COWETA, OK- COWETA CARE & REHAB 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.

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

Based on record review, observation, and interview, the facility failed to ensure three of three shower rooms, which contained chemicals were locked and secure.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Based on observation, record review, and interview, the facility failed to ensure the urinary drainage bag was properly positioned for one (#48) of one resident observed for urinary catheter.

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

Based on observation, record review, and interview, the facility failed to ensure dependent residents were offered/received baths according to preference for one (#15) of one sampled resident who was reviewed for ADLs.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Based on observation, record review, and interview, the facility failed to ensure range of motion interventions were implemented for one (#47) of one sampled resident who was reviewed for limited range of motion.

Ensure each resident receives an accurate assessment.

Based on record review and interview, the facility failed to ensure assessments were accurate for one (#55) of 24 sampled residents whose assessments were reviewed.

Ensure residents have reasonable access to and privacy in their use of communication methods.

Based on record review and interview, the facility failed to ensure mail delivery to residents on Saturdays.

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Based on record review and interview, it was determined the facility failed to ensure the discharge was documented in the resident medical record for one (#78) of one sampled resident for discharge.

Provide enough food/fluids to maintain a resident’s health.

Based on record review and interview, the facility failed to ensure weights were monitored as recommended by the registered dietitian for one (#56) of one sampled resident for nutrition.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Based on record review and interview, the facility failed to ensure residents on antipsychotic medications were assessed for tardive dyskinesia for three (#3, 34, and #32) of five sampled residents reviewed for unnecessary medications.

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 securely stored for two (100/200 hall medication cart and 500/600 hall medication cart) of four medication carts observed.

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

Based on observation and interview, the facility failed to ensure food was served at a palatable temperature for one (noon meal) of one meal observed for palatability.

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Based on observation, record review, and interview, the facility failed to ensure snacks were offered in the evening for seven (#8, 13, 53, 63, 79, 41, and #39) of seven sampled residents reviewed for snacks.

Provide and implement an infection prevention and control program.

Based on observation, record review, and interview, the facility failed to ensure infection control protocols were followed during medication administration.