Kingwood Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Kingwood Skilled Nursing and Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF600Dec 11, 2024

  On 12/10/24 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure their abuse policy was followed. On 12/10/24, the Oklahoma State Department of Health verified the existence of an IJ situation. On 12/10/24 at 1:13 p.m., the administrator was notified of the immediate jeopardy situation. On 12/11/24 at 8:41 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal documented: On 12/10/24, The facility will ensure residents are free from abuse, neglect, and misappropriation of resident property and exploitation. 1) Resident #117 assessed by APRN for any signs of sexual abuse and orders to be followed for further treatment or evaluation. […]

• No harm, potential for more than minimal, widespreadF925Jun 9, 2022

  Based on record review, observations and interviews, the facility failed to maintain an effective pest program. The DON identified 56 residents resided in the facility. Findings. The facility's Pest Control Policy, read in parts, .to maintain an effective pest control program to that the facility is free of pests and rodents .prevent infestation .correct or eliminate infestation already in existence .Cleanliness in the dietary department is a must for pest control . On 06/08/22 at 8:25 a.m., the kitchen and pantry areas were observed to have live traps and sticky pad/traps for rodents. In the kitchen area, there was dust/debris with a build-up on the floor, along the wall, behind the wire shelving that stored pans/lids. The debris contained small mouse droppings. […]

• No harm, potential for more than minimal, patternF640May 21, 2026

  Based on observation, record review, and interview, the facility failed to ensure:a. a discharge assessment was completed and transmitted for 2 (#25 and #54): b. an entry record was completed and transmitted for 2 (#54 and #81) of 17 sampled residents reviewed for timely encoding and transmitting of resident assessments.The administrator identified 68 residents resided in the facility. Findings: 1. The RAI manual, dated 10/2025, showed discharge assessments were to be completed no later than 14 days after the discharge. […]

• No harm, potential for more than minimal, patternF847May 21, 2026

  Based on record review and interview, the facility failed to clearly distinguish the arbitration agreement from the admission agreement and ensure residents or their representatives were able to sign the admission agreement without consenting to the facilities arbitration agreement.The administrator identified 68 residents resided in the facility. The administrator and the admissions coordinator identified 68 residents/representatives had agreed to arbitration.Findings:An Introductory Note, located on page 2 of the admission packet, read in part, This admission Agreement, including the Dispute Resolution Provision\Agreement, (the Agreement} represents an Agreement between the Resident, the Resident Representative (if applicable, as defined and to the extent explained herein and) [NAME]… […]

• No harm, potential for more than minimal, patternF641Dec 11, 2024

  Based on record review and interview the facility failed to ensure resident assessments were accurately coded for two (#16 and #23) of 23 sampled residents reviewed for resident assessments. The Administrator identified a census of 67. Corporate Nurse Consultant #1 identified three residents with colostomies resided in the facility. Findings: 1. Resident #23 had diagnoses which included edema and end stage renal disease. Resident #23's weight record documented on: a. 11/02/23 296.2 pounds; b. 01/27/24 287.4 pounds; c. 04/02/24 296.2 pounds; d. 04/26/24 264.4 pounds; e. 05/02/24 272.2 pounds; f. 06/26/24 244 pounds; g. 07/26/24 241 pounds; h. 09/26/24 244 pounds; and i. […]