Sand Springs Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sand Springs Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 13, 2026

  A past noncompliance immediate Jeopardy situation was determined to exist effective 12/01/25 related to the facility's failure to ensure residents were free from abuse by facility staff. Based on record review and interview, the facility failed to protect the resident's right to be free from sexual abuse by staff for 1 (#29) of 2 sampled residents reviewed for allegations of abuse. The administrator identified 59 residents resided in the facility. Findings: A care plan with an imitated date of 11/21/23, and last reviewed on 12/02/25, showed Resident #29 had self-care performance deficit related to decreased mobility. […]

• No harm, potential for more than minimal, patternF700Jun 21, 2024

  Based on observation, record review, and interview, the facility failed to: a. assess the resident for the use of side rails, b. ensure to mattress fit correctly for the bed frame and use of side rails, c. monitor for safety and maintenance for the use of side rails, d. obtain an informed consent prior to the use of side rails, for one (#27) of one sampled residents reviewed for side rails. The DON identified eight residents who used side rails. Findings: The policy for Bed Safety and Bed Rails documented use of bed rails were prohibited unless the criteria for use had been met. The policy documented bed frames, mattress and bed rails were checked for compatibility and size prior to use. […]

• No harm, potential for more than minimal, patternF725Jun 21, 2024

  Based on record review and interview, the facility failed to provide enough staff to ensure assistance with ADL's and a clean environment was provided for one (#33) of three residents reviewed for ADL's The administrator reported the census was 52. Findings: An undated facility policy titled Staffing, Sufficient and Competent Nursing, read in part, Our facility provides sufficient numbers of nursing staff with the appropriate skills and competency necessary to provide nursing and related care and services for all residents in accordance with resident care plans and the facility assessment Res #33 had diagnoses including paraplegia and diabetes mellitus. […]

• No harm, potential for more than minimal, patternF732Jun 21, 2024

  Based on observation and interview, the facility failed to ensure nurse staffing information was posted on a daily basis. The administrator identified 52 residents resided in the facility. Findings: On 06/17/24 at 10:35 a.m., the nurse staffing board was not observed as posted in any high visibility area. On 06/19/24 at 12:44 p.m., a staffing board was observed posted at the nurses station near the front door. The staffing data on the posting was dated 06/18/24. On 06/20/24 at 9:36 a.m., a staffing board was observed posted at the nurses station near the front door. The staffing data on the posting was dated 06/18/24. On 06/21/24 at 8:22 a.m., a staffing board was observed posted at the nurses station near the front door. The staffing data on the posting was dated 06/18/24. […]

• No harm, potential for more than minimal, patternF755Jun 21, 2024

  Based on record review and interview , the facility failed to administer medication as ordered by the physician for one (#51) of five sampled residents who were reviewed for unnecessary medication. The administrator identified 52 residents resided in the facility. Findings: Resident #51 had diagnoses which included acute embolism and thrombosis of unspecified deep veins of the lower extremity, cardiomyopathy, chronic systolic heart failure, hemiplegia to left nondominant side, and anemia. […]