Oakland Living Center

The facility failed to ensure proper healthcare referral and follow-up for a resident who sustained an injury to her right hand. Despite the resident reporting significant pain and visible swelling following a hyperextension injury, the facility did not provide the necessary medical follow-up to address the injury.

The facility failed to ensure proper healthcare referral and follow-up for a resident who sustained a broken pinky finger. Although the resident reported significant pain and swelling, staff failed to contact the primary care physician or obtain orders for medical evaluation, leaving the injury untreated by professional medical staff until a family member intervened.

The facility failed to adequately manage the resident's health care needs following an injury. Staff only administered acetaminophen for severe pain and did not initiate the necessary medical follow-up or communication with the physician required to address the resident's acute physical condition.

The facility failed to ensure that an initial assessment was completed within 72 hours of admission using the Resident Register for three sampled residents. Review of records showed that admission dates were missing from clinical forms and the Resident Register was incomplete, containing only discharge information.

The facility failed to ensure that an initial assessment was completed within 72 hours of admission using the Resident Register for three sampled residents. Specifically, the Resident Register pages for these residents were either missing or incomplete, lacking essential resident information and admission dates.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees Fahrenheit in 6 out of 9 resident sinks. Observations and resident interviews confirmed that water temperatures in several bathrooms were as low as 98 degrees Fahrenheit. Maintenance reported the issue was due to a broken hot water circulating pump.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees Fahrenheit in resident bathrooms. Specifically, 6 out of 9 sinks tested, including those in rooms 203, 204, 206, 208, 209, and 210, measured below the required temperature. Resident interviews also confirmed concerns regarding tepid or cold water during showers and sink use.