Inspection visit
Health inspection
3 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and
homelike environment for 1 (Resident #7) of 6 residents reviewed for resident rights, in that:
The facility failed to ensure Resident #7's bedroom horizontal venetian blinds did not have several broken
slats with jagged edges within reach of the resident.
This failure could place the resident at risk of injury when manipulating the window blinds.
Findings included:
Review of Resident #7's face sheet dated 10/26/2023, revealed a [AGE] year-old female who was admitted
to the facility on [DATE]. Resident #7's diagnoses included: nontraumatic intracranial hemorrhage (bleeding
into the substance of the brain in the absence of trauma or surgery), cognitive communication deficit
(difficulty with thinking and how someone uses language), hemiplegia affecting left nondominant side
(paralysis of one side of the body), type 2 diabetes (a chronic condition that affects the way the body
processes blood sugar), metabolic encephalopathy (alteration in consciousness caused due to brain
dysfunction), hypertension (high blood pressure), heart failure (chronic condition in which the heart doesn't
pump blood as well as it should), muscle weakness, abnormalities of gait and mobility (a change to walking
pattern), cerebral infarction (result of disrupted blood flow to the brain due to problems with blood vessels
that supply it), aphasia (a language disorder that affects a person's ability to communicate), respiratory
failure (serious condition that makes it difficult to breathe on your own), and acute kidney failure (kidneys
lose their filtering ability, dangerous levels of wastes may accumulate, and your blood's chemical makeup
may get out of balance).
Review of Resident #7's comprehensive MDS assessment dated [DATE], revealed a BIMS score of 00
indicating severe cognitive impairment. The Functional Status section revealed the resident required
extensive assistance with bed mobility, and total dependence with transfers, locomotion, dressing, eating,
personal hygiene and bathing. Resident had impairment to one side of her body.
During an observation and interview on 10/26/2023 at 10:00 a.m., Resident #7 was observed reaching out
her right-hand out towards the bedroom window located next to her bed. The horizontal venetian blinds
were lowered and there was an area with two broken slats that Resident #7 was sticking her hand through.
The broken slats were jagged, and it was observed Resident hand brushing the broken slats. There were
no pieces of the broken slats observed on the windowsill or the floor. Resident #7 was asked about the
venetian blinds and how long the blinds had been broken. Resident #7 did not offer any response to
questions.
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 7
Event ID:
675568
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
During an observation and interview on 10/26/2023 at 10:05 a.m., LVN G checked Resident #7's right hand
and said there was no injury noted. LVN G said that there was a risk of injury to Resident #7 as she could
reach the area where the broken slats are located. LVN G said there had been no prior reports of injury to
Resident #7's hands. LVN G said he routinely works the day shift during the week with Resident #7. LVN G
said he does not know how long the blinds had been broken. LVN G said he had not notified maintenance
of the broken blinds.
During an interview on 10/26/2023 at 1:20 p.m., the Maintenance Supervisor (MS) said he was not aware
of the broken jagged slats in Resident #7's bedroom. The MS said the broken slats were in reach of
Resident #7 and that the slats had sharp edges. The MS said the resident could get hurt by sticking her
hand through the stats or manipulating the blinds. The MS said any staff member can report maintenance
issues to his department electronically by scanning the posted sign which creates a work order. The MS
said he had not received any work orders for the damaged blinds in Resident #7's bedroom and does not
know how long the blinds had been in that condition. The MS said he would change out the blinds
immediately.
During an interview on 10/26/2023 at 2:45 p.m., the Administrator said he would look for facility
maintenance policy and provide the policy to the Investigator.
During an interview on 10/27/2023 at 10:15 a.m., the Administrator said the facility did not have a
maintenance policy or work order policy. The Administrator said there are posted signs which include a bar
code that anyone can scan to report maintenance issues. The Administrator said that facility staff had been
told about the sign and how to report maintenance issues. The Administrator said when the bar code is
scanned, maintenance receives the work order. The Administrator said all staff are responsible to report
maintenance issues they encountered through the scan and report process.
During an observation on 10/27/2023 at 10:20 a.m., posted framed signs next to nursing stations that read,
in part, to report maintenance issues by scanning (bar code).
