CALERA MANOR, LLC
LOCATED: 1061 NORTH ACCESS ROAD, CALERA, OK 74730

CALERA MANOR, LLC 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**

Based on the comprehensive assessment of a resident, the facility must ensure that a resident who enters the facility without pressure sores does not develop pressure sores unless the individual’s clinical condition demonstrates that they were unavoidable; and a resident having· pressure sores receives necessary treatment and services to promote healing, prevent Infection and prevent new sores from developing.

This REQUIREMENT is not met as evidenced by:

Based on record review, interview, and observation, it was determined the facility failed to ensure a resident with pressure ulcers received treatment and services to promote healing for one (#25) of three residents sampled for pressure ulcers. The facility failed to:

1. a) Accurately stage pressure ulcers.
2. b) Consistently describe the wound beds of the pressure ulcers.
3. c) Notify the physician about an odor from a pressure ulcer for ten days which delayed the treatment.

The Director of Nursing (DON) identified five residents residing in the facility with pressure ulcers.

On 07/20115 at 8:58 am, licensed practical nurse (LPN) #1 was asked why the resident’s pressure ulcer .was staged as a stage II when the ulcer had a 2.0 cm depth. The LPN said she did not know she could up-stage the wounds. She said she thought a registered nurse was supposed to stage the pressure ulcers.

On 07/22115 at 4:14 pm. the DON was asked about the inaccurate staging and incomplete documentation of the pressure ulcers. She stated she in serviced the nurses yesterday about the issues. She said the pressure ulcers with slough or eschar should have been staged as unstageable. The DON said she explained to the nurses they could Increase stage severity of the pressure ulcers but the pressure ulcers could not be staged down to lower stage.

On 07/23/15 at 9:05 am, the resident was observed receiving a pressure ulcer treatment to her right hip. The pressure ulcer was an approximate 0.2 cm pink open area.

On 07/23/15 at 10:15 am, the DON was asked why the physician was not contacted about the odor from the pressure ulcer until ten days later on 04/16/15. She stated she did not feel the odor was from an infection but was from necrotic tissue.

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.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.

We can help you and your loved one file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

You can make a difference even if your loved one has already passed away.