First Shamrock Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF656May 6, 2026

  Based on record review and interview, the facility failed to ensure a resident with exit seeking behaviors had care plan interventions to address and prevent elopement for 1 (#19) of 3 sampled residents reviewed for accidents. Resident #19 eloped through a facility window. The administrator identified 16 residents at risk for elopement. On 04/28/26, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure a resident with exit seeking behaviors had care plan interventions to address and prevent elopement resulting in Resident #19 eloping.On 04/28/26 at 6:43 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation.On 04/28/26 at 6:53 p.m., the administrator was notified of the IJ situation and the… […]

• Immediate jeopardy, patternF880Dec 20, 2021

  On 12/16/21, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to have an effective infection control program to prevent the spread of e-coli and other infectious diseases. Three residents in November '21 and 15 residents in December '21 were diagnosed with e-coli infections. The facility had four residents still on ABT for e-coli. Staff were not aware of any residents on transmission based precautions. Staff were not conducting proper hand hygiene or incontinent care and were not disposing of contaminated items properly. […]

• Immediate jeopardy, isolatedF600May 6, 2026

  Based on record review and interview, the facility failed to protect a resident's right to be free from physical abuse for 1 (#19) of 3 sampled residents reviewed for abuse. Resident #19 was physically abused by another resident. A review of an undated facility video monitoring showed Resident #20 attempted to grab a TV remote from the table where Resident #19 was. Resident #19 grabbed the remote and held onto it. Resident #20 continued attempts to take the remote from Resident #19 standing over them. Resident #19 asked Resident #20 several times not to touch it and to get away from them. Resident #19 was cussing at Resident #20 as they persisted at their approached. Resident #19 asked Resident #20 if they wanted their (curse word withheld) beat and stood up from their sitting position. […]

• Immediate jeopardy, isolatedF689May 6, 2026

  Based on observation, record review, and interview, the facility failed to:a. provide adequate supervision and a secure environment to prevent elopement for a resident with known exit seeking behaviors for 1 (#19). Resident #19 eloped through a facility window, andb. implement fall interventions for 1 (#3) of 3 sampled residents reviewed for accidents. An admission assessment for Resident #19, dated 07/28/25, showed the resident wandered and their cognition was severely impaired.A wandering and elopement risk assessment for Resident #19, dated 07/28/25, had four areas marked, Yes. The assessment read in part, the resident is at risk if the answer to any question #3-#7 is yes. […]

• No harm, potential for more than minimal, widespreadF574May 6, 2026

  Based on observation and interview, the facility failed to ensure contact information for filing a complaint with the State Agency was available to the residents.The facility manager identified 37 residents resided in the facility. Findings:On 04/28/26 at 10:12 a.m., both resident halls, both nurses' stations, and the main living area were observed. There was no information regarding filing a complaint with the State agency.On 04/28/26 at 10:03 a.m., a confidential interview was held with the resident council group. The resident council group was asked if they had been informed of their rights and given information on how to formally complain to the State about the care they were receiving. […]