North County Center for Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at North County Center for Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF622Mar 17, 2025

  On 03/12/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents were discharged with proper notice. On 03/06/25 Resident #1 returned to the facility after an overnight stay with family. Resident #1 was informed they were no longer a resident of the facility and were not allowed to return to the facility. On 03/12/25 at 5:57 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation related to a resident who was not allowed to return to the facility after an overnight stay with family. On 3/12/25 at 6:05 p.m., the DON and the corporate regional administrator were notified of the IJ situation and were asked to provide a plan of removal. […]

• Actual harm, isolatedF689Feb 24, 2023

  Based on record review, observation, and interview, the facility failed to initiate fall interventions, to reduce the risk of a fall with major injury, for one (#23) of five residents sampled for falls. The Resident Census and Condition of Residents, form documented 39 residents resided in the facility. Findings: A Fall Prevention Program policy, dated 2022, documented in parts, .Each resident will be assessed for fall risk and will receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls .The nurse will indicate on the (specify location) the resident's fall risk and initiate interventions on the resident's baseline care plan, in accordance with the resident's level of risk .Each resident's risk factors and environmental hazards… […]

• No harm, potential for more than minimal, patternF880Aug 6, 2025

  Based on observation, record review, and interview, the facility failed to ensure staff followed infection control practices between residents while administering medications for 3 (#9, 17, and #23) of 8 sampled residents reviewed for medication administration.The DON identified 43 residents were administered medications by facility staff.Findings:On 08/05/25 at 3:53 p.m. CMA #1 was observed going to their medication cart and preparing medications for Res #23. CMA #1 did not sanitize or wash their hands prior to preparing the medications. CMA #1 was then observed taking the plastic cup that contained Res #23's medication, hydrocodone/acetaminophen (pain medication) 7.5 mg / 325 mg tablet and handing it to Res. #23. […]

• No harm, potential for more than minimal, patternF602Jul 26, 2024

  Based on record review and interview, the facility failed to ensure controlled medications were not misappropriated for three (#4, 7, and #8) of three sampled residents who were reviewed for misappropriation. The DON identified 42 residents who resided in the facility. Findings: The Controlled Substances policy, dated April 2019, read in part, .Controlled substances are reconciled upon receipt, administration, disposition, and at the end of each shift . The Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2021, read in part, .Residents have the right to be free from .misappropriation of resident property . 1. […]

• No harm, potential for more than minimal, patternF655Apr 4, 2024

  Based on record review and interview, the facility failed to complete a baseline care plan for three (#31, 45, and #246) of 12 residents whose care plans were reviewed. The DON identified 41 residents who resided in the facility. Findings: 1. Res #31 had diagnoses which included osteomyelitis, stage four pressure ulcer to the left heel, a stage three pressure ulcer to the right heel, diabetes, hypertension, and anxiety. Res #31 was admitted to the facility on [DATE]. The care plan, dated 01/04/24, documented a baseline care plan had been completed six days after admission. On 04/03/24 at 9:19 a.m., the care plan coordinator reviewed the resident's care plan and stated the baseline care plan was completed late. […]