Stroud Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Stroud Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 19, 2023

  On 01/11/23 at 10:20 a.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to failing to send a resident who sustained a burn to the hospital. The facility failed to ensure the resident was provided emergency medical evaluation and/or treatment after the resident sustained a serious burn and failed to document assessment and monitoring of the injury. On 12/26/22 at 11:10 p.m. Resident #40 was found by staff with burns to their scalp, hair, face, bilateral ears, and left hand, while wearing oxygen. […]

• Immediate jeopardy, isolatedF689Jan 19, 2023

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 12/26/22 related to the facility's failure to ensure a resident who smoked was free from accident hazards. The facility failed to prevent a major injury while smoking with oxygen in use for resident #40. Resident #40 sustained burns to top of scalp, left hand, face, right and left ear. On 01/11/23,the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to protect and prevent accident hazards related to smoking in the building while wearing oxygen. The past noncompliance IJ was removed effective 12/27/22 after the facility put measures in place to prevent recurrence. […]

• Actual harm, isolatedF600May 21, 2025

  Based on observation, record review, and interview, the facility failed to ensure a resident was not touched sexually by another resident for 1 (#1) of 5 sampled resident reviewed for abuse. The DON stated 55 residents resided at the facility. Findings: On 05/20/25 at 12:05 p.m., Res #1 and Res #2 were observed in the dining area of the facility. They were sitting at opposite ends of the room which was approximately 20 feet apart. The residents did not show any outward signs of distress while in the room together. The residents did not look at each other. On 05/20/25 at 3:18 p.m., Res #1 was observed in an activity with other residents in the dining room. Res #2 was observed in the same activity sitting approximately 20 feet away from Res #1. […]

• Actual harm, isolatedF689Mar 4, 2022

  Based on interview and record review, the facility failed to provide supervision to prevent falls for one (#5) of three sampled residents reviewed for falls. This resulted in a laceration to the forehead which required steri strips for closure. The Resident Census and Conditions Report identified 49 residents resided in the facility. Findings: An undated wheelchair/shower chair safety competency checklist, documented the aide was to use all available safety devices including the bar on the shower chair and to not leave the patient alone in the shower. Resident (Res) #5 had diagnoses which included [CONDITION(S)] and dementia. […]

• No harm, potential for more than minimal, patternF842Jan 28, 2023

  Based on record review and interview, the facility failed to ensure records accurately documented medication administered for one (#1) of three sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 01/28/23, documented 51 residents resided in the facility. Findings: The facility's Discharge Medications policy, dated 12/2016, read in parts, .The charge nurse shall verify that the medications are labeled consistent with current physician orders .The nurse will reconcile pre-discharge medications with the resident's post-discharge medications . Resident #1 had diagnoses which included polyosteoarthritis. […]