Lawton Skilled Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lawton Skilled Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 1, 2024

  Based on observation, interview and record review, the facility failed to store foods and maintain kitchen utensils in a sanitary manner. When: 1. An opened Thousand Island dressing container was found undated, and 2. A drawer with kitchen utensils was found to have bread crumbs on the floor of the drawer. These deficient practices will potentially have negative ill effect to the residents' health outcome, and a continous practice of cross contamination of kitchen utensils to food served to all residents in the facility. FINDINGS: 1. […]

• No harm, potential for more than minimal, patternF755Nov 1, 2024

  Based on observation, interview, and record review, the facility failed to ensure controlled medications (medications that can be easily abused and are under strict government control) were fully accounted for when they were signed out of the Controlled Drug Record (CDR, an inventory or count sheet) but not documented on the medication administration record (MAR) for three out of five residents (Residents 12, 19, and 202); and a controlled medication for a resident (Resident 204) was destroyed without a witness' signature as per facility policy and procedure. The failures had the potential for medication errors and controlled drug abuse or diversion (when healthcare providers obtain or use prescription medicines illegally). Findings: 1. […]

• No harm, potential for more than minimal, patternF912Nov 1, 2024

  Based on observation, interview, and record review, the facility failed to provide the required square footage per resident in multiple bedrooms for 17 out of 28 rooms (Rooms 101, 102,103, 104, 105, 106, 107, 108, 111, 115, 126, 127, 131, 132, 134, 136 and 139). This failure had the potential for inadequate usable space for the provision of residents' care and may impact their quality of life. Findings: Review of the facility's request for a waiver dated 3/2/24, indicated the following bedrooms failed to meet the requirement of 80 square feet per resident. […]

• No harm, potential for more than minimal, patternF755Mar 24, 2023

  Based on observation, interview, and record review, on March 20, 2023, the facility failed to ensure that the residents in both the South side and the North side receive their prescribed medications in a timely manner, and the wasted medication (refused med) was disposed of safely according to professional standards when . 1. RN1 observed administering the scheduled 9:00 AM medication on the South side on 3/20/23 between 10:20 AM to 12:20 PM to three of his 27 residents. 2. RN2 observed administering the scheduled 9:00 AM medication on the North side on 3/20/23 at 11:30 AM to two of her 29 residents. 3. […]

• No harm, potential for more than minimal, patternF761Mar 24, 2023

  Based on observation, interview, and record review on 3/22/23 in the medication room, the facility failed to ensure that the biologicals were labeled and stored according to acceptable professional standards when . 1. Two quality control solutions (high and low) were found on the shelf opened but not dated. 2. A refrigerator storing laboratory (stool) specimen was found in the clean medication storage room. Note: Cross referenced in F880, Infection Control. 3. An opened package of unused, Lidocaine Patch was found in Resident 17's room on 3/20/23. This deficient practices have the potential to: 1. Result in inaccuracies in blood sugar monitoring, 2. Contaminate drugs, biologicals and nutritional supplements, 3. […]