Gregston Nursing Home, Inc.

In the surveyor’s words

From the most serious findings on record at Gregston Nursing Home, Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Aug 22, 2025

  Based on observation, record review, and interview, the facility failed to ensure dignity was maintained for residents who required staff assistance for eating for 7 (#2, 3, 31, 34, 44, 47, and #52) of 7 sampled residents observed during dining.The DON reported three residents were dependent on staff for eating. Findings:On 08/19/25 at 12:21 p.m., CNA #1 was observed standing up to feed and assist Residents #31, #44, #47, and #52 at the feeding assist table on the East side of the dining room. […]

• No harm, potential for more than minimal, patternF804Aug 22, 2025

  Based on record review and interview, the facility failed to ensure all meals were served from the kitchen at an appetizing temperature. The DON reported 54 residents received meals from the kitchen. Findings: A significant change assessment, dated 08/10/25, showed Resident #64's cognition was intact with a BIMs score of 15. The assessment showed the resident was independent with eating. On 08/20/25 at 11:00 a.m., the resident council meeting minutes were reviewed for July 2025. The minutes showed complaints related to cold food. On 08/19/25 at 11:40 a.m., Resident #64 reported the food was served cold a lot. The resident reported this weekend (08/16/25 and 08/17/25) all meals were cold and had to have their soup sent back three times to get it hot enough. […]

• No harm, potential for more than minimal, patternF880Aug 22, 2025

  Based on observation and interview, the facility failed to ensure staff used proper infection control practice while assisting residents with eating for 3 (#2, 3, and #34) of 7 residents observed during dining. The DON reported three residents were dependent on staff assistance for eating. Findings:On 08/19/25 at 12:25 p.m., CNA #2 was observed assisting Residents #2, #3, and #34 with eating. CNA #2 was observed blowing on Residents #34's spoon of beans to cool them off before feeding the resident. CNA #2 was observed touching their face and hair, then picking up a pepper with their bare hands and feeding it to Resident #34. CNA #2 was observed touching Resident #3's arm to arouse the resident to eat and then assisting Resident #2 with eating from a spoon. […]

• No harm, potential for more than minimal, patternF641Jan 13, 2023

  Based on record review and interview the facility failed to ensure MDS assessments accurately reflected the residents status for three (#17, 43, and #45) of eighteen sampled residents reviewed for assessments. The Resident Census and Conditions of Residents form documented 52 residents resided in the facility. Findings: 1. Resident #17 had diagnoses which included dementia, fractures, and diabetes. An incident report, dated 12/04/22, documented the resident had a fall with right femur fracture. The Significant Change Assessment, dated 12/19/22, documented under the section for Fall History Did the resident have a fall any time in the last month It was answered, No. On 01/08/23 at 9:30 a.m., the MDS coordinator reported, I should have marked the resident had a fall as yes not no. […]

• No harm, potential for more than minimal, isolatedF645Jan 13, 2023

  Based on record review and interview, the facility failed to accurately complete a preadmission screening to determine the need for a PASRR II for one (#43) of one sampled resident admitted to the facility. The Resident Census and Conditions of Residents documented 52 residents resided in the facility. Findings: A .Oklahoma Health Care Authority, Nursing Facility Level of Care Assessment, dated 06/17/22, read in parts, .admitted [DATE] .Level II required [blank] .Diagnosis of a serious mental illness (for example schizophrenic, paranoid, panic, mood or other severe anxiety or depressive disorder, somatoform disorder, personality disorder, or other psychotic disorder, or another mental disorder, or another mental disorder that may lead to a chronic disability? [No] . […]