Lindsay Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Lindsay Nursing & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 15, 2022

  Based on record review, observation, and interview, the facility failed to ensure: a. a refrigerator containing PHF was maintained at or below 41 degrees and b. kitchen staff did not handle food with their bare hands. The DON identified 37 residents resided in the facility and 37 residents received services from the kitchen. Findings: A Refrigerators policy, revised December 2014, read in part, .This facility will ensure safe refrigerator and freezer maintenance, temperatures .Acceptable temperature ranges are 35 [degrees] F to 40 [degrees] F for refrigerators . A Refrigerator Temperatures log, dated 09/12/22, read in part, .Temp .37 . On 9/12/22 at 9:14 a.m., a tour of the kitchen was conducted. A refrigerator, located in the back corner of the kitchen, had two thermometers inside of it. […]

• No harm, potential for more than minimal, patternF689Apr 16, 2026

  Based on observation, record review, and interview, the facility failed to ensure portable oxygen cylinders were not stored unsecured in a resident's closet for 1 (#1) of 4 sampled residents reviewed for oxygen storage which had the potential to cause a severe fire hazard. The administrator identified 11 residents in the facility used oxygen. Findings:An undated Oxygen Storage and Safety policy, provided by the administrator on 04/14/26, showed full cylinders must be stored in a designated, well-ventilated area. The policy showed empty cylinders must be stored separately and labeled Empty. The policy showed oxygen in resident rooms must be secured to prevent tipping. […]

• No harm, potential for more than minimal, patternF582Dec 18, 2024

  Based on record review and interview, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) form to three (#13, #53, and #56) of three residents reviewed for beneficiary notification. The Administrator reported 63 residents resided in the facility. Findings: 1. Resident #56 was admitted to Part A skilled services on 05/07/24 and discharged from skilled services on 07/26/24. 2. Resident #53 was admitted to Part A skilled services on 09/19/24 and discharged from skilled services on 09/11/24. 3. Resident #13 was admitted to Part A skilled services on 11/18/24 and discharged from skilled services on 12/11/24. On 12/17/24 at 12:58 p.m., the MDS coordinator and DON provided documentation to be reviewed for beneficiary notification. […]

• No harm, potential for more than minimal, patternF585Aug 7, 2024

  Based on record review and interview, the facility failed to issue a written grievance decision upon request and to address the grievance in its entirety for one (#4) of one sampled grievance reviewed. Findings: A Grievance Policy and Procedure, not dated, documented, the facility has adopted an internal grievance procedure providing a prompt and equitable resolution or complaints/grievances. A copy of the written summary of the report will also be provided to the resident, if requested, and the original copy will be filed in the Business Office. […]

• No harm, potential for more than minimal, patternF610Aug 7, 2024

  Based on record review and interview, the facility failed to conduct a thorough abuse investigation for one (#4) of three sampled residents reviewed for abuse. The Administrator reported 68 residents resided in the facility. Findings: The facility Abuse Policy and Procedure not dated, read in part, It recognizes resident rights to be free from physical, or mental abuse, corporal punishment, involuntary seclusion, and any chemical and physical restraints as defined by federal regulations. The policy also read, Immediate reporting. Facility employee or immediate supervisor, who will report incidents immediately to local police and report to the Oklahoma State Department of Health as required by State law or regulation. The policy also read, Identification and Investigation. […]