The Timbers Skilled Nursing and Therapy

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Feb 27, 2026

  On 02/26/26, an IJ situation was determined to exist related to the facility's failure to ensure the physician was notified of a resident's low blood sugar. On 11/27/24 at 8:00 p.m., Resident #129's blood sugar was 64 and the resident was administered 40 units of long-acting insulin (Toujeo SoloStar subcutaneous solution). Resident #129's physician was not notified of the low blood sugar as required by their order. On 11/28/24 at 9:07 a.m., Resident #129 was assessed to be unresponsive and 911 was called and emergency services arrived and reported Resident #129's blood sugar was 41. […]

• Immediate jeopardy, isolatedF684Feb 27, 2026

  On 02/26/26, an IJ situation was determined to exist related to the facility's failure to have a system in place to ensure residents with low blood sugar received treatments as ordered by a physician. On 11/27/24 at 8:00 p.m., Resident #129 was found to have a FSBS of 64 and was not given their ordered glucagon, the resident's physician was not notified of the low blood sugar as required by their order. RN #2 then administered 40 units of a long-acting insulin [Toujeo SoloStar subcutaneous solution] to Resident #129. On 11/28/24 at 09:07 a.m., Resident #129 was assessed to be unresponsive and 911 arrived and reported resident #129 blood sugar was 41. […]

• Immediate jeopardy, isolatedF689Nov 7, 2024

  A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 10/24/24 related to the facility's failure to supervise and prevent a resident from elopement. The facility failed to prevent Resident #1 from eloping from the facility which had the potential to result in serious injury or harm. On 11/07/24, 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 elopement. The past noncompliance IJ was removed effective 10/25/24 after the facility put measures in place to prevent recurrence. […]

• No harm, potential for more than minimal, widespreadF577Feb 27, 2026

  Based on observation, record review, and interview, the facility failed to post the most recent state survey results of the facility in a place readily accessible to residents, family members, and legal representatives of the residents.The administrator identified 120 residents resided in the facility. Findings: On 02/24/26 at 2:05 p.m., there were no state survey results observed in any common area of the facility. There were no postings that indicated where they were located. On 02/26/26 at 8:21 a.m., a state survey binder was observed located at the front desk in a bin, tucked behind another binder. A review of the state survey results located in the binder were from 2019, 2020, and 2021. […]

• No harm, potential for more than minimal, widespreadF732Jun 20, 2024

  Based on observation and interview, the facility failed to ensure staffing information was posted with the required components and was accessible to all residents. The Administrator identified 118 residents resided in the facility. Findings: On 06/17/24 from 8:20 a.m. through 06/20/24 at 8:15 a.m., this surveyor observed there was no staffing information posted with the required components and accessible to residents and visitors. On 06/20/24 at 9:00 a.m., Corp. Nurse Consultant #1 was asked where the facility daily staffing was posted. They stated it was in the binder at the nurses station. When asked if it was posted on the wall somewhere with the required components and accessible to residents and visitors. The Corp. Nurse Consultant acknowledged it was not.