Villages At Oak Ridge, The
Inspection Findings
F-Tag F677
F-F677.
9. The lack of sufficient nursing staff resulted in a resident receiving an antibiotic that was not indicated for treatment of a urinary tract infection.
Cross Reference
F-Tag F690
F-F690.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 17 of 18 155837 Department of Health & Human Services Printed: 08/31/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155837 B. Wing 04/02/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Villages at Oak Ridge, The 1694 Troy Road Washington, IN 47501
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 0725 11. The lack of sufficient nursing staff resulted in oxygen orders not being put in and not being followed.
Level of Harm - Minimal harm or Cross Reference
F-Tag F695
F-F695. potential for actual harm
This citation relates to Complaint IN00456575. Residents Affected - Some 3.1-17(a)
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 18 of 18 155837