Seven Oaks Nursing & Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen.The facility did not keep the following equipment and surfaces clean and free of debris in the kitchen in that: 1. The stove back splash wall was not clean2. Burners on the stove were caked with food items3. Ovens were dirty4. Deep fryer had crumbs and dried food items5. Fans in the walk-in cooler had dust / debris6. Air vents with visible build-up7. Wash rags stored beneath hand-washing sinkThe facility did not properly store prepared food items in the walk-in cooler in that:1. […]

• No harm, potential for more than minimal, patternF806Jul 23, 2025

  Based on observations, interviews, and record review the facility failed ensure each resident receives and the facility provides food that accommodates residents' food preferences for 3 of 22 residents (Resident #29, Resident #15, and Resident #3) reviewed for food preferences and the accommodation of resident's meal choices.1.The facility did not honor Resident #29's preference for milk with her supper meals. 2.The facility failed to honor Resident #15's preferences for a bacon and toast for breakfast.3.The facility failed to provide condiments (jelly and butter) and bread for Resident #3 on 07/20/25. These failures could result in a decrease in resident choices, diminished interest in meals, and weight loss. […]

• No harm, potential for more than minimal, patternF657Jun 18, 2024

  Based on interview and record review the facility failed to facilitate resident and family participation in the care planning process for 4 of 15 residents (Resident #15, Resident #17, Resident #21, and Resident #28) reviewed for care plans. The facility failed to notify and invite Resident # 17's responsible party to care plan meetings. The facility failed to ensure Resident # 15, Resident #21, Resident #28 and their representatives were invited to their care plan meetings. These failures could place residents at risk of not having needs met by depriving them the opportunity to participate in the decision making regarding their care. Findings included: 1. […]

• No harm, potential for more than minimal, patternF812Jun 18, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for dietary services, in that: 1) The facility failed to label and date all food items. 2) Dietary staff failed to dispose of expired foods items. 3) Dietary Staff failed to effectively reseal, label and date frozen food items. 4) Dietary staff failed to store thawed raw meat below ready to eat foods. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, patternF578Apr 18, 2023

  Based on interview and record review the facility failed to ensure medical records were maintained in accordance with accepted professional standards and practices on each resident and accurately documented for 3 of 15 residents (Resident's #6, #7, and #16) reviewed for accuracy of medical records. 1. The facility did not ensure Resident #16's OOH-DNR was signed at the bottom by the witnesses. 2. The facility did not ensure Resident #6's signed her OOH-DNR. 3. The facility failed to ensure Resident #7's OOH-DNR had a license number, printed name, and date for the physician's statement. These failures could place residents at risk of not receiving care and services to meet their needs. The findings included: 1. […]