Oak Grove Center
OAK GROVE CENTER in WATERVILLE, ME — inspection on March 24, 2025.
Found 7 citations. 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.
Inspection Findings
F-F584 for failure to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment;
F-F625 failure to issue a written bed hold notice to include cost of care to the Resident and/or resident representative;
F-F656 for failure to implement a comprehensive person-centered care plan;
F-F689 for failure to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals being properly secured;
F-F725 for failure to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents;
F-F842 for failure to ensure that clinical records were complete and contained accurate information and
The surveyor observed Resident #33 had a foley catheter hanging from the bed.
One CNA picked up the foley catheter and placed it across the resident's legs while the other CNA was hooking the hoyer pad to the hoyer lift. At this time the surveyor requested to speak with both CNAs and asked them what type of PPE they should be wearing.
One CNA stated gloves.
The surveyor noted the posted sign and asked if the resident required the PPE as per the posted precautions.
The CNA stated the resident was on Advanced Barrier Precautions, and that only when staff provide foley or pericare is a gown required, otherwise, only gloves are required.
On 3/18/25 at 1:25 p.m., the surveyor asked LPN #1, what type of precautions Resident #33 required. LPN #1 stated the resident had ESBL (Extended-Spectrum Beta-Lactamase) in the urine, and an SP (supratubic) tube.
The LPN stated when providing care for the foley (SP tube), we gown up.
On 3/18/25 at 1:30 p.m., in an interview with the surveyor, the Unit Manager (JUM) stated Resident #33 had a history of ESBL which had been treated in November, 2024.
However, the resident had been treated in the emergency department (ED) over the weekend and was diagnosed with a urinary tract infection (UTI).
The JUM stated he/she was not sure what kind of precautions the resident was currently on.
A review of Resident #33's record noted a provider note, dated 3/18/25, which stated recent ED visit with diagnosis of UTI - per culture and sensitivity - Pseudomonas aeruoginosus, Serratia marcescens. Resident #33's care plan, last revised 3/18/25, stated the resident required Enhanced Barrier Precautions.
On 3/19/25 at 10:25 a.m., a surveyor observed Resident #33's door with the same Contact Precautions sign.
205091
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 205091 B.
Wing 03/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oak Grove Center 27 Cool St Waterville, ME 04901
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.