TULSA, OK- LEISURE VILLAGE HEALTH CARE 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.

Protect each resident from the wrongful use of the resident’s belongings or money.

Based on observation, record review, and interview, the facility failed to prevent misappropriation of a controlled substance for one (#70) of one sampled resident reviewed for misappropriation of property.

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 assistance for activities of daily living (bathing, incontinent care, and nail care) for three (#35, 59 and #28) of five sampled residents reviewed for ADL care.

The Resident Census and Condition of Residents report, dated 07/19/23, documented 15 residents were dependent for bathing, census was 78.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Based on record review, observation, and interview, the facility failed to provide proper cleaning and storage of a suction machine for one (#37) of one resident reviewed for cleaning and storage of a suction machine.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Based on observation, record review, and interview, the facility failed to ensure a care plan intervention (low air loss mattress) was in place for pressure ulcer prevention for one (#35) of four residents reviewed for pressure ulcers.

The Resident Census and Condition of Residents report, dated 07/19/23, documented eight residents had pressure ulcers.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Based on observation, record review and interview, the facility failed to ensure staffing ratios were met to provide supervision and assistance as needed for one (#73) of six residents reviewed for staffing.

The Resident Census and Conditions of Residents report, dated 07/19/23, documented 27 residents were dependent on staff for toileting and transfers, 34 residents required assistance of one or more staff for transfers, and 44 residents required assistance of one or more staff for toileting.

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 a medication was available to administer as ordered by the physician for one (#132) of five sampled residents reviewed during medication pass observation.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Based on record review and interview, the facility failed to monitor for side effects related to the use of psychotropic medications for four (#42, 54, 61, and #78) of five sampled residents reviewed for unnecessary medications.

The Resident Census and Condition of Residents report, dated 07/19/23, documented 24 residents received antianxiety medications, and 51 residents received antidepressant medications.

Ensure medication error rates are not 5 percent or greater.

Based on observation, record review, and interview, the facility failed to ensure medication pass was less than five percent error rate for two (#132 and #16) of five residents reviewed during the medication pass observation. The medication pass error rate was 11.11%

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Based on observation, record review, and interview, the facility failed to serve a mechanically altered diet for one (#42) of three sampled residents reviewed for diets.

A Resident Census and Condition of Residents report, dated 07/19/23, documented 24 residents received mechanically altered diets for pureed/chopped and census was 78.