GRAND OAKS CARE
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$34,492
Outcome
GRAND OAKS CARE in TULARE, CA was fined $34,492 by CMS following 63 deficiency citations identified during federal surveys.
Details
GRAND OAKS CARE (TULARE, CA) — $34,492 in CMS Fines
Outcome: GRAND OAKS CARE in TULARE, CA was fined $34,492 by CMS following 63 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Reasonably accommodate the needs and preferences of each resident.
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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