prep station had a buildup of dirt on it. The white tiles around the walls in the kitchen had a buildup of black dirt on them. The microwave was dirty with dried food splatter in it. […]

• No harm, potential for more than minimal, widespreadF921Apr 12, 2024

  Based on observation, interview, and facility policy review, the facility failed to provide a clean and sanitary environment. This had the potential to affect all 92 residents in the facility. Findings include: Observation on 04/11/24 at 9:35 A.M. during a tour of the facility revealed the shower room on 300-hall had broken tile around shower drain. The handwashing sink was visibly dirty. The supply cart for shower items had visible dirt on it. The paper towel dispenser had visible dirt on top of it. Hair and dirt were noted on baseboard heating unit. The tub had dirt around the drain (dirty buildup of soap scum), and the area around the tub ledge had a buildup of dirt on it. The floor was dirty. The toilet was full of a bowel movement. […]