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Facility profile · CCN 055735

Delta Oaks Post Acute

104 federal citations on record .

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Record summary

Federal record · Q1 2026
104
Total citations
99
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

104 on record
SurveyF-TagViolationSeveritySource
Dec 30, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Dec 4, 2025F814Dispose of garbage and refuse properly.DComplaint
Nov 24, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Oct 2, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Oct 2, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Oct 2, 2025F880Provide and implement an infection prevention and control program.EStandard
Oct 2, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 2, 2025F761Ensure 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.EStandard
Oct 2, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 2, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Oct 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 2, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Oct 2, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Oct 2, 2025F688Provide 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.DStandard
Oct 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 2, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Oct 2, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Sep 25, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Sep 25, 2025F688Provide 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.DComplaint
Sep 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 25, 2025F610Respond appropriately to all alleged violations.DComplaint
Jun 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jun 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 15, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint
Apr 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 5, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 22, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 22, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Oct 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 22, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 18, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 18, 2024F584Honor 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.DComplaint
Sep 4, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 22, 2024F880Provide and implement an infection prevention and control program.DComplaint
Aug 1, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 1, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 1, 2024F880Provide and implement an infection prevention and control program.EStandard
Aug 1, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Aug 1, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 1, 2024F791Provide or obtain dental services for each resident.DStandard
Aug 1, 2024F761Ensure 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.DStandard
Aug 1, 2024F760Ensure that residents are free from significant medication errors.EStandard
Aug 1, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 1, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 1, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Aug 1, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Aug 1, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 1, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 1, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 1, 2024F584Honor 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.DStandard
Aug 1, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Aug 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 17, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Jul 17, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Jul 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 16, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jun 11, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jun 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 30, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
May 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 28, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EComplaint
May 28, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Mar 18, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Mar 15, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Mar 15, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jan 3, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Dec 28, 2023F880Provide and implement an infection prevention and control program.EComplaint
Nov 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 24, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Sep 26, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jul 20, 2023F880Provide and implement an infection prevention and control program.EStandard
Jul 20, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Jul 20, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jul 20, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 20, 2023F761Ensure 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.EStandard
Jul 20, 2023F760Ensure that residents are free from significant medication errors.EStandard
Jul 20, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 20, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jul 20, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 20, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Jul 20, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jul 20, 2023F688Provide 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.EStandard
Jul 20, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jul 20, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jul 20, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 20, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jul 20, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 23, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 28, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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