Broken Arrow Nursing Home, Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Aug 14, 2025

  Based on observation, record review, and interview, the facility failed to maintain an environment free of accident hazards for 1 (West hall) of 5 resident halls. The director of nursing identified five residents wandered the [NAME] hall. Findings:On 08/14/25 at 12:10 p.m., the beauty shop door was open on the [NAME] hall. The beauty shop was unattended and a jar with a silver lid laid askew read, Barbicide Disinfectant Fungicide & Virucide. The jar was approximately half full of a dark colored fluid. There was an unsecured wood and glass cabinet with a shelf of hair care products which included Equate Brand Firm Hold hair spray, Sexy Hair Big Spray and Play Harder firm volumizing hairspray, Pravana Super Shape Extreme hair spray, and Biolage Hydra Source Detangling Solution. […]

• No harm, potential for more than minimal, patternF558Feb 8, 2024

  Based on observation, record review and interview, the facility failed to ensure the call light was in reach for one (#1) of three residents reviewed for accommodation of needs. The administrator reported the census was 61. Findings: Resident #1 had diagnoses which included chronic kidney disease and edema. A significant change assessment, dated 10/30/23, documented Resident #1 cognitively intact for daily decision making and dependent on staff assistance for transfers. A care plan intervention, dated 04/07/23, documented Strive to keep call light in reach and answer promptly when activated. On 02/05/24 at 10:13 a.m., Resident #1 was observed sitting in a Geri chair in their room, the call light was not in reach. […]

• No harm, potential for more than minimal, patternF582Sep 28, 2023

  Based on record review and interview, the facility failed to provide a SNF ABN to two (#14 and #169) of three sampled residents whose beneficiary notices were reviewed. The MDS Coordinator identified six residents who were discharged from skilled services with Medicare benefit days remaining. Findings: 1. Res #14 was admitted to skilled services on 04/17/23 and discharged from skilled services on 06/08/23 and remained in the facility. A SNF Beneficiary Protection Notification Review documented an ABN was not provided to the resident. 2. Res #169 was admitted to skilled services on 05/22/23 and discharged from skilled services on 07/06/23 and remained in the facility. […]

• No harm, potential for more than minimal, patternF700Sep 28, 2023

  Based on observation, record review, and interview, the facility failed to: a. attempt appropriate alternatives prior to installing bed or side rails; b. perform an entrapment risk assessment; c. review the risks and benefits with the resident and/or their representative; d. obtain an informed consent; and e. develop a care plan for side rail use for one (#20) of three residents reviewed for accident hazards. The DON identified 13 residents whose beds were equipped with a bed rail of any type. […]

• No harm, potential for more than minimal, patternF730Sep 28, 2023

  Based on record review and interview, the facility failed to complete annual skills competencies for two (CNA #1 and #2) of two CNA's whose employee files were reviewed for skills competencies. There were eight CNA's documented on the staff roster who had been employed over a one year. Findings: CNA #1 was hired on 01/22/21. There was no annual skills competency in CNA #1's employee file. CNA #2 was hired on 03/26/22. There was no annual skills competency in CNA #2's employee file. On 09/27/23 at 9:45 a.m., LPN #1 reported there were no annual skills competencies for CNA #1 and #2. LPN #1 reported they had let annual skills competencies fall by the wayside and needed to start doing competencies again.