Wilkins Health & Rehabilitation Community

In the surveyor’s words

From the most serious findings on record at Wilkins Health & Rehabilitation Community, in the surveyor’s own words.

• Actual harm, patternF600Apr 15, 2021

  Based on observation, interview, and record review, it was determined the facility failed to ensure a dependent resident remained free from neglect for one (#2) of seven residents reviewed for abuse and/or neglect. Resident #2 was found to have wounds to the mid-back area after being left in a Geri chair for several hours without repositioning. The facility identified two allegations of abuse in the previous six months and seven residents with pressure ulcers and/or wounds. Findings: Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A physician order, dated 09/15/19, documented a Geri chair could be utilized for mobility and positioning every shift. […]

• No harm, potential for more than minimal, patternF637May 22, 2025

  Based on record review and interview, the facility failed to complete a comprehensive significant change assessment within 14 days for 2 (#3 and #23) of 2 sampled residents reviewed for a significant change in status. The administrator reported 114 residents resided in the facility. Findings: An undated significant change MDS policy showed a significant change in status assessment was triggered when there was a major change. The policy showed initiation or cessation of hospice care or a new diagnosis were examples of triggers for a significant change. The policy showed the facility must complete a significant change assessment within 14 days of identifying a significant change in a resident's condition. 1. […]

• No harm, potential for more than minimal, isolatedF689Mar 26, 2025

  On 03/25/25 at 5:45 p.m., the Oklahoma State Department of Health was notified and verified the existence of an immediate jeopardy situation related to the facility's failure to provide safety and interventions to prevent elopement from the facility. Resident #1 was a high risk for elopement and wandering and was let into the court yard unattended. Resident #1 exited through a gate located on the Southeast corner of the facility and staff did not identify and know the resident was missing. On 03/25/25 at 6:05 p.m., the administrator and director of nursing were notified of the immediate jeopardy and provided the immediate jeopardy template. On 03/26/25 at 11:45 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• No harm, potential for more than minimal, isolatedF689Jan 13, 2025

  Based on record review and interview, the facility failed to: a. provide adequate supervision and interventions to prevent falls which resulted in injury for one (#1) of three sampled residents reviewed for falls; and b. provide adequate supervision and interventions to prevent elopement for one (#4) of three sampled residents reviewed for elopement. The DON reported 109 residents resided in the facility. The DON reported two residents had eloped in the previous six months and four residents were at risk for elopement/wandering behaviors. […]

• No harm, potential for more than minimal, isolatedF644Jan 29, 2024

  Based on record review and interview, the facility failed to notify OHCA of residents with a new diagnosis of a serious mental illness, for two (#6 and #18) of two residents sampled for PASRR assessments. The administrator reported a census of 101 residents. Findings: 1. Res #6's PASRR level I assessment, dated 01/13/16, documented no evidence or diagnoses of severe mental illness. A care plan, dated 11/26/23, documented the resident was at risk for decline of psychosocial well-being related to depression and anxiety, as well as a diagnosis of schizophrenia and bipolar disorder. The care plan addressed verbal behaviors. Res #6's clinical record documented a diagnosis of bipolar disorder on 07/22/14 and schizophrenia on 01/23/16. […]