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Oklahoma City, OK – Elopement, Falls, Resident Retrained, Untrained Staff, MD not Notified, Severe Weight Loss – 129 Pages of Deficiencies

EDWARDS REDEEMER HEALTH & REHAB

Located: 1530 NORTHEAST GRAND BLVD, OKLAHOMA CITY, OK 73117

EDWARDS REDEEMER HEALTH & REHAB was recently cited in June of 2014 by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

Please be advised: The following highlighted quoted text is ONLY a small portion of the full report/survey. The full report/survey can be found here.

FAILURE TO NOTIFY PHYSICIAN OF SEVERE WEIGHT LOSS

Based on record review and staff interview, it was determined the facility failed to ensure a resident’s physician was notified regarding a change of condition.

Continuing: There was no documentation in the clinical record to indicate the facility had notified the physician of the resident’s severe weight loss prior to 04/23/14.

RESIDENT RESTRAINED

Based on observation, interviews and record review, it was determined the facility failed to ensure one (#64) of one sampled resident was free of restraints

Continuing: There was no documentation the facility assessed the resident prior to placing her in the restraint.

Continuing: At 1:47 p.m., the DON was asked if the care plan was fully developed to address the resident’s use of a restraint. She stated, “I looked at it and it is not good.” She then stated there were no assessments done, risks versus benefits, consent and had no medical symptoms for the restraint use.

FAILED TO ASSESS DECLINING CHANGES IN PHYSICAL AND MENTAL STATUS

Based on observation, record review, and interview, it was determined the facility failed to ensure a significant change assessment was conducted when a resident’s cognition, behavior and physical status declined

Continuing: No significant change assessment was completed between the 60 day and 90 day Medicare assessments when the resident was now receiving an anti-psychotic, anti-depressant and hypnotic medication 7 days a week.

FAILED TO FOLLOW CARE PLANS

Based on record review and staff interview, it was determined the facility failed to ensure care plans reflected the current status

Continuing: The surveyor asked the DON if the severe weight loss and lactose intolerance should have been addressed in the care plan. She stated, “Yes.”

FAILED TO PREVENT FALLS

Based on observation, interview and record review, it was determined the facility failed to implement interventions to reduce the occurrence of falls

Continuing: The resident’s care plan had not been reviewed and revised after the resident had seven falls two with injuries, between 03/02/14 and 06/08/14.

Continuing: Failed to ensure interventions were put into place and adequate supervision was provided to prevent falls for one (# 59) of five sampled residents who had experienced one or more falls since January 2014. This deficient practice resulted in actual harm to the resident due to sustaining a compression fracture of the spine.

FAILED TO TRAIN NURSING STAFF

Based on observation, record review and interview, it was determined the facilty failed to ensure licensed nursing staff were trained in the care/management of an implanted intravenous port site

FAILED TO PROVIDE ADEQUATE SUPERVISION TO PREVENT ELOPEMENT

Based on observation, interview and record review, it was determined the facility: a. failed to ensure residents who were at risk for elopement were provided adequate supervision and interventions were put into place to prevent elopement of residents. This affected one (# 59) of three sampled residents whose records were reviewed for elopement risks. This resulted in an immediate jeopardy.

Personal Note from NHAA Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately. We can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here or call our toll free hot line number: 1-800-645-5262

You can make a difference even if your loved one has already passed away

 

 

 

 

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One Response to “Oklahoma City, OK – Elopement, Falls, Resident Retrained, Untrained Staff, MD not Notified, Severe Weight Loss – 129 Pages of Deficiencies”

  1. Kimberly Payne says:

    In april of 2013 my husband lived at Edwards Redeemer nursing home vanco Payne i came in this facility about 1:30pmand found my husband

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