Emerald Care Center Tulsa

In the surveyor’s words

From the most serious findings on record at Emerald Care Center Tulsa, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Feb 27, 2023

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure CPR was provided to Resident #66 who had a physician ordered full code status. On [DATE] at 7:30 p.m., a hospice nurse had came to evaluate Resident #66 for services and found resident without audible heart tones, absent respirations and unable to obtain palpable blood pressure. There was no documentation a facility staff member assessed the resident during this time. On interview, CMA #1 and an agency nurse had been in there 15 minutes prior to reposition resident. RN #1 stated they were alerted the resident had expired and knew the resident was a full code. […]

• Immediate jeopardy, isolatedF580Apr 15, 2021

  On 01/25/21 at 5:05 p.m., an Immediate Jeopardy (IJ) situation was determined to exist due to the facility's failure to report results of laboratory data to the ordering practitioner for resident #10, which indicated the need to alter treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . On 03/17/20, the resident was started on an antibiotic for a urinary tract infection. The results of the culture and sensitivity revealed that the organism causing the infection, Proteus Mirabilis, was not sensitive to the antibiotic the resident was receiving. The physician was not notified of the results of the urine culture and sensitivity. Resident #10 was hospitalized on [DATE] with [CONDITION(S)], and subsequently passed away on 03/26/20. […]

• Immediate jeopardy, isolatedF684Apr 15, 2021

  On 01/25/21 at 5:05 p.m., an Immediate Jeopardy (IJ) situation was determined to exist due to the facility's failure to ensure resident's physicians were notified of laboratory data which indicated the need to change treatments, and ensure residents received antibiotic therapy that was effective to treat their infection for resident #10. On 03/16/20, the physician ordered a urinalysis and a culture and sensitivity of the urine. On 03/17/20, the resident was started on an antibiotic for a urinary tract infection. The results of the culture and sensitivity revealed that the organism causing the infection, Proteus Mirabilis, was not sensitive to the antibiotic the resident was receiving. […]

• Immediate jeopardy, isolatedF773Apr 15, 2021

  On 01/25/21 at 5:05 p.m., an Immediate Jeopardy (IJ) situation was determined to exist due to the facility's failure to notify the physician of results of a urine culture and sensitivity test that revealed the organism causing the infection was resistant to the antibiotic being used for resident #10. On 03/16/20, the physician ordered a urinalysis and a culture and sensitivity of the urine. On 03/17/20, the resident was started on an antibiotic for a urinary tract infection. The results of the culture and sensitivity revealed that the organism causing the infection, Proteus Mirabilis, was not sensitive to the antibiotic the resident was receiving. […]

• Immediate jeopardy, isolatedF881Apr 15, 2021

  On 01/25/21 at 5:05 p.m., an Immediate Jeopardy (IJ) situation was determined to exist due to the facility's failure to develop and implement an antibiotic use protocol which included reporting results of laboratory data to the ordering practitioner for resident #10. Resident #10 was hospitalized and subsequently passed away. On 01/25/21 the IJ situation was verified with the Oklahoma State Department of Health. On 01/25/21 at 5:05 p.m., the administrator and the assistant director of nurses were notified of the IJ situation related to failures in communicating pertinent lab results to the ordering physician. On 01/26/21 at 11:30 a.m., the plan of removal for the Immediate Jeopardy pertaining to notification of the physician was accepted. […]