Medical Park West Rehabilitation & Skilled Care

In the surveyor’s words

From the most serious findings on record at Medical Park West Rehabilitation & Skilled Care, in the surveyor’s own words.

• Immediate jeopardy, patternF760Jul 24, 2025

  On 07/22/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents were free from significant medication errors.On 07/22/25 at 2:11 p.m., the Oklahoma State Department of Health verified the existence of an IJ situation.On 07/22/25 at 2:29 p.m., the administrator, DON, and the corporate nurse consultant were notified of the IJ situation. An IJ template was provided to the administrator.On 07/23/25 at 1:03 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal read in part, Regional Nurse Consultant will educate the Director of Nursing on identification of significant medication errors and administration of medication per physician orders. […]

• Immediate jeopardy, isolatedF600Nov 7, 2023

  On 10/31/23 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Res #43's right to be free from emotional distress due to neglect. Res #43 had multiple pressure ulcers upon admission. Physician orders were to change dressings daily in the morning. On 10/31/23 at 3:26 p.m., all wound dressings were dated for 10/29/23. Upon exposure of the resident's back a pungent putrid odor was evident. The dressings on the resident's back were observed to be saturated with drainage. The resident was observed with dried and fresh blood and other brown stains on the absorbent pad under their back. Further brown stains were observed on the sheet between the resident's legs and toward the bottom of the bed. […]

• Immediate jeopardy, isolatedF689Mar 10, 2021

  On 03/09/21, an Immediate Jeopardy (IJ) situation was determined to exist when the facility failed to ensure resident #1 was free from accident hazards related to the bed rails on her bed. The resident was entrapped by the bed rails and sustained a laceration on her right mandible. On 03/09/21 at 12:32 p.m., the Oklahoma State Department of Health (OSDH) verified the existence of the IJ situation. At 1:35 PM, the administrator (adm) was notified of the IJ situation related to the facility's failure to remove the bed rails which were a known accident hazard. At 3:30 PM, the adm submitted a plan of removal. At 4:57 PM, the plan of removal was not accepted and returned to the adm. At 5:57 PM, the adm submitted an acceptable plan of removal. […]

• Immediate jeopardy, isolatedF700Mar 10, 2021

  On 03/09/21, an Immediate Jeopardy (IJ) situation was determined to exist when the facility failed to accurately assess resident #1 for the risks of entrapment from bed rails. The bed rails were contraindicated according to the resident's 05/26/20 bed rail evaluation. The resident was entrapped by the bed rails and sustained a laceration to her right mandible on 12/27/20. The resident's bed was observed on 03/08/21 and verified by staff to have the same air mattress and bed rails as it did when the previous entrapment occurred. The resident had the likelihood of being seriously injured because of the continued use of the bed rails. On 03/09/21 at 12:32 p.m., the Oklahoma State Department of Health (OSDH) verified the existence of the IJ situation. […]

• Actual harm, isolatedF697Nov 7, 2023

  Based on observation, record review, and interview, the facility failed to ensure a resident received adequate pain management for one (#43) of two sampled residents reviewed for pain management resulting in uncontrolled pain during care. The MDS coordinator identified 98 residents resided in the facility. The DON identified 56 residents on a pain management program. Findings: A facility Pain Management and Basic Comfort Measures policy, effective 08/19/2020, documented in part .Staff will evaluate pain and provide basic comfort measures in accordance with standard practice guidelines . Res #43 admitted to the facility on [DATE] with diagnoses which included pressure ulcers, paraplegia, low BMI, depression, and contractures. […]