Oxford Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Oxford Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 10, 2024

  Based on a review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen. Findings include: Review of the facility policy entitled, Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices, dated April 3, 2024, revealed that a beard restraint was to be worn when cooking, preparing, or assembling food to keep hair from contacting exposed food, clean equipment, utensils, and linens. Observations made during a tour of the kitchen on April 10, 2024, at 11:55 a.m., with the Food Service Director, revealed two male dietary aides assisting on the tray line preparing resident lunch trays for delivery to the nursing units. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2023

  Based on review of facility policy and observation, it was determined that the facility failed to store, prepare and serve foods in a sanitary manner in the food service department to prevent the potential for foodborne illness. Findings include: A review of the facility policy entitled Food Preperation and Service, last reviewed August 10, 2023, revealed that food and nutrition services employees were to prepare, distribute and prepare food in a manner that complied with safe food handling practices. Appropriate measures were to be taken to prevent cross contamination which included cleaning and sanitizing work surfaces and food contact equipment between uses. […]

• No harm, potential for more than minimal, patternF684Nov 14, 2025

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for two of 36 sampled residents. (Residents 12 and 26) Findings include: Review of the facility policy entitled, Administering Medications, last reviewed April 29, 2025, revealed staff were to obtain vital signs if necessary, and document physician indicated medication administration information. Clinical record review revealed that Resident 12 had diagnoses that included hypertension (high blood pressure) and required renal dialysis. On September 9, 2025, the physician ordered staff to administer a blood pressure medicine, metoprolol tartrate, two times a day. […]

• No harm, potential for more than minimal, patternF684Nov 15, 2024

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for five of 36 sampled residents. (Residents 24, 34, 65, 95, and 145) Findings include: Review of the policy entitled, Administering Medications, last reviewed April 3, 2024, revealed that staff were to obtain vital signs if necessary, and document physician indicated medication administration information. Clinical record review revealed that Resident 24 had diagnoses that included heart failure and chronic obstructive pulmonary disease. On November 8, 2024, the physician ordered for staff to obtain a daily weight for the resident. […]

• No harm, potential for more than minimal, patternF550May 18, 2023

  Based on clinical record review and resident interview, it was determined that the facility failed to provide services to enhance each resident's quality of life by offering showers as scheduled to four of nine sampled residents. (Residents 1, 2,3, 7) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included dementia and depression. The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was oriented and was totally dependent on staff assistance for bathing. According to the unit shower schedule, staff was to offer the resident a shower twice per week on Wednesday and Friday. […]