Skiatook Nursing Home,Llc

In the surveyor’s words

From the most serious findings on record at Skiatook Nursing Home,Llc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 12, 2022

  On 05/05/22 at 5:17 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to smoking in the building while wearing oxygen. The facility did not have policies and procedures in place to address smoking material storage for residents who were on oxygen and/or who required supervision to smoke, and failed to assess/reassess residents for smoking safety. On 05/05/22 at 1:10 p.m., a resident who was blind was observed in their room wearing oxygen while smoking a cigarette. At 5:30 p.m., the administrator was informed of the existence of the immediate jeopardy. A request was made for an acceptable plan to remove the immediacy. On 05/06/22 at 10:00 a.m., the plan of removal was accepted by the OSDH. […]

• No harm, potential for more than minimal, patternF640Oct 4, 2024

  Based on record review and interview, the facility failed to ensure assessments were transmitted within seven days of completion for eight (#5, 11, 15, 16, 17, 18, 21 and #92) of 14 sampled residents whose assessments were reviewed. The administrator identified 38 residents who resided in the facility. Findings: 1. Resident #5 had diagnoses which included chronic obstructive pulmonary disease. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/11/24, had been submitted late. 2. Resident #11 had diagnoses which included cardiorespiratory conditions. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/27/24, had been submitted late. 3. […]

• No harm, potential for more than minimal, patternF657Oct 4, 2024

  Based on interview and record review, the facility failed to ensure comprehensive care plans were accurate for two (#14 and #31) of three sampled residents who were reviewed for revision of care plans. The administrator identified 38 residents who resided in the facility. Findings: 1. Resident #14 had diagnoses which included vascular dementia, chronic obstructive pulmonary disease, dysphagia, and weight loss. The care plan, dated 08/21/24, did not address any issues with food, difficulty eating, or swallowing. A physician order, dated 09/28/24, documented an order for a speech evaluation. A speech evaluation, dated 09/28/24, determined a regular diet, regular texture, and thin consistency for fluids with compensatory strategies was appropriate. […]

• No harm, potential for more than minimal, patternF583May 12, 2022

  Based on record review, observation, and interview, the facility failed to ensure residents were provided privacy during the provision of care for two (#22 and #34) of two sampled residents who were reviewed for privacy. The administrator identified 37 residents resided in the facility. Findings: 1. Resident #22 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Physician orders, dated May 2022, documented the resident was to receive wound care to the left and right lower extremities every day shift and bilateral compression dressings on Monday, Wednesday, and Friday, day shift. On 05/11/22 at 10:52 a.m., LPN #1 was observed initiating wound care to resident #22 without providing privacy by closing the resident's door. […]

• No harm, potential for more than minimal, patternF678May 12, 2022

  Based on record review, observation, and interview, the facility failed to have an effective system to denote a resident's resuscitation status for three (#7, 22, and #31) of three residents who were reviewed for advance directives. The administrator identified 37 residents who resided in the facility. Findings: 1. Resident #7 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] A review of the electronic clinical record revealed the resident did not have an advance directive. The electronic clinical record did not have a current physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. […]