Kettering, OH

Oaks Of West Kettering The

2-star overall rating with 2-star inspections with $75,572 in total fines with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1150 West Dorothy Lane, Kettering, OH

(937) 293-1152

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-03-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.27

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.74

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.69

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.66

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

3.12

CMS adjusted total nurse staffing hours

Case-mix index

1.76

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,100

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.45

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.95

Baseline 20.62% · Performance 20.06% · Measure score 2.95 · Achievement 2.95 · Improvement 1.04

Healthcare-associated infections

Baseline 8.19% · Performance 8.08% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.63

Baseline 76.42% · Performance 44.83% · Measure score 5.63 · Achievement 4.61 · Improvement 5.63

Adjusted total nurse staffing

Baseline 3.24 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.46%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 48 · Observed rate 16.67% · Lower 95% interval 7.74%
Discharge to community	49.18%	50.57% 1.4 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 30% · Lower 95% interval 32.91%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	80.77%	95.27% 14.5 pts worse	Numerator 84 · Denominator 104
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 104
Discharge self-care score	22.41%	53.69% 31.3 pts worse	Numerator 13 · Denominator 58
Discharge mobility score	17.24%	50.94% 33.7 pts worse	Numerator 10 · Denominator 58
Pressure ulcers or injuries, new or worsened	0.96%	2.29% 1.3 pts better	Numerator 1 · Denominator 104 · Adjusted rate 0.89%
Healthcare-associated infections requiring hospitalization	8.08%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 15% · Lower 95% interval 4.48%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 119
Staff flu vaccination coverage	7.6%	42% 34.4 pts worse	Numerator 13 · Denominator 171
Discharge function score	24.14%	56.45% 32.3 pts worse	Numerator 14 · Denominator 58
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 46 · Denominator 46
Transfer of health information to patient	96.3%	96.28% About the same	Numerator 26 · Denominator 27
Resident COVID-19 vaccinations up to date	6.38%	25.2% 18.8 pts worse	Numerator 3 · Denominator 47

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	1.8 0.8 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 5.2 · Expected 3.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.8 1.3 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	77.1%	92.4% 15.3 pts worse	93.4% 16.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 85.4% · Q3 61.0% · Q4 61.0% · 4Q avg 77.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.3% 2.3 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	54.5%	26.1% 28.4 pts worse	11.4% 43.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.3% · Q2 37.5% · Q3 48.5% · Q4 78.3% · 4Q avg 54.5%
Percentage of long-stay residents who lose too much weight	2.5%	6.2% 3.7 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.1% · Q3 3.0% · Q4 1.4% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.0%	25.4% 1.6 pts worse	19.6% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 28.0% · Q3 20.9% · Q4 27.1% · 4Q avg 27.0%
Percentage of long-stay residents who received an antipsychotic medication	10.3%	11.5% 1.2 pts better	16.7% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.9% · Q3 12.2% · Q4 4.4% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	8.9%	7.7% 1.2 pts worse	16.3% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 17.6% · Q3 8.2% · Q4 2.7% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.7%	6.2% 0.5 pts better	14.9% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.7% · Q3 3.2% · Q4 6.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.6%	21.7% 1.9 pts worse	19.8% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 31.0% · Q3 25.6% · Q4 22.5% · 4Q avg 23.6%
Percentage of long-stay residents with pressure ulcers	2.3%	3.7% 1.4 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.1% · Q3 4.4% · Q4 1.3% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.7%	78.1% 10.4 pts worse	81.7% 14 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 70.1% · Q3 51.0% · Q4 48.1% · 4Q avg 67.7%
Percentage of short-stay residents who had an outpatient emergency department visit	8.6%	12.5% 3.9 pts better	12.0% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.0% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.2% About the same	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 2.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	70.1%	75.6% 5.5 pts worse	79.7% 9.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 70.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.8%	25.1% 5.7 pts worse	23.9% 6.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 43.3% · Expected 33.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-30 · Fire 2024-07-30

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2021-08-04 · Fire 2021-08-04

23 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2019-04-04 · Fire 2019-04-04

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-30

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-21

F · Potential for more than minimal harm 2021-08-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-09-28

F · Potential for more than minimal harm 2021-08-04

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2021-09-28

F · Potential for more than minimal harm 2021-08-04

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2021-09-28

F · Potential for more than minimal harm 2021-08-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-09-28

F · Potential for more than minimal harm 2021-08-04

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-09-28

F · Potential for more than minimal harm 2021-08-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2021-09-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-24

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-11-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-17

D · Potential for more than minimal harm 2025-08-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-20

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-20

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-20

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-09-05

G · Actual harm 2025-01-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-18

F · Potential for more than minimal harm 2025-01-22

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-01-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-12-19

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-12-27

G · Actual harm 2024-07-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-30

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-30

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-30

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-05-29

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-06-07

G · Actual harm 2024-01-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-16

D · Potential for more than minimal harm 2023-07-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-19

F · Potential for more than minimal harm 2021-08-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-09-28

E · Potential for more than minimal harm 2021-08-04

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-09-28

F · Potential for more than minimal harm 2019-04-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-26

E · Potential for more than minimal harm 2019-04-04