Inspection Reports for
Oakbridge Terrace at Country House
4830 Kennett Pike, Wilmington, DE, 19807
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
74% better than Delaware average
Delaware average: 8.8 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 1
Date: Feb 26, 2025
Visit Reason
The inspection was conducted to assess compliance with physician orders and medication administration related to resident care.
Findings
The facility failed to ensure that one resident's physician order for weekly blood pressure monitoring was completed as ordered. Specifically, 10 out of 12 scheduled blood pressure checks were missed for the resident.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care according to orders, resident’s preferences, and goals. For one resident, weekly blood pressure monitoring was not completed as ordered on 10 of 12 scheduled occasions.
Report Facts
Scheduled blood pressure checks missed: 10
Residents reviewed for unnecessary medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed and acknowledged findings | |
| RNAC/Supervisor | Interviewed and acknowledged findings | |
| Nursing Home Administrator | Participated in exit conference | |
| Executive Director | Participated in exit conference |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Feb 26, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to notify the State Long-Term Care Ombudsman of hospital transfers and failure to ensure weekly blood pressure monitoring as ordered for residents.
Complaint Details
The investigation was complaint-driven, focusing on notification failures related to hospital transfers and medication monitoring. Findings were substantiated with clinical record reviews and interviews.
Findings
The facility failed to send a hospital transfer notice to the State Long-Term Care Ombudsman for one resident's hospitalization. Additionally, the facility did not complete weekly blood pressure monitoring as ordered for one resident, missing 10 of 12 scheduled checks.
Deficiencies (2)
F 0623: The facility failed to send a copy of a hospital transfer notice to the State Long-Term Care Ombudsman for one resident's hospitalization on 1/15/25.
F 0684: The facility failed to ensure weekly blood pressure monitoring was completed as ordered for one resident, missing 10 of 12 scheduled checks between December 1, 2024 and February 18, 2025.
Report Facts
Scheduled blood pressure checks missed: 10
Residents reviewed for unnecessary medications: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Nursing Home Administrator (NHA) | Acknowledged failure to send hospital transfer notice. |
| E2 | Director of Nursing (DON) | Participated in interviews and exit conference regarding findings. |
| E3 | RNAC/Supervisor | Acknowledged failure to complete blood pressure monitoring. |
| E13 | Executive Director (ED) | Participated in exit conference. |
Inspection Report
Deficiencies: 3
Date: Feb 9, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to physician visits, food storage safety, and medical record maintenance at the nursing home.
Findings
The facility failed to ensure one resident received required physician visits, improperly stored food items without proper dating or covering, and did not maintain complete and accessible medical records for another resident.
Deficiencies (3)
F 0712: The facility failed to ensure one resident was seen for required physician visits, lacking an initial comprehensive physician visit after admission.
F 0812: The facility failed to store food in accordance with professional standards, with undated and uncovered food items observed in the refrigerator and freezer.
F 0842: The facility failed to maintain complete and accessible medical records for one resident, missing multiple attending physician notes in the electronic medical record.
Report Facts
Residents reviewed for physician services: 5
Residents reviewed for clinical records: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | NHA | Named in confirmation and exit conference for all findings |
| E2 | DON | Named in exit conference for all findings |
| E3 | Regional Clinical Director | Named in confirmation and exit conference for all findings |
| E4 | RN Unit Manager | Named in exit conference for all findings |
| E5 | ADON | Named in exit conference for all findings |
| E6 | MD | Physician involved in required visits for resident R4 |
Inspection Report
Deficiencies: 1
Date: Apr 26, 2022
Visit Reason
The inspection was conducted to assess compliance with required staff training on abuse, neglect, and exploitation at the nursing home.
Findings
The facility failed to ensure that one out of twelve randomly sampled staff members completed the required training on abuse, neglect, and exploitation. This finding was confirmed through personnel record review and staff interviews.
Deficiencies (1)
F 0943: The facility did not provide required training on abuse, neglect, and exploitation for one staff member (E8) out of twelve sampled. The deficiency was confirmed by personnel record review and interview with the Nursing Home Administrator.
Report Facts
Staff sampled: 12
Staff noncompliant: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator (NHA) | Confirmed that staff member E8 did not receive required training | |
| Director of Nursing (DON) | Participated in exit conference reviewing findings |
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