Barnsdall Nursing Home

In the surveyor’s words

From the most serious findings on record at Barnsdall Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Aug 18, 2023

  Based on observation and interview, the facility failed to ensure a safe, clean, comfortable, homelike environment for two ( #102 and #104) of three sampled residents reviewed for homelike environment. The Resident Census and Conditions of Residents report, dated 08/16/23, documented 28 residents resided in the facility. Findings: 1. On 08/15/23 at 2:55 p.m., Resident #102 was observed in their room. They stated, It's too cold. I am freezing in this room. Resident #102 stated they had to get under covers to nap. They were observed wearing a jacket. The thermostat across the hall from the residents room read 74 degrees. On 08/16/23 at 8:44 a.m., Resident #102 was observed in their room. They were observed wearing a jacket and stated it was freezing in the room. […]

• No harm, potential for more than minimal, patternF657Aug 18, 2023

  Based on record review and interview, the facility failed to ensure care plan interventions were put in place after falls for one ( #21) of 14 sampled residents reviewed for care plans. The Resident Census and Conditions of Residents report, dated 08/15/23, documented 28 residents resided in the facility. Findings: A Falls policy, dated 05/26/21, read in part, .All falls are to be care planned .within 72 hours . Resident #21 had diagnoses which included chronic diastolic (congestive) heart failure, HTN, COPD, and anxiety. An annual assessment, dated 06/03/23, documented Resident #21 required extensive assistance of one for bed mobility and transfers. […]

• No harm, potential for more than minimal, patternF755Aug 18, 2023

  Based on record review and interview, the facility failed to ensure medications were available and administered as orderered for three (#6, 12, and #22) of six sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 08/15/23, documented 28 residents resided in the facility. Findings: 1. Resident #6 had diagnoses which included pain and anxiety. A Resident Assessment, dated 05/18/23, documented Resident #6 had pain and facial grimacing. A Physician's Order, dated 03/08/22, documented hydrocodone/acetaminophen 7.5/325 mg one tablet daily at bedtime for pain. A Physician's Order, dated 04/11/23, documented Lorazepam intensol 2 mg/ml, give 0.5 ml daily at 3:00 p.m. […]

• No harm, potential for more than minimal, patternF656May 10, 2021

  Based on interview and record review, it was determined the facility failed to ensure a comprehensive care plan had been developed for six (#6, #7, #10, #12, #17, #21) of 11 sampled residents whose care plans were reviewed. This had the potential to affect all 25 residents who resided in the facility. Findings: An undated facility policy titled, Care Plan Guidelines, documented: .In long ter [Sic] care facilities, the care plan is the basis of the work routine. When properly utilized, it provides a guideline for daily care which can be implemented by nursing, dietary, activity, social staffs .Approaches .Approaches are actions taken by the staff to achieve the foal [Sic] and resolve the problem. […]

• No harm, potential for more than minimal, patternF657May 10, 2021

  Based on interview and record review, it was determined the facility failed to update/revise a care plan to reflect their current status related to pressure ulcers for one (#13) of one sampled resident whose care plans were reviewed. The facility census and condition identified two residents with pressure ulcers who resided in the facility. Findings: Resident #13 was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A quarterly assessment, dated 11/11/20, documented, the resident's cognition was severely impaired and required extensive assistance with bed mobility, transfers, personal hygiene and bathing. The assessment documented the resident was high risk for developing a pressure ulcer, utilized a wheelchair for mobility, and was incontinent of bowel and bladder. […]