Skiatook Nursing Home,llc

Based on record review and interview, the facility failed to ensure residents were free from abuse for 2 (#1 and #2) of 3 sampled residents reviewed or abuse. The DON identified 32 residents resided in the facility. Findings: An undated facility policy titled Policy and Procedure Regarding Prohibition of Resident Abuse Including Corporal Punishment, Neglect and exploitation, read in part, Definitions: Abuse is the willing infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. An incident report, dated 07/28/25, showed CNA #2 reported to the administrator CNA #1 got in Resident #1's personal space and forced them to sit on the toilet. The report showed afterward Resident #1 pushed CNA #1, who then pushed the resident back. The report showed CNA #2 reported to the administrator CNA #1 rolled Resident #2 into the wall while changing the resident's bedding. The report showed Resident #2 hit their knees on the wall, causing some discoloration to their knees. 1.An undated admission form showed Resident #1 had…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to recognize and submit a report of abuse within 2 hours for 2 (#1 and #2) of 3 sampled residents reviewed for abuse. The DON identified 32 residents resided in the facility. Findings: An undated policy titled Policy and Procedure Regarding Responsibility to Report Allegations of Resident abuse, suspected Criminal Acts, Injury of Unknown Source, Neglect, Misappropriations of Property, and Exploitation, read in part, It is the policy of this facility to act on all allegations of abuse, neglect, misappropriation of resident property, exploitation, injuries of unknow source and suspected criminal acts which include reporting the allegations within the prescribed time frame to the appropriate authorities.An initial incident report made to the OSDH, dated 07/28/25, showed CNA #2 witnessed incidents of abuse on 07/27/25. The report showed CNA #2 reported to the administrator CNA #1 got in Resident #1's personal space and forced them to sit on the toilet. The report showed afterward Resident #1 pushed CNA #1, who then pushed the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure assessments were transmitted within seven days of completion for eight (#5, 11, 15, 16, 17, 18, 21 and #92) of 14 sampled residents whose assessments were reviewed. The administrator identified 38 residents who resided in the facility. Findings: 1. Resident #5 had diagnoses which included chronic obstructive pulmonary disease. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/11/24, had been submitted late. 2. Resident #11 had diagnoses which included cardiorespiratory conditions. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/27/24, had been submitted late. 3. Resident #15 had diagnoses which included depression. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/20/24, had been submitted late. 4. Resident #16 had diagnoses which included stroke. The MDS 3.0 NH Final Validation Report, dated 09/30/24 documented the quarterly assessment, dated 08/16/24, had been…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure comprehensive care plans were accurate for two (#14 and #31) of three sampled residents who were reviewed for revision of care plans. The administrator identified 38 residents who resided in the facility. Findings: 1. Resident #14 had diagnoses which included vascular dementia, chronic obstructive pulmonary disease, dysphagia, and weight loss. The care plan, dated 08/21/24, did not address any issues with food, difficulty eating, or swallowing. A physician order, dated 09/28/24, documented an order for a speech evaluation. A speech evaluation, dated 09/28/24, determined a regular diet, regular texture, and thin consistency for fluids with compensatory strategies was appropriate. The compensatory strategies included chin tuck, effortful swallows, small bits, and reflux precautions. 2. Res #31 had diagnoses which included metabolic encephalopathy and dementia. A physician order, dated 05/10/24, documented an order for hydroxyzine HCl (antihistamine medication) oral tablet 25 mg. Give 1 tablet by mouth every 4 hours as…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident assessment was accurate for one (#31) of 14 sampled residents whose resident assessments were reviewed. The administrator identified 38 residents who resided in the facility. Findings: Resident #31 had diagnoses which included metabolic encephalopathy, dementia, acute pain, and diabetes mellitus. A physician order, dated 05/17/24, documented an order for Cymbalta (SNRI medication) 60 mg. Give 1 capsule by mouth one time a day for depression. A physician assessment, dated July 2024, documented a diagnosis of anxiety. The MDS, dated [DATE], did not document a diagnosis of depression or anxiety. The care plan, dated 08/22/24, did not document a diagnosis of depression or anxiety. On 10/04/24 at 10:36 a.m., the administrator stated they were aware some resident MDS's and care plans were not updated. They stated they had a process in place and were trying to bring all records up to date.

