Thunder Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Thunder Care and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 14, 2025

  On 02/11/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Resident #1 from sexual abuse. Resident #1 was observed in Resident #2's bed. Resident #2 was observed by staff to have their hand down Resident #1's pants and was observed to suck on Resident #1's breast. Resident #1 was severely cognitively impaired for daily decision making and had not been evaluated for the capacity to consent to a sexual relationship. Resident #2 was cognitively intact for daily decision making. Resident #1 was known to wander in the facility and enter other resident rooms, as well as, seek out Resident #2. A progress note, dated 12/03/24, showed Resident #2 was laying in bed with Resident #1 and they were redirected. […]

• Immediate jeopardy, patternF607Feb 14, 2025

  On 02/11/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to implement the abuse policy and procedure to identify an incident of sexual abuse. Resident #1 was observed in Resident #2's bed. Resident #2 was observed by staff to have their hand down Resident #1's pants and was observed to suck on Resident #1's breast. Resident #1 was severely cognitively impaired for daily decision making and had not been evaluated for the capacity to consent to a sexual relationship. Resident #2 was cognitively intact for daily decision making. Resident #1 was known to wander in the facility and enter other resident rooms, as well as, seek out Resident #2. […]

• Immediate jeopardy, isolatedF600Aug 7, 2025

  This CMS-2567 was amended following an administrative review conducted on 09/05/2025. ER on [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect residents from Res #1's sexual abuse.Res #1 had a known history of sexually inappropriate behaviors and there was no evidence the facility had assessed or investigated to identify the potential risk to other residents related to Res #1's behaviors.On 08/05/25 at 2:49 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation.On 08/05/25 at 3:07 p.m., the COO and the corporate nurse consultant were notified of the presence of an IJ situation related to residents not being free from Res #1's sexual abuse. […]

• Actual harm, isolatedF600Oct 16, 2025

  Based on record review and interview, the facility failed to protect residents from neglect and abuse for 2 (#1 and #10) of 4 sampled residents reviewed for neglect and abuse. The administrator identified 115 residents resided in the facility. Findings:An Abuse and Neglect policy, revised 08/12/22, read in part, It is the policy of this facility to maintain an abuse free environment.Mental abuse includes but is not limited to abuse that is facilitated or caused by nursing home staff threatening, demeaning.1.A Quarterly assessment, dated 09/20/25, showed Resident #1 had diagnoses of spina bifida and quadriplegia and a brief interview for mental status score of 12 indicating moderate cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF925Oct 16, 2025

  Based on record review and interview, the facility failed to maintain an effective pest control program.The administrator identified 115 residents resided in the facility.Findings:A Pest Control policy, revised May 2008, read in part, this facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.A Service Inspection Report, dated 07/24/25, showed cockroach activity was found in room [ROOM NUMBER]'s dresser. The cockroaches were physically removed from the room.A Service Inspection Report, dated 07/31/25, showed light cockroach activity was found in room [ROOM NUMBER] and 405. The cockroaches were physically removed from the room.A Service Inspection Report, dated 08/20/25, showed two baby cockroaches were found in the broom closet. […]