Western Skilled Nursing and Therapy

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 11, 2022

  On 01/04/22 at 7:06 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to a third degree burn resulting from a hot pack treatment. The facility had no policy and procedure in place to ensure safe treatment with a hot pack. There was no physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] . On 12/02/21 a CNA applied a hot pack which resulted in blisters to the resident's left chest/shoulder area. The resident was later diagnosed with third degree [CONDITION(S)]. At 7:18 p.m., the administrator was informed of the existence of the immediate jeopardy. A request was made for an acceptable plan to remove the immediacy. On 01/05/22 at 11:07 a.m., the plan of removal was accepted by the Oklahoma State Department of Health. […]

• Immediate jeopardy, isolatedF689Jan 11, 2022

  On 01/04/22 at 7:06 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to a third degree burn resulting from a hot pack treatment. The facility had no policy and procedure in place to ensure safe treatment with a hot pack. There was no physician order for a hot pack treatment, and the facility failed to assess and monitor a resident during treatment. On 12/02/21 a CNA applied a hot pack which resulted in blisters to the resident's left chest/shoulder area. The resident was later diagnosed with third degree [CONDITION(S)]. At 7:18 p.m., the administrator was informed of the existence of the immediate jeopardy. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2026

  Based on observation, record review, and interview, the facility failed to ensure raw eggs were not stored above raw tomatoes and lettuce in the refrigerator to prevent food borne illness. The DON identified 22 residents in the facility received food from the kitchen.Findings: On 07/28/26 at 11:20 a.m., a tray of raw pasteurized eggs was stored on the top shelf of one of the facility's refrigerators used to store food for residents. The tray of eggs was observed to be stored directly above raw tomatoes and lettuce that were uncovered. A policy titled Food Storage, dated 04/30/09, read in part, Food items will be stored, thawed, and prepared in accordance with approved sanitary practices. […]

• No harm, potential for more than minimal, patternF584Dec 7, 2023

  Based on observation, record review and interview, the facility failed to maintain a homelike environment for one (#21) of 16 sampled residents. Findings: A Maintenance Policy, dated 06/27/06, read in parts .The facility shall provide a safe, functional .and comfortable environment for residents, staff and public .In the event that an item is in need of repair, the defect should be reported to the maintenance department on form ., and the maintenance department will repair them promptly. If the skill to repair is beyond the ability of the facility staff, an outside vendor will be called in the case of emergency, or [company name] will be called for repair . 1. […]

• No harm, potential for more than minimal, patternF604Jan 6, 2023

  Based on record review, observations, and interview, the facility failed to ensure an assessment had been completed monthly to ensure the continued need for a lap belt restraint for one (#14) of two sampled residents with lap belt restraints. The Resident Census and Conditions of Residents form, dated 01/04/23, documented two residents had restraints. Findings: A Restraint and Non-Restraint devices policy, dated 05/15/01, read in parts: .provide an environment .discourages the use of restraints, or when required, the least restrictive device in the least restrictive manner .A Monthly Restraint .Assessment .will be completed .determine the continued need for the use of the restraint .document recommendations for changes . […]