At time of exit on 10/27/2023 at 2:00 p.m., no maintenance policy was provided from the Administrator.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 2 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to develop and implement a comprehensive
person-centered care plan that included measurable objectives and time frames to meet a resident medical
and nursing needs and described the services to be furnished to attain or maintain the residents highest
practicable physical, mental, and psychosocial well-being for 1 (Resident #7) of 6 residents reviewed for
care plans in that:
-The facility failed to follow the comprehensive person-centered care plan for risk of falling by applying a
mat to bedside every shift for Resident #7.
This deficient practice could place residents in the facility at risk of not receiving the necessary care or
services as indicated in their comprehensive person-centered plans developed to address their needs.
Findings include:
Review of Resident #7's face sheet dated 10/26/2023, revealed a [AGE] year-old female who was admitted
to the facility on [DATE]. Resident #7's diagnoses included: nontraumatic intracranial hemorrhage (bleeding
into the substance of the brain in the absence of trauma or surgery), cognitive communication deficit
(difficulty with thinking and how someone uses language), hemiplegia affecting left nondominant side
(paralysis of one side of the body), type 2 diabetes (a chronic condition that affects the way the body
processes blood sugar), metabolic encephalopathy (alteration in consciousness caused due to brain
dysfunction), hypertension (high blood pressure), heart failure (chronic condition in which the heart doesn't
pump blood as well as it should), muscle weakness, abnormalities of gait and mobility (a change to walking
pattern), cerebral infarction (result of disrupted blood flow to the brain due to problems with blood vessels
that supply it), aphasia (a language disorder that affects a person's ability to communicate), respiratory
failure (serious condition that makes it difficult to breathe on your own), and acute kidney failure (kidneys
lose their filtering ability, dangerous levels of wastes may accumulate, and your blood's chemical makeup
may get out of balance).
Review of Resident #7's MDS assessment dated [DATE], revealed a BIMS score of 00 indicating severe
cognitive impairment. The Functional Status section revealed the resident required extensive assistance
with bed mobility, and total dependence with transfers, locomotion, dressing, eating, personal hygiene and
bathing. Resident had impairment to one side of her body. he Health Conditions section revealed resident
did not have any falls in the last month, last 2-6 months, and no fractures related to a fall in the 6 months
prior to admission. Resident #7 had not had any falls since admission.
Review of Resident #7's care plan dated 10/26/2023, included a focus that Resident #7 is risk for falls
related to cerebral vascular accident (CVA) (interruption in the flow of blood to cells in the brain), requires
physical assist with transfers, with an initiation date of 08/29/2023 and revision date of 10/19/2023.
Resident #7's care plan included an intervention stating, Apply mat to bedside every shift.
Review of Resident #7's Order Summary Report dated 10/26/2023, read in part Apply mat to bedside every
shift related to nontraumatic intracranial hemorrhage, with start date of 08/26/2023.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 3 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Review of facility provided fall incidents report from 08/25/2023 to 10/26/2023, revealed no evidence of
Resident #7 falls.
During an observation on 10/26/2023 at 10:00 a.m., Resident #7 was lying in bed. Resident #7 did not
respond to greeting or any questions asked of her. Resident #7 failed to have a fall mat located next to the
bed.
During an interview on 10/26/2023 at 10:30 a.m., the DON said Resident #7 had not had any falls since
admission to the facility. The DON said the order for the fall mat was initiated when the resident first arrived
and ordered as a prevention. The DON said the resident did not attempt to get off her bed without
assistance. The DON said that the facility should have been following the comprehensive care plan which
read to apply fall mat next to bed regardless of resident's low risk of falling. The DON said she would see if
the intervention step was still needed since the resident had not had any falls or placed herself at risk of
any falls from bed. The DON said the risk of failing to implement care plans and follow the plans was risk of
injury to the residents.
Review of facility-provided Comprehensive Care Planning policy dated March of 2018, read in part The
facility will develop and implement a comprehensive person-centered care plan for each resident,
consistent with resident rights that includes measurable objectives and timeframes to meet a resident's
medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. The
services provided or arranged by the facility, as outlined by the comprehensive care plan, will meet
professional standards of quality.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 4 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure a resident who is incontinent of
bladder receives appropriate treatment and services to prevent urinary tract infections and to restore
continence to the extent possible for 3 (Resident #7, Resident #8, and Resident #9) of 5 residents reviewed
for quality of care.
1. The facility failed to ensure Residents #7's and #9's catheter leg strap was in place to secure the
catheter.
2. The facility failed to ensure Resident #8's and Resident #9's'catheter tubing and drainage bags were off
the floor.
