Alameda Oaks Nursing Center

During an interview on 12/20/2025 at 11:34AM the Interim DON stated she became the interim DON in November 2025 and could not speak to the actions of the previous DON.

The interim DON stated that going forward all admissions/readmissions would thoroughly be reviewed during the daily morning meetings, as well as being reviewed by not only herself but also the MDS Coordinator to ensure accuracy.

Additionally, the facility would facilitate an impromptu in-service regarding care plan assessments, and baseline care plans.

The interim DON stated while she reviewed Resident #1's electronic health care record as well as through her staff interviews, Resident #1 had no negative outcome due to the mistake of LVN A.

The interim DON stated a diagnosis of diabetes mellitus would be within a baseline care plan.

The interim DON stated baseline care plans were important, as they were individualized plans of care of what the facility was doing to mitigate any potential exacerbation of disease processes.

Attempted to phone interview with the previous DON on 12/19/2025 at 4:58PM, 12/20/20/2025 at 10:30AM, 11:46AM but they did not return call by the exit conference.

Record review of the facility's Area of focus: Care Planning-Baseline, Comprehensive , and routine updates Baseline care plan issued: 01/04/2022 and reviewed: 12/04/2025 revealed, Baseline care plan: Completion and implementation of the baseline care plan within 48 hours of the resident's admission is intended to promote continuity of care and communication among nursing home staff, increase resident safety, and safeguard again adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of care and services.

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