Tulsa Nursing Center

In the surveyor’s words

From the most serious findings on record at Tulsa Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Mar 12, 2025

  Based on record review and interview, the facility failed to ensure care plans were reviewed and revised after each assessment for 2 (#5 and #18) of 21 sampled residents whose care plans were reviewed. The administrator identified 96 residents who resided in the facility. Findings: 1. Resident #5 had diagnoses which included chronic obstructive pulmonary disease. The care plan showed the last review was completed on 09/11/24. Review of the clinical record showed a quarterly assessment had been completed on 01/21/25. On 03/12/25 at 2:05 p.m., corporate MDS coordinator #1 stated Resident #5's care plan was currently being reviewed and revised. They stated the last review was completed on 09/11/24. […]

• No harm, potential for more than minimal, patternF756Mar 12, 2025

  Based on record review and interview, the facility failed to ensure monthly medication reviews were completed for 4 (#2, 16, 66, and #69)of 5 sampled residents who were reviewed for unnecessary medications. The administrator and corporate nurse consultant identified 96 residents who received medications. Findings: 1. Resident #2 had diagnoses which included depression. A Medication Monitoring Medication Regimen Review and Reporting policy, dated January 2024, read in part, The consultant pharmacist reviews the medication regimen and medical chart of each resident at least monthly to appropriately monitor the medication regimen and ensure that the medications each resident receives are clinically indicated.The findings are communicated to the director of nursing or designee and the medical… […]

• No harm, potential for more than minimal, patternF698Oct 31, 2022

  Based on record review and interview, the facility failed to ensure pre and post [CONDITION(S)] assessments were completed for one (#24) of one residents who were reviewed for [CONDITION(S)]. The Resident Census and Conditions of Residents form identified five residents who received [CONDITION(S)]. Findings: A [CONDITION(S)]-Hemodialysis policy, dated 02/12/20, read in parts, .Pre [CONDITION(S)]: Section A to be completed by the sending community licensed nurse and to accompany patient to the [CONDITION(S)] center .Post [CONDITION(S)]: Community nurse to assess and complete Section C . Resident #24 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the current physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF700Oct 31, 2022

  Based on observation, record review, and interview, the facility failed to review alternatives to bed rails with the resident and/or resident representative and failed to maintain the bedrails in safe condition for one (#19) of one resident evaluated for bed rails. The corporate nurse consultant identified 18 residents who utilize bed rails. Findings: An Enablers including Bed Rails policy, revised 09/14/18, read in parts, .The nursing staff will use enablers, whenever possible, in lieu of restraints, to assist the resident to obtain, maintain and enhance their functional status, and improve their quality of life .Residents will be assessed for the need or desire to have bed rails upon admission, readmission, quarterly and with significant change of condition .Assess the resident for the… […]

• No harm, potential for more than minimal, patternF684Aug 3, 2022

  Based on record review and interview, the facility failed to ensure wound care was performed as ordered by the physician for one (#3) of one sampled resident who was reviewed for non-pressure ulcer realted wound care. The DON identified four residents who had non pressure ulcer wounds. Findings: Resident #3 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An admission MDS assessment, dated 05/21/22, documented the resident's cognition was intact and required supervision with bed mobility, and transfers. A physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . A TAR, dated 07/13/22 through 07/30/22, documented the wound care to the right front calf had not been completed on 07/16/22 and 07/17/22. […]