Checotah Nursing Center

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure hot liquids were served at a safe temperature for 2 (#1 and #2) of 4 sampled residents reviewed for handling of hot liquids. The assisted director of nursing identified four residents were at risk for burns with hot liquids.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents with money held in a trust received quarterly statements for 16 of 16 residents reviewed for money managed in a trust. The BOM identified 16 residents had monies managed by the facility in a trust.

Inspectors wroteBased on observation, record review, and interview, the facility failed to:a. ensure the kitchen area was kept clean, andb. not serve unpasteurized eggs that were not fully cooked for residents who ate meals prepared by the kitchen. The director of nursing identified 39 residents received meals prepared by the kitchen.

Inspectors wroteBased on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours seven days per week during the month of October 2025. The administrator identified 43 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to maintain a clean comfortable environment for 1 (#4) of 3 sampled residents reviewed for homelike environment. The administrator identified 43 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to provide adequate assistance to prevent a resident from sliding out of a mechanical lift for 1 (#7) of 3 sampled residents reviewed for accident hazards. The administrator identified 43 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure interventions were put in place to protect one (#1) of three residents reviewed for abuse. This had the potential to affect all residents. The DON identified 29 residents who resided in the facilty.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure respiratory care was provided with professional standards of practice for four (#9, 19, 23, and #24) of four sampled residents reviewed for respiratory care. The director of nurses identified 5 residents who received respiratory care.

Inspectors wroteBased on observation, record review, and interview, the facility failed to employ enough staff to carry out the functions of the food and nutrition service. The dietary manager identified 28 residents who received meals prepared by the kitchen and one resident who received nutrition via tube feeding.

Inspectors wroteBased on record review and interview, the facility failed to have a system of surveillance and monitoring designed to identify and prevent Legionnaires' disease. The director of nurses identified 29 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure information regarding an advance directive was correct and legal for two (#9 and #20) of 10 residents reviewed for advance directives. The director of nurses identified 29 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to store food with professional standards for food service safety. The DM identified 27 residents who ate meals prepared by the kitchen and one resident who received nutrition via tube feeding.

Inspectors wroteBased on observation, record review, and interview, the facility failed to implement their abuse policy regarding an allegation of abuse which has the potential to affect all residents. The director of nursing identified 29 residents who resided in the facility.

Inspectors wroteBased on record review, and interview, the facility failed to complete a investigation regarding an allegation of abuse which has the potential to affect all residents. The director of nursing identified 29 residents who resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to administer medications as ordered for two (#1 and #4) of seven sampled residents reviewed for medication administration. The MDS Coordinator identified 35 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure a baseline care plan was completed within 48 hours for one (#7) of seven sampled resident reviewed for baseline care plan. The MDS Coordinator identified 35 residents resided in the facility.

Inspectors wroteBased on observation and interview the facility failed to ensure food was served in a sanitary manner. The Resident Census and Conditions of Residents report, documented 35 residents resided in the facility. It documented 1 resident who had a feeding tube.

Inspectors wroteBased on record review and interview, the facility failed to ensure the right to request, refuse, or formulate an advanced directive for four (#16, 26, 28, and #33) of 15 residents sampled for advanced directives. The facility failed to ensure: a. residents were offered the choice to formulate advance directives for Res #26, and #28. b. a code status form was valid for Res #16 and #33. The Resident Census and Conditions of Residents report, documented 23 residents had advanced directives.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure resident assessments accurately reflected the residents' status for three (#8, 11, and #29) of 20 sampled residents whose assessments were reviewed. The Resident Census and Condition of Residents form documented 35 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement care plans which reflected the residents' needs for five (#3, 11, 13, 28, and #32) of 20 sampled residents whose records were reviewed. The facility failed to develop care plans for: a. psychotropic medication use; pain; atrial fibrillation; and the use of Eliquis, furosemide, and levothyroxine for Res #11. b. Lasix for Res #32. c. ADLs for Res #13. d. pain and pain medication refusals for Res #3. e. ADL cares for #13 and #28. The Resident Census and Conditions of Residents form documented 35 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents who were unable to carry out ADLs for themselves received the necessary services to maintain good grooming and hygiene for four (#11, 12, 29, and #33) of five residents sampled for ADLs. The facility failed to ensure: a. Res #11 and #33 wore clean clothing and received baths as care planned. b. staff performed peri-care as needed for Res #13. c. staff performed nail care for Res #29. The Resident Census and Conditions of Residents form documented 35 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to complete a significant change MDS assessment for one (#13) of five sampled residents reviewed for ADLs. The Resident Census and Conditions of Residents form documented 35 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement new interventions to prevent falls for one (#26) of four residents sampled for falls. The Resident Census and Conditions of Residents report, documented 35 residents resided in the facility.