Northwest Nursing Center

In the surveyor’s words

From the most serious findings on record at Northwest Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 13, 2023

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 01/08/23 related to the facility's failure to ensure an elopement assessment was completed on admission and a resident was free from accident hazards for a resident who had diagnoses of schizoaffective disorder and history of stimulant abuse. The facility failed to prevent Resident #102 from eloping from the facility which had the potential to result in serious injury or harm. On 09/11/23, the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to protect and prevent accident hazards related to elopement. The past noncompliance IJ was removed effective 05/09/23 after the facility put measures in place to prevent recurrence. […]

• Actual harm, patternF609May 12, 2022

  Based on record review and interview, the facility failed to report an allegation of verbal abuse from staff for one (#57) of five sampled residents reviewed for abuse. The Census and Conditions of Resident's report, dated 05/04/22, documented 62 residents resided in the facility. Findings: An Abuse policy, dated 2022, read in part, .Reporting .Any employee who becomes aware of an allegation of abuse .shall report the incident to a supervisor, DON or Administrator immediately . Resident #57 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A resident assessment, dated 05/03/22, documented the resident was cognitively intact. […]

• Actual harm, patternF610May 12, 2022

  Based on record review and interview, the facility failed to implement their abuse policy to ensure: a. residents were free from abuse and/or fear of retaliation for three residents (#41, #123, and an anonymous resident), and b. abuse allegations were thoroughly investigated and residents were protected during abuse investigations and corrective measures were implemented for three (#41, 123, and #124) of five sampled residents and a confidential group who were reviewed for abuse. […]

• Actual harm, isolatedF689Jul 23, 2025

  Based on observation, record review, and interview, the facility failed to ensure an accident did not occur for a resident during facility transport for 1 (#7) of 1 sampled resident reviewed for accident hazards. The administrator identified eight residents used the facility van for transportation. Findings:On 07/17/25 at 10:59 a.m., the maintenance supervisor demonstrated the process of preparing a resident for transport per wheelchair using the facility van. There were four straps to be connected to the wheelchair at all sides. An undated form titled Policy and Procedure Securing a Wheelchair For Van Transport, read in part, Safety is the top priority when transporting wheelchair users in a wheelchair van. […]

• No harm, potential for more than minimal, patternF637Jul 23, 2025

  Based on record review and interview, the facility failed to ensure a significant change assessment had been completed when hospice services were elected for 2 (#4 and #75) of 19 sampled residents whose assessments were reviewed.The administrator identified 11 residents on hospice services.Findings: 1. A progress note, dated 03/19/25, showed Resident #75 wanted to switch hospice companies. A physician order, dated 03/21/25, showed Resident #75was ordered to be evaluated by the resident's hospice of choice. […]