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Inspection visit

Incident investigation

OAKWOOD VILLAGE, INC.License 3170002371 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced to conduct a case management visit regarding two separate incident reports received on 11/21/2025 and 11/14/2025 regarding medication errors made. In both incidents which occurred on 11/20/2025 for resident R1 and 11/11/2025 for resident R2, R1 and R2 were given the wrong medication. Staff acted quickly, calling poison control and emergency services. Both residents involved had no ill effects from the error. Although a medication error was made, it appears that the both staff reacted immediately to follow up and ensure the resident's safety. Both staff have been reassigned and given re-training on medications. As a result of this visit, a deficiency is being cited on 9099- D page. Appeal rights given. Exit interview conducted.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(a)(4)Type B

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This was not met by evidenced by: 11/11/2025 and 11/20/2025 Residents R1 and R2 were given the wrong medications by med techs S1 and S2.

FAQ · About this visit

Common questions about this visit

What happened during the November 25, 2025 inspection of OAKWOOD VILLAGE, INC.?

This was a other inspection of OAKWOOD VILLAGE, INC. on November 25, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to OAKWOOD VILLAGE, INC. on November 25, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fa..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.