Okeena Health and Rehabilitation Center LLC

In the surveyor’s words

From the most serious findings on record at Okeena Health and Rehabilitation Center LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 16, 2022

  Based on policy review, video camera footage review, weather website review, medical record review, observation, and interview, the facility neglected to provide a safe environment and ensure supervision to prevent neglect for 1 of 6 sampled residents (Resident #1) reviewed for elopement risk and neglect. The facility's failure to provide adequate supervision to prevent neglect resulted in Immediate Jeopardy (IJ) when Resident #1, a severely impaired vulnerable resident, wearing an ankle wanderguard monitor (a monitoring device to alert staff of a resident attempting to exit the facility unattended) was left unsupervised in the facility's lobby, and exited the facility through an unsecured entrance door that was alarming. […]

• Immediate jeopardy, isolatedF689Jun 16, 2022

  Based on policy review, facility video footage review, weather website review, medical record review, observation, and interview, the facility failed to ensure a safe, secure environment for 1 of 6 sampled residents (Resident #1) reviewed for elopement/wandering. The facility's failure to ensure a safe, secure environment resulted in Immediate Jeopardy when Resident #1, a vulnerable severely impaired resident, wearing a wanderguard bracelet (a monitoring device to alert staff of a resident attempting to exit the facility unattended) exited the facility unsupervised through an unsecured door. Resident #1 was found approximately 1 mile from the facility approximately 33 minutes later. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2021

  Based on policy review, United States Drug Administration (USDA) Refrigeration & Food Safety Chart review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by dust particles on the wall near the steam table and over a tray of dietary bowls, rust and dust particles on the vents over the steam table, when food items were stored opened and undated in the walk-in cooler, walk-in freezer and the reach-in refrigerator, when food was stored past the open dates in the walk-in refrigerator, when 1 of 3 dietary staff (Dietary Staff #1) touched food with her bare hands, and when 1 of 18 staff members (Certified Nursing Assistants (CNA) #1) were observed touching a resident's food. […]

• No harm, potential for more than minimal, patternF801Jan 16, 2025

  Based on policy review, record review, job description review, and interview, the facility failed to ensure comprehensive nutritional assessments were completed timely by a dietitian for 2 of 3 (Resident #256 and Resident #259) residents reviewed for new admissions. The findings include: 1. Review of the facility's policy titled, Nutritional Management, dated 12/1/2024, revealed .The facility provides care and services to each resident to ensure the resident maintains acceptable parameters of nutritional status in the context of his or her overall conditions .A comprehensive nutritional assessment will be completed by a dietitian within 72 hours of admission . […]

• No harm, potential for more than minimal, patternF812Jan 16, 2025

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by a dirty ice machine. The facility had a census of 88 residents. The findings include: 1. Review of the facility policy titled, Ice Machines and Portable Ice Carts, dated 12/1/2024, revealed .It is the policy of this facility to ensure that ice machines/carts are working and in proper order, cleaned, and maintained .Ice machines/carts can be prone to microbial contamination due to improper handling or storage of ice, poor cleaning .Proper cleaning, maintenance, and infection control in relation to the ice machines is important to decrease the risk of illness to residents .The ice machines will be cleaned at any time contamination… […]