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Oak Grove Retirement Home

Details

Type of Ownership For profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 60
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/12/2012

Date of last standard health inspection: 04/12/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MS: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MS: 0 - 5

Inspection, 00/09/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2006 02/02/2007 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Dispose of garbage and refuse properly. 00/09/2006 02/02/2007 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/09/2006 02/02/2007 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/09/2006 02/02/2007 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 00/09/2006 02/02/2007 2 Some
Store, cook, and serve food in a safe and clean way. 00/09/2006 02/02/2007 2 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2006 02/02/2007 2 Some

Inspection, 02/00/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/00/2005 02/08/2006 1 Many
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/00/2005 02/08/2006 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/00/2005 02/08/2006 2 Few
Post nurse staffing information/data on a daily basis. 02/00/2005 02/08/2006 1 Many
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/00/2005 02/08/2006 2 Few
Keep accurate 02/00/2005 02/08/2006 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/00/2005 02/08/2006 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2005 02/08/2006 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/00/2005 02/08/2006 2 Many
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/00/2005 02/08/2006 2 Some
Provide a safe 02/00/2005 02/08/2006 comfortable and home-like environment; and allow r clean
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2005 02/08/2006 2 Few
Have a program that investigates 02/00/2005 02/08/2006 Many controls and keeps infection from spreading.
Make sure there is a pest control program to prevent/deal with mice 02/00/2005 02/08/2006 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/00/2005 02/08/2006 2 Few
Protect each resident from all abuse 02/00/2005 02/08/2006 and involuntary separation from others. physical punishment
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/00/2005 02/08/2006 2 Many
Store 02/00/2005 02/08/2006 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/00/2005 02/08/2006 2 Few
Keep the rate of medication errors (wrong drug 02/00/2005 02/08/2006 wrong time) to less than 5%. wrong dose
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/00/2005 02/08/2006 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/00/2005 02/08/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/00/2005 02/08/2006 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 02/00/2005 02/08/2006 vomiting diarrhea
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2005 02/08/2006 2 Few
Develop a complete care plan that meets all the resident's needs 02/00/2005 02/08/2006 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 02/00/2005 02/08/2006 1 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 02/00/2005 02/08/2006 1 Many

Inspection, 01/02/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2004 02/07/2005 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2004 02/07/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/02/2004 02/07/2005 2 Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/02/2004 02/07/2005 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 01/02/2004 02/07/2005 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/02/2004 02/07/2005 2 Few
Store, cook, and serve food in a safe and clean way. 01/02/2004 02/07/2005 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/02/2004 02/07/2005 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 79 59
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 22 hours 36 minutes 50 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 21 hours 37 minutes 15 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 22 hours 3 minutes 36 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 23 hours 30 minutes 2 hours 7 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/11/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/11/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MS: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MS: 0 - 0

Inspection, 00/07/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/07/2006 02/02/2007 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/07/2006 02/02/2007 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2006 02/02/2007 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/07/2006 02/02/2007 1 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/07/2006 02/02/2007 1 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/07/2006 02/02/2007 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper construction of ducts through walls designed to prevent smoke passage. 00/07/2006 02/02/2007 2 Many

Inspection, 01/01/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 01/01/2004 02/07/2005 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/01/2004 02/07/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/01/2004 01/01/2004 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/01/2004 02/07/2005 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/01/2004 02/07/2005 2 Many
 

209 Oak Circle/p. O. Box 198
Duncan, MS 38740

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