WARR ACRES NURSING CENTER
LOCATED: 6501 NORTH MACARTHUR, OKLAHOMA CITY, OK 73132

WARR ACRES NURSING CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO ASSURE THAT EACH RESIDENT RECEIVES AN ACCURATE ASSESSMENT BY THE STAFF THAT ARE QUALIFIED TO ASSESS RELEVANT CARE AREAS AND KNOWLEDGEABLE

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on a comprehensive assessment of a resident, the facility must ensure that residents who have not used antipsychotic drugs are not given these drugs unless antipsychotic drug therapy is necessary to treat a specific condition as diagnosed and documented in the clinical record; and residents who use antipsychotic drugs receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs.

This Requirement is not met as evidenced by:

Based on observation, record review. And interview, it was determined the facility failed to ensure unnecessary medications for 5 (#2. 5, 6, 9. and #10) of 15 sampled residents whose clinical records were reviewed for unnecessary medication. The unnecessary medications were in regard to a urinary tract infection (UTI), diagnoses and monitoring of behaviors related to antianxiety and antipsychotic medication. The facility census was 89. Findings:

Resident #6 had diagnoses to include delirium due to a known physiological condition, anxiety disorder, major depressive disorder. And dementia. The quarterly assessment dated 12/02/15 documented the resident was cognitively intact. The assessment documented the resident had experienced no signs/symptoms (s/s) of delirium, and no hallucinations or delusions in the 7 days prior to the assessment. The assessment documented she had been administered an antipsychotic medication 7 of the 7 days prior to the assessment. The care plan dated 12/08/15 documented the resident was at risk for complications related to psychotropic medication which included Ability (an antipsychotic medication). The care plan documented the specific behaviors were to be identified which warranted as needed dosing. There was no documentation to indicate specific behaviors for which Abilify was ordered/administered.

The behavior/intervention flow record dated 01/2016 did not identify behaviors to be monitored. The flow record documented “[side effects] only” and did not identify Ability as a medication monitored.

On 02/02116 at 11:00 a.m., the director of nurses (DON) was asked if dementia was an appropriate diagnosis for the administration of Abilify. He stated, “No.” He was shown the behavior flow record and asked if yelling was a behavior for which an antipsychotic (Ability) medication should be administered. He stated, “No.” He was asked if a behavior flow record for the monitoring of Abilify had been completed for 01/2016. He stated he could not find one.

Personal Note from NHA-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 and your loved one 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 below or on the sidebar 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.