BROKEN ARROW, OK- FOREST HILLS CARE AND REHABILITATION CENTER

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey.

Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Based on record review and interview, the facility failed to ensure accurate code status for one (#55) of four sampled residents who were reviewed for advance directives.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Based on record review and interview, the facility failed to ensure resident representatives were notified of changes in condition for one (#89) of one sampled resident who was reviewed for notification of change.

Ensure each resident receives an accurate assessment.

Based on record review and interview, the facility failed to ensure medications and weights documented in the MDS were accurate for one (#68) of 25 sampled residents who were reviewed for MDS accuracy.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Based on record review and interview, the facility failed to ensure a baseline care plan was completed within 48 hours for one (#120) of one sampled resident reviewed for baseline care plan.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Based on record review and interview, the facility failed to ensure showers were provided for one (#172) of seven sampled residents reviewed for bathing.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Based on observation and interview, the facility failed to ensure chemicals were secured for one (300 hall) of five halls observed for storage of chemicals.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Based on observation, record review, and interview, the facility failed to ensure controlled medications were reconciled for one (500 hall) medication cart of seven medication/treatment carts observed.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation and interview, the facility failed to ensure medications were labeled and not expired for three (200 hall treatment cart, 600 hall treatment cart, and 500 hall medication cart) of seven medication/treatment carts observed.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Based on observation, record review, and interview, the facility failed to ensure food contained nutritive value, was palatable, and served at preferred temperatures.

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Based on observation, interview and record review, the facility failed to ensure food was provided to residents in a manner required for their needs to prevent choking.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observation and interview, the facility failed to ensure a sanitary environment, provide food and drink at safe temperatures.