Pocola Health and Rehab

In the surveyor’s words

From the most serious findings on record at Pocola Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF726Mar 27, 2025

  On 03/24/25, an Immediate Jeopardy (IJ) was determined to exist related to the facilities failure to ensure CMAs were trained and competent to ensure residents were administered medications as ordered. On 03/15/25 at 10:10 a.m., a nurse note showed CMA #1 reported to RN #1 they may have administered the wrong medications to Resident #2. The note showed the DON was notified and camera footage was reviewed, confirming Resident #2 was administered the wrong medications. The note showed the physician was notified and orders were received to send the resident to the emergency room . On 03/24/25 at 8:13 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. […]

• Immediate jeopardy, isolatedF760Mar 27, 2025

  On 03/24/25, an Immediate Jeopardy (IJ) was determined to exist related to the facilities failure to ensure CMAs were trained and competent to ensure residents were administered medications as ordered. On 03/15/25 at 10:10 a.m., a nurse note showed CMA #1 reported to RN #1 they may have administered the wrong medications to Resident #2. The note showed the DON was notified and camera footage was reviewed, confirming Resident #2 was administered the wrong medications. The note showed the physician was notified and orders were received to send the resident to the emergency room . On 03/24/25 at 8:13 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. […]

• Actual harm, isolatedF600Nov 25, 2025

  Based on observation, record review, and interview, the facility failed to monitor and prevent sexual abuse for 1 (#1) 1 sampled resident reviewed for abuse.The director of nursing identified 62 residents resided in the facility. Findings:Findings: An undated, Elder Abuse Policy and Procedure, read in part, It is the policy of .to thoroughly investigate all allegations concerning resident abuse .to prevent further abuse .pending an investigation. This facility reserves the right to take whatever actions it, in its sole discretion, deems appropriate to investigate and to prevent possible abuse .Abuse: Any intentional act of one or more of the following .sexual physical, mental/emotional .involuntary seclusion which may be imposed on a resident of this facility by any .or other residents… […]

• No harm, potential for more than minimal, widespreadF732Mar 11, 2024

  Based on observation and interview, the facility failed to post the required staffing information in a manner easily accessible to residents and vistors. This affected 53 of 53 residents. The DON identified 53 residents who resided in the facility. Findings: On 03/06/24 at 10:00 a.m., surveyor was unable to locate posted staffing. RN #1 reported posted staffing was on the bulletin board on 200 Hall outside the dining room entrance. Observed posted staffing information on an 8.5 x 11 piece of copy paper pinned to a bulletin board approximately six feet from the floor. […]

• No harm, potential for more than minimal, widespreadF812Mar 11, 2024

  Based on observation and interview the facility failed to store food in accordance with professional standards for food service safety for 53 of 53 residents who received meals from the kitchen. The DON identified 53 residents who received meals from the kitchen. Findings: On 03/05/24 at 10:07 a.m., the ice machine in the dining room was observed with the pad lock unlocked. On 03/05/24 at 10:10 a.m., an initial tour of the kitchen was conducted. A large trash can by the hand washing sink did not have a lid, the lid was in the floor behind the trash can. On 03/05/24 at 10:13 a.m., the freezer observed to have bags of French fries and onion rings open to air the bags were not dated when they had been opened. […]