Choctaw Nation Nursing Home

In the surveyor’s words

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

• Actual harm, patternF689Feb 14, 2024

  Based on observation, record review, and interview, the facility failed to assess for fall risk, update care plans related to falls, and educate staff related to resident falls for two (#1 and #11) of three residents who were reviewed for falls with major injury. Res #1 had a fall on 11/14/23 and sustained an abrasion to the head and on 12/07/23 Res #1 fell and sustained a closed head injury with a concussion. Res #11 had a fall on 04/28/23 and on 08/24/23 Res #11 had a fall resulting in a left femur fracture. No interventions were added or care plan updated after the falls for either resident. […]

• No harm, potential for more than minimal, widespreadF727Jun 19, 2025

  Based on record review and interview, the facility failed to ensure there was RN coverage 8 hours/day, 7 days/week. The DON identified 27 residents resided in the facility. Findings: A PBJ Staffing Data Report, dated 01/01/25 through 03/31/25 [the second quarter of fiscal year 2025], showed the facility did not have RN coverage on 9 of the 90 days in that quarter. The dates identified on the PBJ report as not having RN coverage in January, February, and March 2025 were 01/06/25, 01/13/25, 01/14/25, 01/27/25, 02/03/25, 02/11/25, 02/12/25, 02/17/25, and 03/31/25. A facility document titled Time Detail Report, dated 01/01/25 through 03/31/25, showed there was not a registered nurse on duty on 01/06/25, 01/13/25, 01/14/25, 01/27/25, 02/03/25, 02/11/25, 02/12/25, 02/17/25, and 03/31/25. […]

• No harm, potential for more than minimal, widespreadF812Feb 14, 2024

  Based on observation and interview, the facility failed to ensure food for resident meals were stored in a safe and sanitary manner. The Long-Term Care Facility Application for Medicare and Medicaid form documented 25 residents lived in the facility. Findings: On 02/06/24 at 5:11 a tour of the kitchen area was conducted. A large metal bowl, covered with foil and dated with 02/04, was observed to contain raw hamburger meat, diced peppers and onions, and dried bread cubes. An unlabeled resealable plastic container with lid was observed to contain what appeared to have been raw chicken wings in sauce. A resealable plastic container, with a label documenting tuna salad with a date of 02/03 was observed. The container of tuna salad appeared to have been served out of. […]

• No harm, potential for more than minimal, widespreadF851Feb 14, 2024

  Based on record review and interview, the facility failed to ensure the information submitted on the PBJ was accurate. The Long-Term Care Facility Application for Medicare and Medicaid form documented 25 residents lived in the facility. Findings: A document titled PBJ staffing Data Report, dated Quarter 1 2023 (October 1 - December 31) documented one date in November of 2023 with no documented RN hours and three days in December 2023 with no RN hours documented. The report documented the facility failed to have licensed nursing coverage 24 hours a day for eight days in October 2023, six days in November, and 10 days in December of 2024. […]

• No harm, potential for more than minimal, patternF605Jun 19, 2025

  Based on record review and interview, the facility failed to ensure a resident was not prescribed an antipsychotic medication for a diagnosis of Alzheimer's disease for 2 (#8 and #18) of 5 sampled residents reviewed for unnecessary medications. The ADON stated there were 6 residents prescribed antipsychotic medications at the facility. Findings: A facility policy titled Antipsychotic Medication Use, dated July 2022, read in part, Residents will only receive antipsychotic medications when necessary to treat specific conditions for which they are indicated. 1. […]