Green Country Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 20, 2026

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 03/10/26 at 4:00 a.m. related to the facility's failure to ensure a resident with moderately impaired cognition and history of elopement did not elope unnoticed from the facility.On 03/19/26, the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to prevent a resident's elopement.The past noncompliance IJ was removed effective 03/10/26 at 1:30 p.m., when the facility had put the following measures in place to prevent recurrence.a. […]

• No harm, potential for more than minimal, patternF574Nov 15, 2024

  Based on observation and interview, the facility failed to provide access to notifications of resident rights, ombudsman contact information, and state agency contact information. The administrator identified 76 residents resided in the facility. Findings: On 11/13/24 at 10:41 a.m., the five residents who attended the resident council meeting stated they did not know where to find the phone number to contact the ombudsman, did not know where the resident rights were posted, or how to contact OSDH to register a complaint or concern. Immediately following the resident council meeting, the notices were observed to be posted in the locked vestibule by the facility front door, and inside the nurses' station along the far wall. The locked vestibule was not accessible by the residents. […]

• No harm, potential for more than minimal, patternF578Nov 15, 2024

  Based on record review and interview, the facility failed to provide information to formulate an advance directive for three (#22, 66, and #71) of three sampled residents who were reviewed for advance directives. The administrator identified 75 residents who resided in the facility. Findings: The Advance Directives policy, dated December 2016, read in part, Upon admission, the resident will be provided with written information concerning the right .to formulate an advance directive if he or she chooses to do so .the information may be provided to the resident's legal representative .The Interdisciplinary Team will review annually with the resident his or her advance directives to ensure that such directives are still the wishes of the resident. 1. […]

• No harm, potential for more than minimal, patternF550Sep 28, 2023

  Based on observation and interview, the facility failed to ensure resident dignity related to: a. Res #50 was not disrobe and/or expose themselves in front of other residents and staff in the dining room and on the unit; b. the residents on the locked unit had on proper foot-wear when in the dining room and on the unit; and c. staff did not stand while assisting residents to eat. The Resident Census and Condition of Residents form documented 79 residents who resided in the facility. Findings: 1. Res #50 had diagnoses which included frontotemporal neurocognitive disorder and dementia. An annual assessment, dated 08/17/23, documented the resident was severely impaired with cognition and required limited to extensive assistance with ADLs. […]

• No harm, potential for more than minimal, patternF692Sep 28, 2023

  Based on record review and interview the facility failed to act upon a dietitian recommendation timely for one (#50) of four sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents form documented 79 residents resided in the facility. Findings: Res #50 had diagnoses which included other specified eating disorder, diabetes mellitus, and dementia. The EHR documented,on 02/01/22, the resident's weight was 221.8 lbs. A dietitian note, dated 05/28/23, documented the resident's weight was 183.2 pounds. The note documented the resident's weight was down 7.8% in two months and down 14.6% in four months. The resident weight was trending down but their BMI was 32.4. The note documented the resident chews on non-edible items frequently and wanders frequently. […]