DRUMRIGHT NURSING HOME
LOCATED: 701 N. BRISTOW AVENUE, DRUMRIGHT, OK 74030

DRUMRIGHT NURSING HOME 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 GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR
HEAL EXISTING BED SORES.

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

On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility’s failure to have an

effective system for the care of a resident with pressure ulcers. The facility failed to implement medical and nutritional interventions to promote the healing of pressure ulcers and aid in the prevention of new pressure ulcers; conduct accurate and thorough pressure ulcer assessments; notify the physician of worsening pressure ulcers; and ensure nursing staff had the necessary skills sets to care for residents with pressure ulcers.

The resident was admitted to the facility on [DATE] with one stage II pressure ulcer on the right buttock that measured 2 cm x 3 cm. The resident subsequently developed additional pressure ulcers on the left buttock and the sacrum.

The resident was sent to the hospital on [DATE], with increasing weakness, decreased oxygen saturation levels, and worsening pressure ulcers.

Hospital records documented upon arrival to the hospital, the resident was found to be septic, with an advanced stage III to IV sacral pressure ulcer with active drainage, necrotic tissue, bone exposure, and tunneling into the right and left gluteal muscles and pelvic area. The pressure ulcer required a 10 cm x 10 cm x 7 cm surgical debridement with [DEVICE] treatment. Biopsies of the debrided area revealed [MEDICAL CONDITION] of the soft tissue and osteo[DIAGNOSES REDACTED] in the sacral bone.

The resident expired in the hospital on [DATE].

Based on observation, interview, and record review, it was determined the facility failed to:

~ perform initial and ongoing thorough skin and pressure ulcer assessments;

~ notify the physician of new pressure ulcers or the worsening of existing pressure ulcers;

~ implement medical and nutritional interventions to aid in the healing of pressure ulcers;

~ obtain physician orders [REDACTED].

~ ensure staff was competent in their skills sets for the delivery of pressure ulcer treatments and management

for two (#3 and #4) of four sampled residents who had pressure ulcers. The facility identified no residents as having pressure ulcers.

Resident #3 was admitted to the facility on [DATE] with one stage II pressure ulcer. The resident was sent to the hospital on [DATE], and was found to be septic, with an advanced stage III to IV sacral pressure ulcer with active drainage, necrotic tissue, bone exposure, and tunneling into the right and left gluteal muscles and pelvic area. The pressure ulcer required a 10 cm x 10 cm x 7 cm surgical debridement with [DEVICE] treatment. Biopsies of the debrided area revealed [MEDICAL CONDITION] of the soft tissue and osteo[DIAGNOSES REDACTED] in the sacral bone. The resident expired in the hospital on [DATE].

Resident #4 developed a facility acquired unstageable pressure ulcer to the left buttock. The facility had knowledge of the pressure ulcer and did not notify the physician of the pressure ulcer for a minimum of three days.

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.