Skip to main content
Complaint Investigation

Oaks Health Ctr At The Marshes Of Skidaway Island

January 19, 2025 · Savannah, GA · 95 Skidaway Island Park Road
Citations 1
CMS Rating 3/5
Beds 23
Provider ID 115715
Healthcare Facility
Oaks Health Ctr At The Marshes Of Skidaway Island
Savannah, GA  ·  View full profile →
Inspection Summary

OAKS HEALTH CTR AT THE MARSHES OF SKIDAWAY ISLAND in SAVANNAH, GA — inspection on January 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF689
Minimal harm or 45811 Few Medications, the facility failed to ensure a medication order was clarified with the physician prior to affected

Findings included:

Review of the facility policy titled Administering Medications, dated 2001, revealed the Policy Statement was Medications are administered in a safe and timely manner, and as prescribed.

The Policy Interpretation and Implementation section included 10.

The individual administering the medication checks the label three (3) times to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medication.

Review of the medical record for R12 revealed diagnoses included, but not limited to, spinal stenosis in cervical region, polyarthritis, polyneuropathy, idiopathic gout, osteoporosis, and sacrococcygeal disorders.

Review of R12s Physicians Orders revealed an order dated 9/21/2024 for celecoxib (a medication used to treat mild to moderate pain), one capsule by mouth one time a day.

During observation of medication administration by Registered Nurse (RN) AA on 1/18/2025 at 8:45 am, R12 was administered celecoxib 200mg.

In an interview on 1/18/2025 at 2:00 pm, RN AA confirmed celecoxib 200 mg was administered to R12 and confirmed the physician's order did not specify the dosage to be administered.

In an interview on 1/19/2025 at 9:00 am, the Assistant Director of Nursing (ADON) stated all nurses can transcribe physician orders.

She verified that R12's order for celecoxib was not transcribed accurately and should specify a dosage.

In an interview on 1/19/2025 at 10:00 am, the Director of Nursing (DON) stated nursing staff was responsible for transcribing physician orders.

The DON further stated the consulting pharmacist normally reviewed physician orders when ordered and monthly.

115715

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 115715 B.

Wing 01/19/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Oaks Health Ctr at the Marshes of Skidaway Island 95 Skidaway Island Park Road Savannah, GA 31411

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAVANNAH, GA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from OAKS HEALTH CTR AT THE MARSHES OF SKIDAWAY ISLAND or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement