El Reno Post-Acute Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at El Reno Post-Acute Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF802Nov 3, 2023

  Based on observation, record review and interview, the facility failed to ensure the dietary staff had the competencies to carry out the food services for four (#3, 8, 9, and #10) of four residents reviewed for dietary services. The Midnight Census Report form, dated 11/02/23, documented the census was 42. A Diet Type Report, dated 11/02/23 documented Residents #3, 9, and #10 were to be served pureed diets, and Resident #8 was to be provided a renal diet. A menu, approved by the RD/LD, documented on 11/02/23, the menu to be served was as follows: a. […]

• No harm, potential for more than minimal, patternF803Nov 3, 2023

  Based on observation, record review, and interview, the facility failed to ensure pureed menus were followed and an extended menu was available and prepared for a renal diet for four (#3, 8, 9, and #10) of four residents reviewed for dietary services. The Midnight Census Report form, dated 11/02/23, documented the census was 42. A Diet Type Report, dated 11/02/23 documented Residents #3, 9, and #10 were to be served pureed diets, and Resident #8 was to be provided a renal diet. A menu, approved by the RD/LD, documented on 11/02/23, the menu to be served was as follows: a. […]

• No harm, potential for more than minimal, patternF808Nov 3, 2023

  Based on observation, record review and interview, the facility failed to ensure an extended menu was available to ensure dietary needs were met for an ordered renal diet for one (#8,) of one sampled resident reviewed for a renal diet. The Midnight Census Report form, dated 11/02/23, documented the census was 42. A Diet Type Report, dated 11/02/23 documented Resident #8 was to be provided a renal diet. A menu, approved by the RD/LD, documented on 11/02/23, the menu to be served for regular diet orders was as follows: a. three ounces of oven fried chicken, b. a #8 scoop of Au Gratin potatoes, c. a #8 scoop of spinach with sauteed onions, d. one each of cornbread with margarine, and e. […]

• No harm, potential for more than minimal, patternF755Apr 3, 2023

  Based on record review and interview, the facility failed to ensure heart rate monitoring was completed as ordered prior to the administration of Carvedilol for one (#2) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 03/29/23, documented 42 resident resided in the facility. Findings: A Medication Administration policy, dated 02/21/23, read in parts, .Medications are administered .as ordered by the physician and in accordance with professional standards .Obtain and record vital signs, when applicable or per physician orders. When applicable, hold medication for those vital signs outside the physician's prescribed parameters . […]

• No harm, potential for more than minimal, patternF770Apr 3, 2023

  Based on record review and interview, the facility failed to ensure physician ordered labs were obtained for two (#2 and #4) of five sampled residents reviewed for laboratory services. The Resident Census and Condition of Residents report, dated 03/29/23, documented 42 residents resided in the facility. Findings: A Laboratory Services and Reporting policy, dated 11/24/21, read in parts, .The facility must provide or obtain laboratory services when ordered by a physician .in accordance with state law .The facility must provide or obtain laboratory services to meet the needs of its residents .The facility is responsible for the timeliness of the services .All laboratory reports will be dated .and will be filed in the resident's clinical record . 1. […]