Inspection Results » Oxford Rehabilitation & Health Care Center, The

Health Inspection on February 9, 2018 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-11)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Implement a program that monitors antibiotic use. (Corrected 2018-04-11)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-04-11)
   • Keep all essential equipment working safely. (Corrected 2018-04-11)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-05-17)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-04-11)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-04-11)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-05-17)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-17)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-11)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-04-11)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-11)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-11)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-05-17)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-17)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-17)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-05-17)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-04-11)
   • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2018-04-11)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-11)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-05-17)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-04-11)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-04-11)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-04-11)

5. Pattern: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2018-04-11)