Oakmont Gardens

The inspection was a POC case management visit. The facility was cited for failure to submit required documentation regarding the call button/pendant system and for failure to correct the deficiency for the period of 3/6/26 through 3/10/26, resulting in a civil penalty. Additionally, the Emergency Disaster Plan was noted as needing an update to reflect current personnel.

The inspection identified multiple deficiencies across several areas, including food storage practices, facility maintenance, and staff/resident recordkeeping. There were several Type A deficiencies cited, indicating immediate risks to resident health and safety, alongside multiple Type B deficiencies related to general compliance and record maintenance.

The inspection revealed multiple critical deficiencies across several areas, including medication management, resident safety response times, and facility structural integrity. Specifically, there were citations for unsecured medication storage, instances of wrong medication administration, and significant mildew/structural hazards in the hallway. All cited deficiencies are classified as Type A, indicating an immediate risk to resident health, safety, or rights.

The inspection was a Case Management visit following multiple incident reports regarding medication errors. Two Type A deficiencies were cited: one for the practice of pre-pouring medications, and another for administering incorrect medications to multiple residents. The facility was advised to implement immediate corrective actions, including staff retraining and daily audits.

The inspection was a Case Management visit following multiple incident reports regarding medication errors. Two Type A deficiencies were cited: one for the practice of pre-pouring medications, and another for administering incorrect medications to multiple residents. The facility was advised to implement immediate corrective actions, including staff retraining and daily audits.

This complaint investigation found that the facility's failure to maintain water service for an extended period resulted in a substantiated violation of resident rights. Specifically, the facility did not properly manage the water shut-off, which created an immediate health and safety risk to the residents. The facility was cited for failing to report the incident and for not ensuring continuous access to necessary utilities.