Choctaw Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Choctaw Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF656Mar 18, 2025

  Based on interviews, record reviews, policy and procedure reviews, the facility failed to follow the Activity of Daily Living (ADL) care plan for Resident #1's bed mobility, which resulted in a fall with multiple fractures for Resident #1. Resident #1 was one (1) of three (3) Residents reviewed for care plans. The facility policy and procedure dated 2/18/22 and revised date of 1/5/25 titled Comprehensive Care Plans stated: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with residents rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet… […]

• Actual harm, isolatedF689Mar 18, 2025

  Based on policy and procedure reviews, interviews, observations, and record reviews, the facility failed to ensure safety and to prevent an accident of a fall during bed mobility, resulting in multiple fractures to Resident #1. Resident #1 was one (1) of three (3) residents reviewed for accidents and safety. Findings Include: The facility policy and procedure titled Safe Resident Handling/Transfers dated 1/1/22 revised 1/5/25 and signed by the facility Director of Nursing (DON) read: It is the policy of this facility to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure and comfortable experience for the resident while keeping the employees safe in accordance with current standards and guidelines. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2026

  Based on observations, interviews, and facility policy review, the facility failed to maintain the kitchen in a sanitary condition in order to serve and prepare food for one (1) of two (2) kitchen tours. Findings Include: Review of the facility policy titled Sanitary Conditions of the Food Service Department with an originated date of 9/04, revealed the following policy statement, Facilities and equipment used in the preparation and serving of food provided to residents are safe and sanitary. During the initial kitchen tour on 6/28/2026 at 2:20 PM with Dietary #1, Dietary #2, and Dietary #3, observations were made regarding the cleanliness of the kitchen environment. The pantry door frame facing the kitchen contained accumulated dirt and dried food residue. […]

• No harm, potential for more than minimal, widespreadF880May 26, 2022

  Based on observations, staff interviews, record review and facility policy review the facility failed to protect residents from the likelihood of the spread of infection as evidenced by the failure to perform hand hygiene and disinfect equipment during wound care for Residents #2, # 3, and #4 for four (4) of five (5) wound care treatments observed during the survey. Record review of the policy titled Hand Hygiene and dated 2021 revealed Hand hygiene is indicated and will be performed under the conditions listed in, but not limited to, the attached hand hygiene table .The use of gloves does not replace hand hygiene. […]

• No harm, potential for more than minimal, patternF565Apr 18, 2024

  Based on resident and staff interviews, record reviews, and facility policy review, the facility failed to follow up on grievances from Resident council meetings related to missing silverware and condiments for four (4) of six (6) residents in the Resident Council Meeting. Resident #4, Resident #10, Resident #11, and Resident #35. Findings include: Record review of facility policy titled, Resident and Family Grievances, undated, revealed, It is the policy of this facility to support each resident's and family member's right to voice grievance without discrimination, reprisal or fear of discrimination or reprisal . Prompt efforts to resolve include facility acknowledgment of a complaint/grievance and actively working toward resolution of that complaint/grievance . […]