Inspection Results » Oak Manor Nursing Home

Health Inspection on September 6, 2018 ^[1]

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

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-04)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-10-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-04)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-10-04)
   • Keep all essential equipment working safely. (Corrected 2018-10-04)

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

   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-10-04)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-10-04)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-04)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-04)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-10-04)

3. Widespread: No actual harm with potential for minimal harm

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-10-04)
   • Implement a program that monitors antibiotic use. (Corrected 2018-10-04)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-10-04)