Oakmont Guest Care Center
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Penalty
$28,792
Outcome
Oakmont Guest Care Center in Hurst, TX was fined $28,792 by CMS across 3 separate penalties following 50 deficiency citations identified during federal surveys.
Details
Oakmont Guest Care Center (Hurst, TX) — $28,792 in CMS Fines
Outcome: Oakmont Guest Care Center in Hurst, TX was fined $28,792 by CMS across 3 separate penalties following 50 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure 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.
- Provide safe and appropriate respiratory care for a resident when needed.
- Provide and implement an infection prevention and control program.
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Implement 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.
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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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