Based on interview and record review, it was determined the facility failed to provide Notices of Medicare Non-Coverage for skilled services for three (#20, 21, #22) for three residents who were reviewed for beneficiary protection notification. The administrator identified three residents who had been discharged from medicare skilled services in the last six months. Findings: Resident #20 was admitted to Part A skilled services on 05/24/23, discharged from skilled services on 07/01/23 and remained in the facility. Resident #21 was admitted to Part A skilled services on 04/13/23, discharged from skilled services on 06/14/23 and left the facility. Resident #22 was admitted to Part A skilled services on 08/25/23, discharged from skilled services on 10/11/23 and left the facility On 10/30/23 at 2:30 p.m., the administrator was asked to provide the Notice of Medicare Non-Coverage (NOMNC), for the three residents discharged in the last six months. They stated they would ask the business office manager for them. On 10/30/23 at 2:45 p.m., the business office manager stated that according to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, observation, and interview, the facility failed to ensure residents were provided privacy during the provision of care for two (#22 and #34) of two sampled residents who were reviewed for privacy. The administrator identified 37 residents resided in the facility. Findings: 1. Resident #22 had diagnoses which included lymphedema and cellulitis of right lower limb. Physician orders, dated May 2022, documented the resident was to receive wound care to the left and right lower extremities every day shift and bilateral compression dressings on Monday, Wednesday, and Friday, day shift. On 05/11/22 at 10:52 a.m., LPN #1 was observed initiating wound care to resident #22 without providing privacy by closing the resident's door. At 5:58 p.m., LPN #1 stated she had not shut the door to resident #22's room prior to initiating wound care because the care wasn't anything private, it was her legs. On 05/12/22 at 9:18 a.m., the DON stated the resident's door should have been closed during wound care or if the room was semi-private, the privacy curtain should have been…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, observation, and interview, the facility failed to have an effective system to denote a resident's resuscitation status for three (#7, 22, and #31) of three residents who were reviewed for advance directives. The administrator identified 37 residents who resided in the facility. Findings: 1. Resident #7 had diagnoses which included severe intellectual disabilities. A review of the electronic clinical record revealed the resident did not have an advance directive. The electronic clinical record did not have a current physician order for code status and the Code Status in the heading of the electronic clinical record was blank. 2. Resident #22 had diagnoses which included chronic obstructive pulmonary disease and acute respiratory failure. A review of the electronic clinical record revealed the resident had an Advance Directive for Health Care and a signed Do Not Resuscitate (DNR) Consent Form. The electronic clinical record did not have a current physician order for code status and the Code Status in the heading of the electronic clinical record was blank. 3.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure services were provided to increase or prevent further decrease in range of motion for two (#7 and #26) of three residents reviewed for range of motion. The administrator identified 15 residents with limited range of motion. Findings: A review of the March and April 2022 restorative therapy schedule revealed no restorative therapy was documented 03/04/22 through 03/16/22 or 04/18/22 through 04/30/22. 1. Resident #7 had diagnoses which included severe intellectual disability and history of femur fracture. A quarterly MDS assessment (a resident assessment tool used to identify resident care needs), dated 02/17/22, documented the resident required extensive assistance with bed mobility and transfers and received restorative nursing therapy passive range of motion two of the past seven days. An ADL care plan, dated 02/17/22, read in parts, .has an ADL self-care performance deficit r/t Severe Intellectual Disability .left hip fracture .participates in the restorative care program . A care plan, dated 02/18/22, read in…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, observation, and interview, the facility failed to ensure: a. Infection control was maintained during wound care for one (#28) of one sampled resident who was observed for wound care; b. PPE was worn when providing care to a resident who was on contact isolation for one (#34) of one resident who was on transmission based precautions; c. Infection control was maintained during a finger stick blood sugar test for one (#10) of three residents who were observed during a finger stick blood sugar test; and d. Infection control was maintained during personal care for one (#31) of one sampled resident who was observed for personal care. The DON identified 37 residents who resided in the facility, one resident who was on transmission based precautions, and 18 residents who received finger stick blood sugar tests. Findings: 1. On 05/04/22 at 3:02 p.m., resident #28 was observed at the nurses' station with blood on their arm. LPN #1 cleansed the skin tear at the treatment cart in the hall, after cleansing the skin tear, the LPN did not perform hand hygiene. LPN #1…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure residents/representatives signed acknowledgement of the advance notice of discharge from Medicare Part A skilled services for one (#34) of three sampled residents who were reviewed for beneficiary protection notification. The DON identified three residents who had been discharged from Medicare Part A skilled services, with benefit days remaining, in the last six months. Findings: An undated facility instruction sheet titled, Form Instructions Advance Beneficiary Notice of Noncoverage (ABN), read in part, .Signature Box .Once the beneficiary reviews and understands the information contained in the ABN, the Signature Box is to be completed by the beneficiary (or representative) .The beneficiary (or representative) must sign the notice to indicate that he or she has received the notice and understands its contents . Resident #34's Medicare 5-day MDS assessment (a resident assessment tool used to identify resident care needs), dated 03/02/22, documented the resident was moderately impaired in cognition and participated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.