This failure could place residents with foley catheters at risk of catheter pulling causing pain and/or infection
and risk for infection due to improper care practices and cross contamination.
Findings include:
Resident #7:
Review of Resident #7's face sheet dated 10/26/2023, revealed a [AGE] year-old female who was admitted
to the facility on [DATE]. Resident #7's diagnoses included: nontraumatic intracranial hemorrhage (bleeding
into the substance of the brain in the absence of trauma or surgery), cognitive communication deficit
(difficulty with thinking and how someone uses language), hemiplegia affecting left nondominant side
(paralysis of one side of the body), type 2 diabetes (a chronic condition that affects the way the body
processes blood sugar), metabolic encephalopathy (alteration in consciousness caused due to brain
dysfunction), hypertension (high blood pressure), heart failure (chronic condition in which the heart doesn't
pump blood as well as it should), muscle weakness, abnormalities of gait and mobility (a change to walking
pattern), cerebral infarction (result of disrupted blood flow to the brain due to problems with blood vessels
that supply it), aphasia (a language disorder that affects a person's ability to communicate), respiratory
failure (serious condition that makes it difficult to breathe on your own), and acute kidney failure (kidneys
lose their filtering ability, dangerous levels of wastes may accumulate, and your blood's chemical makeup
may get out of balance).
Review of Resident #7's MDS assessment dated [DATE], revealed a BIMS score of 00 indicating severe
cognitive impairment. The Functional Status section revealed the resident required extensive assistance
with bed mobility, and total dependence with transfers, locomotion, dressing, eating, personal hygiene and
bathing. Resident had impairment to one side of her body. The Bowel and Bladder section revealed the
resident had an indwelling catheter.
Review of Resident #7's care plan dated 10/26/2023, included a focus that Resident #7 has indwelling
Catheter: cerebral vascular accident (CVA) (interruption in the flow of blood to cells in the brain), with an
initiation date of 08/29/2023 and revision date of 10/19/2023. Resident #7's care plan included an
intervention stating, Ensure catheter strap in place and holding every shift.
Review of Resident #7's Order Summary Report dated 10/26/2023, read in part Ensure catheter strap in
place and holding every shift related to cerebral infarction, with start date of 08/25/2023.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 5 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
During an observation on 10/26/2023 at 1:15 p.m., Resident #7 was lying in bed. Resident #7 did not
respond to greeting or any questions asked of her. Resident #7 did not have a catheter strap in place
securing strap to leg.
During an interview on 10/26/2023 at 1:16 p.m., the DON said that Resident #7 did not have a catheter
strap for an unknown reason. The DON said she did not know why. The DON said Resident #7 should be
checked every shift to ensure catheter strap is in place with securement to the leg. The DON said the risk of
the strap not being in place was the tubing could become dislodged which could cause pain to the resident.
The DON said the floor nurses were responsible to ensure the catheter strap is in place.
Resident #8:
Review of Resident #8's face sheet dated 10/27/2023, revealed a [AGE] year-old female who was admitted
to the facility on [DATE]. Resident 8's diagnoses included: myocardial infarction (a blockage of blood flow to
the heart muscle), cognitive communication deficit (difficulty with thinking and how someone uses
language), abnormalities of gait and mobility (a change to walking pattern), cerebral infarction (result of
disrupted blood flow to the brain due to problems with blood vessels that supply it), respiratory failure
(serious condition that makes it difficult to breathe on your own), and neuromuscular dysfunction of bladder
(urinary conditions in people who lack bladder control due to a brain, spinal cord or nerve problem).
Review of Resident #8's MDS dated [DATE], revealed a BIMS score of 00 indicating severe cognitive
impairment. The Functional Status section revealed the resident required extensive assistance with
dressing. Resident #8 required total dependence with bed mobility, transfer, locomotion, eating, toilet use,
and personal hygiene. The H Bowel and Bladder section revealed the resident had an indwelling catheter.
Review of Resident #8's care plan dated 10/27/2023, included a focus that Resident #8 has indwelling
catheter related to neuromuscular dysfunction of bladder, with initiation date of 09/27/2023. Resident #8's
care plan included intervention stating, check tubing for kinks and maintain the drainage bag off the floor.
Review of Resident #8's Order Summary Report dated 10/26/2023, read in part Ensure catheter strap in
place and holding every shift. Ensure foley bag is in privacy bag while in bed or wheelchair every shift, with
start date of 09/19/2023.
