The Oaks at Longview

In the surveyor’s words

From the most serious findings on record at The Oaks at Longview, in the surveyor’s own words.

• Actual harm, isolatedF689May 5, 2022

  Based on observation, interview, and record review, the facility failed to ensure an environment that was free of accident hazards for 3 of 20 residents reviewed for accidents hazards. (Resident's #45, #34, and #53) The facility failed to provide adequate supervision to prevent Resident #45 from falling where he sustained a fractured right elbow and torn tendons requiring a surgical procedure. The facility failed to ensure Resident #34 and #53 mechanic lift pad was in good repair. […]

• No harm, potential for more than minimal, patternF561Aug 27, 2025

  Based on observation, interview, and record review, the facility failed to promote resident self-determination through support of resident choice for 4 of 19 residents reviewed for resident rights. (Resident #16, Resident #33, Resident #40, and Resident #64). The facility failed to ensure Resident #16, Resident #33, Resident #40, and Resident #64 were allowed to smoke two cigarettes during the facility smoking times. This failure could place dependent residents at risk for feelings of depression or lack self-determination and decreased quality of life.Findings included: 1. Record review of Resident #16's face sheet, dated 08/25/25, indicated she was a [AGE] year-old female, admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF565Aug 27, 2025

  Based on interview and record review, the facility failed to promptly resolve grievances for 6 of 6 Anonymous residents reviewed for grievances during a confidential meeting. The facility failed to ensure 6 of 6 Anonymous residents' grievances related to wet napkins on room trays were promptly resolved. This deficient practice could place the residents at risk for decreased quality of life and feelings of neglect or hopelessness. The findings included: During a confidential interview on 8/26/25 at 2:00 P.M. 6 of 6 Anonymous residents indicated grievances were not addressed or resolved promptly. Anonymous residents indicated they had made complaints about the napkins being wet on the hall trays in several resident council meetings. […]

• No harm, potential for more than minimal, patternF684Aug 28, 2024

  Based on interview and record review, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 4 of 7 (Resident #1, Resident #2, Resident #3, and Resident #4) residents reviewed for quality of care. The facility failed to ensure Resident #1's had a skin assessment performed weekly on 8/9/24 and 8/16/24 per facility policy. The facility failed to ensure Resident #2, Resident #3, and Resident #4 had skin assessment performed weekly on 8/16/24 per facility policy. These failures could result in skin issues on residents being missed, skin issues deteriorating without being monitored, and decreased quality of life. Findings Included: 1. […]

• No harm, potential for more than minimal, patternF552Jul 17, 2024

  Based on interviews and record review the facility failed to ensure residents have the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives and to choose the option he or she prefers for 5 of 21 residents reviewed for the right to be informed. (Resident's #21, #31, #33, #35, and #69) 1. The facility failed to ensure Resident #21 had a signed psychotropic consent form for Duloxetine (antidepressant medication) or Haloperidol (antipsychotic medication). 2. […]