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Inspection visit

Health inspection

OAK GLEN POST ACUTECMS #5554921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

555492 07/30/2024 Oak Glen Post Acute 9246 Avenida Miravilla Cherry Valley, CA 92223
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor 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. Based on observation, interview, and record review, the facility failed to provide a comfortable environment for the residents, when the temperature level for one of the four residents' rooms and in the facility hallway was above 81 degrees Fahrenheit (°F -temperature scale). This failure had the potential to cause discomfort, irritability, sleep disruption, and could lead to health problems. Findings: On July 9, 2024, at 4:15 p.m., an unannounced visit to the facility was conducted to investigate a physical environment issue. On July 9, 2024, at 4:20 p.m., the Resident Representative (RR) was interviewed. The RR stated, on July 6, 2024, the air conditioning was not functioning and the staff had indicated it would be fixed. The RR, who visits the facility daily, stated, facility was hot. The RR stated, last night Resident A woke up soaking wet. The RR stated, the facility air conditioning unit was in poor condition. On July 9, 2024, at 4:30 p.m., the Maintenance Director (MD) was interviewed. The MD stated he was unaware that the air conditioning was not working last Saturday (July 6, 2024). The MD stated he checked the airconditioning this morning and found the airconditioning system lacking sufficient freon (essential for cooling process).The MD further stated the regular comfortable temperature ranges from 71- 81°F (Fahrenheit). On July 9, 2024, at 4:45 p.m., the Maintenance Assistant (MA) was interviewed. The MA stated, the staff did not report to him on Saturday (July 6, 2024) that the airconditioning was not working. The MA stated the staff should have called him. On July 9, 2024, at 5:15 p.m., a concurrent observation of the hallway and Resident A's room was conducted with the MD. The MD stated, the temperature for the hallway and Resident A's room was 83°F. The MD further stated the temperature was high. On July 9, 2024, at 5:40 p.m., the Certified Nursing Assistant (CNA) was interviewed. The CNA stated he would report to Maintenance immediately if the facility temperature was hot. The CNA stated he would ensure the resident's comfort. On July 9, 2024, at 6:15 p.m., a concurrent observation and interview with the DON were conducted. The DON stated, the temperature in the hallway was 83°F. The DON stated the comfortable Page 1 of 2 555492 555492 07/30/2024 Oak Glen Post Acute 9246 Avenida Miravilla Cherry Valley, CA 92223
F 0584 temperature should be 71- 81°F . Level of Harm - Minimal harm or potential for actual harm A review of the facility policy and procedure titled, Quality of Life- Homelike Environment, dated May 2017, indicated .Comfortable and safe temperature- (71°F to 81°F) . Residents Affected - Few 555492 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0584GeneralS&S Dpotential for harm

    F584 - Safe Environment

    Honor 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.

FAQ · About this visit

Common questions about this visit

What happened during the July 30, 2024 survey of OAK GLEN POST ACUTE?

This was a inspection survey of OAK GLEN POST ACUTE on July 30, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at OAK GLEN POST ACUTE on July 30, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receivin..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.