During an observation on 10/26/2023 at 10:50 a.m., Resident #8 was lying in bed. Resident #8 did not
respond to greeting or any questions asked of her. Resident #8's drainage bag was inside a privacy bag
lying upward with tubing going into the drainage bag on the floor.
During an interview on 10/26/2023 at 10:55 a.m., LVN E revealed the drainage bag should not have been
on the floor. LVN E said that the bed was so low that the drainage bag and tubing were on the floor. LVN E
said the risk of the drainage bag and tubing being on the floor was infection.
Resident #9:
Review of Resident #9's face sheet dated 10/26/2023, revealed a [AGE] year-old female who was admitted
to the facility on [DATE] and an initial admission date of 04/28/2023. Resident #9's diagnoses
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 6 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675568
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
10/27/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oasis Nursing & Rehabilitation Center
9001 N Loop
El Paso, TX 79907
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
included: elevated white blood cell count (more white blood cells than normal), acute respiratory failure
(serious condition that makes it difficult to breathe on your own), hypertension (high blood pressure), type 2
diabetes (a chronic condition that affects the way the body processes blood sugar), cerebral infarction
(result of disrupted blood flow to the brain due to problems with blood vessels that supply it), dementia
(condition characterized by progressive or persistent loss of intellectual function), acute kidney failure
(kidneys lose their filtering ability, dangerous levels of wastes may accumulate, and your blood's chemical
makeup may get out of balance).
Review of Resident #9's quarterly MDS dated [DATE], revealed a BIMS score of 00 indicating severe
cognitive impairment. The Functional Status section revealed the resident required extensive assistance
with bed mobility, transfers, dressing, eating, and toilet use. Resident #9 required total dependence with
locomotion, personal hygiene, and bathing. The Bowel and Bladder section revealed the resident had an
indwelling catheter.
Review of Resident #9's care plan dated 10/26/2023, included a focus of Resident #9 The resident has
(Condom/Intermittent/Indwelling Suprapubic) Catheter: with initiation date of 04/30/2023. Resident #9's
care plan included intervention stating, Check tubing for kinks and maintain the drainage bag off the floor.
Ensure tubing is anchored to the resident's leg or linens so that tubing is not pulling on the urethra.
Review of Resident #9's Order Summary Report dated 10/26/2023, read in part Ensure catheter strap in
place and holding every shift, with start date of 10/25/2023.
During an observation on 10/26/2023 at 1:10 p.m., Resident #9 was lying in bed. Resident #9 did not
respond to greeting or any questions asked of her. Resident #9's drainage bag was on the floor inside a
privacy bag with part of the catheter tubing on the floor. Resident #9 did not have a catheter strap in place
on the legs or on linens.
During an interview on 10/26/2023 at 1:14 p.m., the DON said she observed Resident #9 did not have a
catheter strap in place and the drainage bag on the floor. The DON said she did not know why a catheter
strap was not in place for Resident #9. The DON said Resident #9 should have been checked every shift to
ensure catheter strap is in place. The DON said the risk of the strap not being in place was the tubing could
become dislodged which could cause pain to the resident. The DON said the floor nurses were responsible
to ensure the catheter strap is in place. The DON said Resident #9's bed was lowered. The DON said the
drainage bag should not be on the floor. The DON said the drainage bag was inside privacy bags which
offered some protection. The DON said the risk of drainage bag on the floor would place the resident at risk
for infection.
Review of facility's infection control log from 08/01/2023 to 10/27/2023 revealed Residents #7, #8, and #9
did not have any UTIs.
Review of facility provided Catheter Care policy dated 02/13/2007, read in part, Check the resident
frequently to be sure he or she is not lying on the catheter and to keep the catheter and tubing free of kinks.
Keep tubing off floor and minimize friction or movement at insertion site. Be sure the catheter tubing and
drainage bag are kept off the floor.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675568
If continuation sheet
Page 7 of 7
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Back to topCitations
3 citations 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.
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.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F690 - Incontinence
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
FAQ · About this visit
Common questions about this visit
What happened during the October 27, 2023 survey of OASIS NURSING & REHABILITATION CENTER?
This was a inspection survey of OASIS NURSING & REHABILITATION CENTER on October 27, 2023. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at OASIS NURSING & REHABILITATION CENTER on October 27, 2023?
Yes, 3 deficiencies were 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.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.