Oasis Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Oasis Nursing & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF610Apr 22, 2022

  Based on observation, interviews and record review, the facility failed to ensure that all alleged violations of abuse were thoroughly investigated and to prevent further abuse while the investigation is in progress for 1 (Residents #2) of 7 residents reviewed for abuse/neglect, in that: 1) The facility failed to investigate an allegation of physical abuse to Resident #2. 2) The facility failed to prevent further potential abuse and mistreatment by allowing the alleged perpetrator to remain in the facility and to have direct contact with the residents. An Immediate Jeopardy (IJ) situation was identified on 4/20/2022 at 4:20 p.m. […]

• No harm, potential for more than minimal, widespreadF732Nov 19, 2021

  Based on observation, interview, and record review the facility failed to post required nurse staffing information on a daily basis and failed to maintain the posted daily nurse staffing data for a minimum of two years as required by state law. Available facility Nurse Staffing Information postings did not include required information for 78 of 79 dates in October and November reviewed. The facility did not retain Nurse Staffing Information for July, August or September 2021 as required by state law. […]

• No harm, potential for more than minimal, widespreadF835Nov 19, 2021

  Based on observation, interview, and record review the facility administration failed to administer the facility in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of 7 (Residents 1, 2, 4, 6, 8, 9 and 10) of 19 residents reviewed for having their daily care needs met. The facility failed to adequately address clinical staff shortages (nurses and CNAs) and failed to implement its emergency preparedness plan to address a shortage of nursing personnel. This failure put residents who needed assistance with ADLs at increased risk of not having their daily care needs met. […]

• No harm, potential for more than minimal, patternF693Aug 18, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents receiving enteral nutrition received appropriate treatment and services to prevent complications associated with eternal feedings and failed to maintain an effective infection prevention control program designed to prevent the development and transmission of infections for 4 (Resident #1, Resident #2, Resident #3, and Resident #4) of 4 residents reviewed. -The facility failed to ensure Resident #1's external feeding bag was not dated in accordance with professional standards of practice.-The facility failed to ensure PEG/G-tube dressings were maintained clean, dry, dated, and changed as required when drainage or soiling was present for Residents #2, #3 and #4.These deficient practices could place… […]

• No harm, potential for more than minimal, patternF695Jun 25, 2026

  Based on observations, interviews, and record review the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice for 2 (Resident #32 and Resident #12) of 11 residents observed for oxygen management.The facility failed to maintain the oxygen concentrator filter for Resident #12.The facility failed on 06/23/2026 to ensure an oxygen warning sign was posted outside the room of Resident #32 while the resident was receiving oxygen therapy.These failures had the potential to expose residents receiving oxygen therapy delayed identification of oxygen-related needs, increase the risk of fire hazards associated with oxygen use, reduce airflow, decrease equipment efficiency, and potentially affect oxygen… […]