River Oaks Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at River Oaks Skilled Nursing and Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Dec 8, 2022

  45462 Based on record review, observation, and interview, the facility failed to provide maintenance services necessary to ensure the following: a. a sanitary and comfortable interior for one (#20) of 24 sampled residents reviewed for homelike environment, and b. odors did not linger on one unit (Route 66- Hall 300) of three units observed for odors. The Resident Census and Conditions of Residents report, dated 12/06/22, documented there were 74 residents residing in the facility. There were 27 residents residing on Route 66 - Hall 300. Findings: A Maintenance policy, dated 06/27/06, read in parts, .This facility shall provide a safe, functional, sanitary and comfortable environment for residents .and assure the good repair of the entire facility . 1. […]

• No harm, potential for more than minimal, patternF580Dec 14, 2021

  Based on record review and staff interview, the facility failed to ensure a resident's legal representative was notified of a change in condition for one (#1) of three sampled residents reviewed for notification. The ADON identified 76 residents resided in the facility. Findings: A Notification of Change guideline, read in part, .The facility will .notify the resident's legal representative or interested family member of .A significant change in the resident's .status . Resident #1 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF761Apr 18, 2025

  Based on observation, record review, and interview, the facility failed to ensure medications were secured/locked when not attended to for 1 (hall 200) of 2 medication/treatment carts observed for medication storage. The administrator identified 69 residents resided in the facility. Findings: On 04/15/25 at 10:19 a.m., a medication cart was observed unlocked on hall 200 in front of room [ROOM NUMBER]. There was no staff present. A policy titled Storage of Medications, dated 01/2022, read in part, Medications and biologicals are stored safely, securely .The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications .Medication carts and medication supplies are locked when not attended by persons… […]

• No harm, potential for more than minimal, isolatedF693Dec 8, 2022

  Based on record review, observation, and interview, the facility failed to ensure the physician prescribed about of formula was administered to one (#2) of two sampled resident reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 12/06/22, documented two residents required tube feedings. Findings: Resident #2 had diagnoses which included aphasia and protein calorie malnutrition. A Resident Assessment, dated 09/12/22, documented the resident received tube feedings. A Physician's Order, dated 10/21/22, read in parts, .Enteral Feed .four times a day Give 1.5 cartons (350 cc) Glucerna 1.5 via peg tube Q 6hrs for PROTIEN [sic] -CALORIE MANLNUTRION [sic] . […]

• No harm, potential for more than minimal, isolatedF812Dec 8, 2022

  Based on observation and interview the facility failed to ensure clean plates and bowls were stored inverted or covered to prevent exposure to contamination. The Resident Census and Conditions of Residents report, dated 12/06/22, documented 74 residents resided in the facility and two residents received tube feedings. Findings: Title 310. Oklahoma State Department of Health, Chapter 257. Food Establishments, 310:257-7-105. Equipment, utensils, linens, and single-service and single-use articles, read in part, .(b) Clean equipment and utensils shall be stored .(2) Covered or inverted . On 12/07/22 at 10:44 a.m., clean plates were observed in the plate holder with the food surface side up. […]