University Village Retirement Community

In the surveyor’s words

From the most serious findings on record at University Village Retirement Community, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 4, 2022

  On 03/29/22, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure the resident received adequate supervision and assistive devices to prevent accidents. The facility documented interventions for falls which were not initiated or inconsistently applied. The multiple falls resident #2 incurred resulted in fractured cervical vertibrae and a closed head injury. On 03/29/22 at 3:15 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. At 3:24 p.m., the administrator was notified of the IJ situation. On 03/30/22 at 3:51 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: .1. […]

• Actual harm, isolatedF686Apr 4, 2022

  Based on record review, observation, and interview, the facility failed to prevent the development of pressure ulcers nor provide the care to promote healing of pressure ulcers for one (#2) of three residents whose clinical records were reviewed for pressure ulcer care. The facility census and condition identified 14 residents with pressure ulcers. Findings: Resident #2 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission assessment, dated 11/18/21, documented the resident was always continent of bowel and bladder. The assessment documented the resident's skin was intact. The care plan, dated 12/07/21, documented the resident had the potential for impaired skin integrity and set a goal for her skin to remain intact, free of redness, blisters, and/or discoloration. […]

• No harm, potential for more than minimal, patternF804Dec 5, 2024

  Based on observation, record review, and interview, the facility failed to ensure meals were palatable for three (#22, 47 and #54) of three residents who were reviewed for food palatability. The staff engagement coordinator identified 71 residents who received nourishment from the kitchen. Findings: A Food and Nutrition Services policy, revised October 2017, read in part, Food and nutrition services staff will inspect food trays to ensure that the .food appears palatable and attractive, and it is served at a safe and appetizing temperature. On 12/02/24 at 11:05 a.m., a hotbox arrived to the satellite kitchen for the [NAME] hall. Food was removed from the hotbox and placed on the steam table. On 12/02/24 at 11:11 a.m., DA #1 was observed to obtain temperatures of the food. […]

• No harm, potential for more than minimal, patternF812Dec 5, 2024

  Based on observation, record review, and interview, the facility failed to ensure foods were served in a sanitary manner in two of two dining areas. The staff engagement coordinator identified 65 resident who ate food in the dining rooms. Findings: A Food Handling policy statement, revised July 2014, read in part, Food will be .served so that the risk of foodborne illness is minimized. On 12/02/24 at 11:17 a.m., in the satellite kitchen on [NAME] hall, DA #1 was observed to pour ice from a large scoop into multiple glasses and used their gloved hand to guide the ice into the cups. […]

• No harm, potential for more than minimal, patternF848Dec 5, 2024

  Based on record review and interview, the facility failed to ensure arbitration agreements contained language which indicated a neutral arbitrator would be utilized and the arbitration would take place at a venue convenient to both parties for three (#20, 38, and #120) of three sampled residents who were reviewed for arbitration agreements. The administrator identified 56 residents who had signed an arbitration agreement. Findings: The admission packet contained the following document which read in part, 8. Arbitration .such Dispute be settled by arbitration, which shall be conducted in Tulsa County, OK in accordance with [company name withheld] Rules of Procedure for Arbitration. The arbitration agreement did not indicate a neutral arbitrator would be utilized. 1. […]