Spiro Nursing Home, Inc.

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Dec 8, 2022

  On 12/06/22, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #5 was free from burns while drinking coffee. On 12/06/22 at 3:15 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 12/06/22 at 3:25 p.m., the Administrator was notified of the IJ situation. On 12/06/22 at 4:25 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated 12/06/22 at 4:25 p.m., read in parts: .We identified 10 resident who require assistance with feeding that would have the possibility of burning themselves with coffee. […]

• No harm, potential for more than minimal, patternF628Jun 3, 2025

  Based on record review and interview, the facility failed to ensure residents were provided with a written notice of transfer and a copy of the bed hold policy when they transferred to a hospital for 1 (#42) of 2 sampled residents reviewed for hospitalization s. The ADON stated 22 separate residents have been transferred to a hospital between 11/01/24 and 06/01/25. This resulted in 38 hospital transfers having occurred during that time frame. Findings: On 06/03/25 a review of Res #42's EMR showed the resident had been transferred to a hospital on five separate occasions: 10/24/24, 12/04/24, 03/24/25, 04/18/25, and 04/30/25. A further review of the EMR did not find documentation bed hold polices or written letters of transfer were given to the resident or their representative. […]

• No harm, potential for more than minimal, patternF656Dec 8, 2022

  Based on record review and interview, the facility failed to develop a comprehensive person centered care plan for two (#2 and #42) of five residents sampled for care plans. The Resident Census and Conditions of Residents, dated 12/05/22, documented a census of 55 residents. Findings: A Policy and Procedure for Care Planning, dated 10/14/15, read in part .develop a comprehensive narrative care plan for each resident which will describe the individualized care to be provided to attain or maintain the resident's highest possible physical, mental, and psychosocial well-being. Res #2 was admitted to the facility with diagnoses which included dementia and diabetes. […]

• No harm, potential for more than minimal, patternF695Jul 12, 2021

  Based on observation, interview, and record review, it was determined the facility failed to ensure oxygen tubing was changed per physician orders, the standard professional practice of care, and per the facilities policy for three (#1, #34, and #37) of five residents sampled for oxygen therapy. The facility identified 18 residents who received oxygen therapy. Findings: A facility policy related to oxygen tubing change, dated 07/16/19 documented the facility would replace tubing on all oxygen concentrators twice each month to maintain cleanliness. The policy documented the nursing staff would replace cannulas as needed. 1. […]

• No harm, potential for more than minimal, isolatedF582Jun 3, 2025

  Based on record review and interview, the facility failed to ensure a Notice of Medicare Non-coverage form was provided to a resident in the required timeframe for 1 (#44) of 3 sampled resident reviewed for beneficiary notices. The BOM stated seven residents had discharged from Medicare part A services between 11/01/24 and 06/01/25. Findings: A CMS-10123 form [Notice of Medicare Non-Coverage], signed by Res. #44 on 03/03/25, showed the resident's Medicare Part A services would have ended on 03/04/25. On 06/02/25 at 3:16 p.m., the BOM was asked to explain the purpose of the CMS-10123 form. They stated it was a notice to inform a resident that skilled services funded by Medicare Part A would be ending on a particular date. […]