Cross Timbers Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, patternF600Aug 4, 2023

  On 07/27/23 at 4:14 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to ensure residents were free abuse and failed to protect from further abuse and neglect. Resident #7 reported on 07/13/23 that Resident #6 had touched her inappropriately on the breast and vaginal area. AN OSDH reportable incident dated 07/13/23 documented an investigation was initiated and Resident #6 would be placed on operation stand by. Operation stand by is 88 hours of close supervision after an incident. There is not consistent documentation this occurred. There is no documentation Resident #6 was interviewed. […]

• Immediate jeopardy, patternF684Aug 4, 2023

  On [DATE] at 3:37 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure staff responded to a choking resident and provide the Heimlich maneuver according to standards. Resident #9 had diagnosis to include bipolar, dysphagia, protein calorie malnutrition, anxiety, reflux, and malignant neoplasm upper lobe left bronchus lung. On [DATE] a certified nurse aide provided assistance during the noon meal to Resident #9 after being asked. The resident was responding verbally throughout the meal until one bite when the resident took a deep breath and made attempts to cough. […]

• Immediate jeopardy, patternF689Aug 4, 2023

  On 07//27/23 at 11:45 a.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure residents were not missing from the facility and had procedures in place to account for all residents during the shift. Resident #2 had diagnoses which included Schizophrenia, Chronic Obstructive Pulmonary Disease, Senile Degeneration of brain, major depression, and anxiety. The Residents cognition was moderately impaired and they wandered the facilty. The resident had an elopement risk assessment completed on 07/02/23 and the Resdient was at risk for elopement. The care plan did not address wandering or elopement risk for Resident #2. […]

• Immediate jeopardy, patternF726Aug 4, 2023

  On [DATE] at 3:37 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure staff were trained on and responded to a choking resident. Resident #9 had diagnosis to include bipolar, dysphagia, protein calorie malnutrition, anxiety, reflux, and malignant neoplasm upper lobe left bronchus lung. On [DATE] a certified nurse aide provided assistance during the noon meal to Resident #9 after being asked. The resident was responding verbally throughout the meal until one bite when the resident took a deep breath and made attempts to cough. […]

• Immediate jeopardy, patternF602Mar 9, 2023

  On 03/07/23, an IJ situation was determined to exist due to the facility failing to ensure: a. Resident #2 was not exploited by being asked to partake in illegal drug activity, and b. Resident #8 was not exploited by being given $15 to purchase illegal drugs from Resident #1. Resident #2 stated they were threatened with a 30 day eviction notice if they did not participate. Resident #8 stated the Administrator told them they would get kicked out of the facility if they did not participate. On 03/07/23 at 3:57 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 03/07/23 at 4:06 p.m., the administrator was notified of the IJ situation. On 03/08/23 at 3:49 p.m., an acceptable plan of removal was provided. […]