Baptist Village of Oklahoma City

Inspectors wroteBased on observation, record review, and interview, the facility failed to protect 1 (#106) of 2 sampled residents reviewed for abuse. Resident #106 was physically abused by Certified Nurse Aide # 8 causing two red marks on their right leg that was tender to touch. This caused Resident #106 to be afraid of the CNA. The administrator identified 95 residents resided in the facility

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide safe resident transfers for 1 (#65) of 3 sampled residents reviewed for accidents. The administrator identified 95 resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure enhanced barrier precautions were utilized for two of two (#1 and #3) residents observed with indwelling devices. A Resident/Guest Suite List, dated 10/15/24, documented 96 residents were residing at the facility.

Inspectors wroteBased on record review and interview, the facility failed to prevent a CNA from physically restraining one resident (#4) of three sampled residents reviewed for abuse. A Resident/Guest Suite List, dated 10/15/24, documented 96 residents were residing at the facility and 30 of the residents were in memory care.

Inspectors wroteOn 07/15/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facilities failure to ensure the shower room door on the memory care unit closed and locked behind them to ensure residents were not able to enter the room. On 7/15/24, during initial tour, the shower room floor was wet and slippery, there was a hair dryer placed in the grab bar area and it was plugged it to the electrical outlet. There were greater than 10 bottles of shampoos, conditioners, alcohol based surface cleaner, and shaving cream covering over half of the shower bench. The cabinet in the shower room was unlocked, razors within reach. Staff stated the shower room door was supposed to close behind them automatically. [...]

Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent a decrease in range of motion for one (#40) of one sampled resident reviewed for limited range of motion. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to review medications for a gradual dose reduction for four (#14, 33, 40, and #41) of five sampled residents reviewed for unnecessary medications. The DON identified 14 residents were on psychotropics medications in the facility.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure breakfast menu was posted.

Inspectors wroteBased on record review and interview the facility failed to notify residents they were allowed to have resident council without staff present. The facility's deficient practice interfered with the resident's right to hold group meetings privately. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the ombudsman's contact information was posted in view of residents. The facility's deficient practice interfered with the resident's rights to communicate and access the state's ombudsman office. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on interview, the facility failed to provide mail delivery to residents on Saturdays. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure survey results were readily accessible/available to residents and visitors. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents and resident representatives were able to file a grievance form anonymously and post information regarding the name of the grievance official. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide care in a timely manner to a resident with a fractured finger for one (#40) of three sampled residents reviewed for falls. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was assessed for the use of bed rails, an order and consent had been obtained prior to installation for two (#4 and #19) of two sampled residents reviewed for bed rails. The DON identified 13 residents who used bedrails in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. food items were labeled, dated and stored according to facility policy; b. proper food handling practices were followed to prevent the outbreak of foodborne illness; c. that staff changed gloves between task and according to facility policy; d. proper sanitization pratices or safety of the residents according to facility policy; e. hot food temperatures were documented according to facility policy.

Inspectors wroteBased on observation and interview, the facility failed to ensure call devices were accessible to residents for two (#17 and #58) of 28 resident observed for call lights in the memory care unit. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to promote resident dignity by staff standing over a resident while assisting them to eat. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident had a physician order and an assessment to self-administer medications for one (#1) of one sampled resident reviewed for self-administration of medications. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to accurately complete a quarterly assessment for one (#45) of 21 sampled residents for accurate MDS assessments. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a care plan was revised to include the use of bed rails for two (#4 and #19) of two sampled residents whose care plans were reviewed for bed rail use. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen tubing and concentrator filters were changed per physician's order for one (#4) of one resident sampled for respiratory care. The DON identified 11 residents used supplemental oxygen in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staffing information, which included the facility name, date, actual hours worked for RNs, LPNs, CMAs, and CNAs, and the resident census was posted in a prominent place readily accessible to residents and visitors. The DON identified 101 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain infection control while handling wet linens. The DON identified 28 resident resided on the memory care unit.

Inspectors wroteBased on record review and interview, the facility failed to ensure a facility assessment was updated annually. The DON identified 101 residents resided in the facility.