Rainbow Health Care Community and Rainbow Assisted

In the surveyor’s words

From the most serious findings on record at Rainbow Health Care Community and Rainbow Assisted, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 12, 2024

  On 11/07/24, an IJ situation was determined to exist related to the facilities failure to ensure staff were aware of proper transportation after a resident slid out of a wheelchair during a transport. On 10/29/24, Resident #3 came out of their wheelchair during a transport from the hospital to the facility when the facility driver had to slam on the brakes. CNA #1 and transport driver #1 where unable to lift Resident #3 back into the wheelchair. This resulted in Resident #3 riding approximately 30 miles on the floor of the transport van. On 11/07/24 at 1:20 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 11/07/24 at 1:30 p.m., the administrator was notified of the IJ situation and the IJ template was provided. […]

• Actual harm, isolatedF684Nov 9, 2022

  Based on record review and interview, the facility failed to assess and monitor a surgical site and failed to follow physician's orders for surgical site treatments for one (#5) of three sampled resident who were reviewed for wounds. Resident #5 was admitted to the hospital for [CONDITION(S)] related to surgical site infection. The DON identified 11 residents who had wounds. Findings: Resident #5 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A quarterly MDS assessment, dated [DATE], documented Resident #5's cognition was intact, had no behaviors of rejection of care, required supervision with ADLs, had impairment of lower extremity on one side, and had no skin breakdown, open [CONDITION(S)], or surgical wounds. […]

• No harm, potential for more than minimal, patternF812Jun 17, 2026

  Based on observation, record review, and interview, the facility failed to ensure food was not served beyond their expiration date. The administrator identified 84 residents received nourishment from the kitchen. Findings: On 06/15/26 at 12:38 p.m., the following observations were made during the tour of the kitchen:a. in the refrigerator, an opened one-gallon container of tartar sauce was observed to be dated 01/20/26, handwritten on the lid. The container had a manufacture date of 12/06/25, and b. in the walk-in cold storage, an unopened half-gallon container of buttermilk was observed with a best-by of 06/01/26. An unopened gallon container of whole milk was observed with a best-by date of 06/11/26. […]

• No harm, potential for more than minimal, patternF880Nov 12, 2024

  Based on observation, record review, and interview, the facility failed to ensure proper handwashing was conducted during incontinent care, between residents, and/or a roll gauze that was dropped on the floor was not used to perform a treatment for seven (#1, 2, 5, 6, 7, 8, and #9) of seven sampled residents observed for infection control. The charge nurse identified 70 residents resided in the facility. Findings: A Hand Hygiene policy, dated 04/28/22, documented hand hygiene should be performed before and after providing care, before and after applying and removing gloves, and after handling soiled linens. […]

• No harm, potential for more than minimal, patternF584Mar 1, 2024

  Based on observation and interview, the facility failed to ensure a sanitary environment in the shower rooms. The DON identified 76 residents who reside at the facility. Findings: A Quality of Life-Homelike Environment policy, dated 02/01/16, read in part, .2. The facility staff and management shall minimize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include .a. Cleanliness and order . A Resident Council Meeting form, dated 02/13/24 documented the residents stated that the shower rooms were not cleaned up after the previous shower. On 02/26/24 at 10:52 a.m., the shower room located on Park Place Hall was observed to have hard water/lime/calcium deposits on the faucet. […]