SilverOcean
For
Integrations
Insights
Facilities
Grand Oaks Care
Citations
All citations for Grand Oaks Care
71 citations on record from CMS and state agencies, sorted most recent first. Located in Tulare, CA.
Date
Source
Tag
Severity
Description
Status
2025-09-02
cms
0725
No Actual Harm, Potential More Than Minimal (F)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2025-07-29
cms
0580
No Actual Harm, Potential More Than Minimal (D)
Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-03
cms
0580
No Actual Harm, Potential More Than Minimal (D)
Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-05-09
cms
0580
No Actual Harm, Potential More Than Minimal (D)
Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-01-29
cms
0656
No Actual Harm, Potential More Than Minimal (D)
Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.
2024-10-10
cms
0686
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-10
cms
0688
No Actual Harm, Potential More Than Minimal (E)
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.
2024-10-10
cms
0726
No Actual Harm, Potential More Than Minimal (E)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident''s well being.
2024-10-10
cms
0745
No Actual Harm, Potential More Than Minimal (E)
Provide medically-related social services to help each resident achieve the highest possible quality of life.
2024-10-10
cms
0755
No Actual Harm, Potential More Than Minimal (D)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-10-10
cms
0756
No Actual Harm, Potential More Than Minimal (E)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2024-10-10
cms
0761
No Actual Harm, Potential More Than Minimal (E)
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.
2024-10-10
cms
0805
No Actual Harm, Potential More Than Minimal (D)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-10-10
cms
0806
No Actual Harm, Potential More Than Minimal (D)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
2024-10-10
cms
0867
No Actual Harm, Potential More Than Minimal (F)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2024-10-10
cms
0880
No Actual Harm, Potential More Than Minimal (E)
Provide and implement an infection prevention and control program.
2024-10-10
cms
0921
No Actual Harm, Potential More Than Minimal (E)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
2024-10-10
cms
0558
No Actual Harm, Potential More Than Minimal (E)
Reasonably accommodate the needs and preferences of each resident.
2024-10-10
cms
0578
No Actual Harm, Potential More Than Minimal (E)
Honor the resident''s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2024-10-10
cms
0584
No Actual Harm, Potential More Than Minimal (D)
Honor the resident''s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2024-10-10
cms
0623
No Actual Harm, Potential More Than Minimal (D)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2024-10-10
cms
0658
No Actual Harm, Potential More Than Minimal (E)
Ensure services provided by the nursing facility meet professional standards of quality.
2024-06-20
cms
0804
No Actual Harm, Potential More Than Minimal (E)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2024-06-20
cms
0609
No Actual Harm, Potential More Than Minimal (D)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-06-20
cms
0837
No Actual Harm, Potential More Than Minimal (E)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
2024-05-07
cms
0580
No Actual Harm, Potential More Than Minimal (D)
Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-05-07
cms
0919
No Actual Harm, Potential More Than Minimal (D)
Make sure that a working call system is available in each resident''s bathroom and bathing area.
2024-04-23
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2024-02-13
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2024-02-07
cms
0580
No Actual Harm, Potential More Than Minimal (D)
Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-02-07
cms
0755
No Actual Harm, Potential More Than Minimal (D)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-12-22
cms
0655
No Actual Harm, Potential More Than Minimal (D)
Create and put into place a plan for meeting the resident''s most immediate needs within 48 hours of being admitted
2023-12-22
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2023-11-02
cms
0698
No Actual Harm, Potential More Than Minimal (E)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
2023-11-02
cms
0755
No Actual Harm, Potential More Than Minimal (D)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-10-10
cms
0689
No Actual Harm, Potential More Than Minimal (D)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-05-15
cms
0689
Actual Harm (G)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-04-03
state
120018886
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2023-03-28
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2023-03-09
state
120018882
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2022-10-13
cms
0812
No Actual Harm, Potential More Than Minimal (F)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2022-10-13
cms
0578
No Actual Harm, Potential More Than Minimal (D)
Honor the resident''s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2022-10-13
cms
0656
No Actual Harm, Potential More Than Minimal (D)
Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.
2022-10-13
cms
0676
No Actual Harm, Potential More Than Minimal (E)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
2022-10-13
cms
0677
No Actual Harm, Potential More Than Minimal (D)
Provide care and assistance to perform activities of daily living for any resident who is unable.
2022-10-13
cms
0679
No Actual Harm, Potential More Than Minimal (E)
Provide activities to meet all resident''s needs.
2022-10-13
cms
0688
No Actual Harm, Potential More Than Minimal (D)
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.
2022-10-13
cms
0698
No Actual Harm, Potential More Than Minimal (E)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
2022-10-13
cms
0755
No Actual Harm, Potential More Than Minimal (E)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2022-10-13
cms
0804
No Actual Harm, Potential More Than Minimal (E)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Previous
Page 1 of 2
Next
Back to facility profile