Callaway Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684May 5, 2025

  On 05/02/25 at 10:52 a.m., the Oklahoma State Department of Health was notified and verified the existence of an immediate jeopardy situation related to the facility's failure to effectively assess, monitor, and intervene for Resident #1's failure to have a bowel movement which likely caused the resident to be admitted to the hospital with a small bowel obstruction. On 05/02/25 at 11:14 a.m., the receiver, ADON and MDS coordinator were notified of the immediate jeopardy and provided the immediate jeopardy template. On 05/05/25 at 7:05 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part, Plan Of Removal 5/02/2025: 1. Systemic changes implemented: a. […]

• Actual harm, isolatedF689Jun 24, 2021

  Based on observation, interview, and record review, it was determined the facility failed to implement interventions to aid in the prevention of injury with falls for one (#3) of six sampled residents who were reviewed for falls. Resident #3 suffered 16 falls from 01/2021 through 06/2021. The resident sustained three [CONDITION(S)]/abrasions and a fractured left hip. The facility reported 64 residents lived in the facility. Findings: The facility fall policy and procedure documented to evaluate resident's condition, assess for injuries, provide appropriate medical attention, and notify the physician and family. […]

• No harm, potential for more than minimal, widespreadF727Apr 28, 2025

  Based on record review and interview, the facility failed to have a registered nurse to serve as full time DON. The administrator reported 44 residents resided in the facility. Findings: An undated facility policy titled Registered Nurse showed the facility would ensure a registered nurse was available for supervision in the facility. The policy showed the facility must designate a registered nurse to serve as the director of nursing on a full-time basis. On 04/21/25 at 2:30 p.m., during the entrance conference, the ADON reported the facility did not currently have a DON. The ADON reported the facility did not have an RN acting in the capacity of the DON. […]

• No harm, potential for more than minimal, widespreadF837Jan 5, 2024

  Based on record review and interview, the facility failed to have a licensed administrator. The DON reported 47 residents resided in the facility. On 01/02/24 at 12:39 p.m., the facility Receiver reported the facility was currently without a licensed administrator. She stated she had talked with staff at OSDH and explained she was currently filling in until a new administrator could be hired. On 01/05/24 at 10:32 a.m., the DON reported the facility had a couple of administrator applicants and the Receiver had stepped up to fill in while they were without a licensed administrator.

• No harm, potential for more than minimal, widespreadF851Jan 5, 2024

  Based on record review and interview, the facility failed to submit mandatory direct care staffing information to CMS as required. The DON reported 47 residents resided in the facility. Findings: The facility PBJ Staffing Data Report, for Quarter 4 2023, documented the facility had failed to submit the required direct care staffing information. On 01/02/24 at 12:39 p.m., the facility Receiver reported the administrator was responsible for submitting the required data and the facility was currently without an administrator. The Receiver reported they were hoping to train the business office manager to submit the staffing data until a new administrator could be hired. […]