Chandler Therapy & Living Center LLC

In the surveyor’s words

From the most serious findings on record at Chandler Therapy & Living Center LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jul 17, 2023

  On 07/13/23 at 3:09 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation related to the facility failed to provide goods and services by ensuring adequate portions, options for extra food, and/or an alternative of equal nutritive value was offered to the residents in order to maintain optimal physical and psychosocial well being. On 07/13/23 at 3:09 p.m., the Administrator was notified of the existence of the immediate jeopardy. On 07/14/23 at 4:45 p.m., the facility provided an acceptable plan of removal for the immediacy. The plan documented the following: Plan of Removal 07/14/23 Menus will be reviewed by a dietitian and adjusted to meet dietary standards, as needed. […]

• Immediate jeopardy, patternF692Jul 17, 2023

  On 07/13/23, at 3:09 p.m. the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation related to the facility failed to provide goods and services by ensuring adequate portions, options for extra food, and/or an alternative of equal nutritive value was offered to the residents in order to maintain optimal physical and psychosocial well being. On 07/13/23 at 3:15 p.m., the Administrator was notified of the existence of the immediate jeopardy. On 07/14/23 at 4:45 p.m., the facility provided an acceptable plan of removal for the immediacy. The plan documented the following: Plan of Removal 07/14/23 Residents of different faith like Muslim will be offered equal valued food options. Residents can choose to eat another item if they choose. […]

• Immediate jeopardy, isolatedF689Apr 6, 2022

  On [DATE] at 7:07 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to supervision during meals. The facility had no procedures in place for providing supervision during meals. On [DATE] at 5:00 p.m., a resident who had a physician's order for a pureed diet was given a sandwich and chips from another resident which resulted in the resident coughing. No staff were available to supervise or intervene during the meal service. At 7:35 p.m., the DON was informed of the existence of the immediate jeopardy. A request was made for an acceptable plan to remove the immediacy. On [DATE] at 1:18 p.m., the plan of removal was accepted by the OSDH. […]

• Actual harm, isolatedF689Aug 10, 2024

  Based on record review and interview, the facility failed to provide supervision to prevent elopement for one (#2) of three sampled residents reviewed for elopement, which resulted in hospitalization for rhabdomyolysis, acute kidney injury, and UTI. The administrator identified seven residents who were high risk for elopement. Findings: The facility's Elopement policy, revised 12/2007, documented staff should promptly report any resident who was suspected of being missing to the charge nurse or director of nursing, if an employee discovered a resident was missing from the facility premises they should determine if the resident was out on authorized leave or a pass, if not on authorized leave, initiate a search of the building and premises, if the resident was not located notify the… […]

• Actual harm, isolatedF689Aug 29, 2023

  Based on observation, record review, and interview, the facility failed to provide supervision to prevent falls and implement interventions to prevent falls for one (#16) of three sampled residents reviewed for falls which resulted in a fall with bruising to the left eye area, and a laceration above the left eye which required stitches. The Resident Census and Condition of Residents report, dated 08/24/23, documented 47 residents resided in the facility. Findings The facility's Fall Reduction Program policy, revised 03/29/23, read in parts, .All residents will receive adequate supervision, assistance, and assistive devices to aid in the prevention of falls. […]