Oxley Park Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Oxley Park Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observations, staff interviews, and review of the Food and Supply Storage policy, the facility failed to ensure foods were properly covered, sealed, labeled, dated, and discarded, and failed to maintain clean kitchen equipment. These failures resulted in improper food storage and unsanitary food preparation conditions, creating a risk of cross contamination and foodborne illness for 85 residents receiving oral diets.Findings include:Review of the facility's policy titled Production, Purchasing, Storage: Food and Supply Storage, revised on 1/17, documented under Procedures. Most products contain an expiration date. The words sell-by, best-by, enjoy-by or use-by should precede the date. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observations, staff interviews, and review of the facility's policies titled, Storage Areas, and Personal Hygiene, the facility failed to discard food in the walk-in cooler by the expiration date and failed ensure dietary staff wore hair restraints while in the food prep area of the main kitchen. The deficient practice had the potential to effect 86 of 92 residents receiving an oral diet. Findings included: Review of the facility's policy titled, Storage Areas revealed, with a review date of [DATE] revealed, Intent: It is the intent of this center to store food in a manner that maintains quality and safety. Guideline: Items should be inspected for quality and temperature control upon receipt. Items should be covered, sealed, labeled, and dated appropriately. […]

• No harm, potential for more than minimal, patternF880Mar 5, 2026

  Based on observations, staff and resident interviews, record review, and review of the facility policies titled Hand Hygiene, the certified medical assistants (CMAs) failed to use proper hand hygiene for three of three residents sampled, residents (R) R8, R63, and R91 when administering their medications. This failure increased the risk of infection transmission among residents and staff.Findings include:Review of the policy titled Hand Hygiene, revised 12/27/2025 documented Intent, it is the intent of this facility to promote and facilitate appropriate hand washing as set forth by the guidelines of CDC. Hand Hygiene is the single most important means of preventing the spread of infection. The use of gloves does not replace hand washing. Survey Tag F880, S483.80 (a)(1 - 2) (4) (e-f). […]

• No harm, potential for more than minimal, isolatedF804Mar 5, 2026

  Based on observations, staff interviews, record review, and the facility policy titled Food Preparation and Distribution, the facility failed to ensure pureed therapeutic diets were properly prepared for two of two sampled residents(R) receiving a therapeutic pureed diet. In addition, R58 was observed receiving a pureed meal that was of lumpy consistency. This deficient practice had the potential to cause medical complications and place the residents at risk for unmet nutritional needs.Findings include: 1.Review of the policy titled Food Preparation and Distribution, dated 12/27/2025, documented INTENT-It is the intent of this center to prepare and distribute food in a manner that minimizes the risk of food-borne illness and promotes safe food handling practices. […]

• No harm, potential for more than minimal, isolatedF656Jan 30, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Patient's Plan of Care, the facility failed to follow a care plan related to oxygen (O2) use for one of 23 residents (R) (R184). Specifically, the facility failed to ensure the care plan for R184 was followed pertaining to the rate of oxygen ordered. Findings included: Review of the facility's policy titled, Patient's Plan of Care dated 12/27/2024 revealed, Guideline: each patient will have a person-centered comprehensive care plan developed and implemented to address the patients' medical, physical, mental, and psychosocial needs while also honoring their preferences and goals. […]