MCALESTER, OK- WALNUT GROVE 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 each resident receives an accurate assessment.

Based on record review and interview, the facility failed to ensure a resident assessment was accurate for one (#34) of 25 sampled residents whose assessments were reviewed for accuracy.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Based on record review and interview, the facility failed to refer a resident with a new mental health
diagnosis to OHCA for a PASRR level II evaluation for one (#48) of four sampled residents reviewed for PASRR.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Based on record review and interview, the facility failed to develop a comprehensive care plan for one (#54) of five sampled residents whose care plans were reviewed.

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Based on record review and interview, the facility failed to complete a discharge summary for two (#58 and #59) of two closed records reviewed.

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 provide nail care for a resident who was unable to carry out activities of daily living for one (#35) of 25 sampled residents.

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 assess residents for the continued need for indwelling urinary catheters for one (#2 ) of two sampled residents reviewed for an indwelling urinary catheter.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Based on record review and interview, the facility failed to implement a physician agreed upon pharmacist MRR recommendation for one (#31) of five sampled residents reviewed for unnecessary medications.

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 food was labeled and stored in a sanitary manner.

Provide and implement an infection prevention and control program.

Based on observation and interview, the facility failed to properly inform visitors and staff of residents who were in isolation on transmission based precautions for three (#13, 19, and #48) of three sampled residents who tested positive for COVID.