Anadarko Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Anadarko Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 18, 2024

  A past noncompliance Immediate Jeopardy (IJ) was determined to exist effective 11/13/24 related to the facility's failure to ensure a resident was free from accident hazards. The facility failed to safely secure Resident #1 in their wheelchair during transport which resulted in serious injury/harm. On 11/18/24 at 2:48 p.m., the Oklahoma State Department of Health verified the existence of the past noncompliance related to the facility's failure to safely secure a resident in a wheelchair during transport. The past noncompliance IJ was removed effective 11/14/24 after the facility put measures in place to prevent recurrence. […]

• Immediate jeopardy, isolatedF803Oct 20, 2022

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to provide a physician-ordered therapeutic diet for Resident #2, which resulted in the resident choking and requiring emergency services. The facility failed to provide a mechanical soft diet, causing resident #2 to choke, become unresponsive, and require hospitalization . The resident had a physician's order for a mechanical soft/chopped diet. On [DATE], the resident was served coleslaw which had not been properly prepared per the physician order. The facility failed to provide a mechanical diet for texture according to the facility policy for therapeutic diets. […]

• Actual harm, isolatedF585Mar 30, 2026

  Based on record review and interview, the facility failed to ensure grievances were received and tracked by an identified grievance official per facility policy. The ADON identified 76 residents resided at the facility.Findings: Facility's grievance binder was reviewed. The binder contained several grievances filed by Resident #23 dated 01/07/26 and 03/19/26. The grievance dated 01/07/26 had no investigation reports attached.An undated policy titled, Grievance policy and procedure, read in part, the administrator should inform the complainant of the findings of the investigation within ten days of receiving the written grievance report and actions that will be taken to correct any identified problems.On 03/24/26 at 9:30 a.m., Resident #23 stated that they had filled out multiple grievances… […]

• No harm, potential for more than minimal, widespreadF727Mar 30, 2026

  Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours seven days per week.The ADON identified 76 residents resided in the center.Findings:A Staffing Policy, dated 10/2023, read in part, RN must be on duty 8 hours a day 7 days a week. A PBJ Staffing Data Report, dated 03/20/26, showed the facility did not have RN coverage for quarter 1 of 2026. The dates identified were: a. 10/05/25,b. 10/12/25,c. 10/18/25,d. 10/19/25,e. 11/09/25,f. 11/15/25,g. 11/29/25,h. 11/30/25,i. 12/06/25,j. 12/07/25,k. 12/13/25, l. 12/14/25,m. 12/20/25,n. 12/21/25,o. 12/27/25, andp. 12/28/25. […]

• No harm, potential for more than minimal, patternF600Jul 16, 2026

  Based on record review and interview, the facility failed to protect the resident's right to be free from sexual abuse for 1 (#2) of 3 sampled residents reviewed for sexual abuse. The director of nursing identified 73 residents resided in the facility.Findings: An undated policy titled Abuse Policy and Procedure, read in part, protect our occupants .sexual abuse .resident rights to be free from physical or mental abuse Resident To Resident Incidents .Assessment of risk .Upon admission to the facility, each person will be assessed through the MDS process to determine if they are a risk for abusing others .Care Plan .designed to prevent occurrences. An undated admission summary for Resident #1, showed the resident had diagnoses to include dementia and other sexual dysfunction. […]