Corn Heritage Village and Rehab of Weatherford

Inspectors wroteOn [DATE] at 4:27 p.m., the Oklahoma State Department of Health verified the existence of an Immediate Jeopardy Situation. The facility failed to provide supervision to prevent elopement. Resident #1 resided on the memory unit. A quarterly resident assessment, dated [DATE], showed Resident #1 had moderate cognition impairment, had no wandering behavior seven days prior to the assessment, could walk 150 feet, and had a diagnosis of dementia. Resident #1's care plan, dated [DATE], showed they were at risk for elopement. Behavior notes showed Resident #1 had been experiencing increased behaviors. On [DATE], Resident #1 was getting dressed and stated they had to get out because their daughter died. There were no interventions implemented after the increased behaviors. [...]

Inspectors wroteBased on record review and interview, the facility failed to ensure the baseline care plan was completed within 48 hours for two (#47 and #218) of 17 sampled residents reviewed for care plans. The administrator identified 68 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure a resident and/or their legal representative were informed in writing of alternative treatments and side effects of the use of a psychotropic medication for one (#47) of five sampled residents who were reviewed for unnecessary medications. The DON identified 68 residents residing in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was assessed to self-administer medication for one (#31) of one sampled resident reviewed for self administering medications. The DON identified nine residents received nebulizer breathing treatments and 68 residents received medications from the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the accuracy of a MDS assessment for one (#47) of five sampled residents reviewed for MDS accuracy. The administrator identified 68 residents resided in the facility

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen tubing was labeled and dated for one (#218) of 18 sampled residents reviewed for labeling and dating of oxygen tubing. The DON identified 18 residents had physician orders for supplemental oxygen.

Inspectors wroteBased on record review and interview, the facility failed to ensure a family representative and physician were notified of an abuse allegation for one (#1) of three sampled residents reviewed for notifications. The administrator identified 66 residents resided in the facility.

Inspectors wroteBased on record review, and interviews the facility failed to ensure sufficient staff to provide restorative services for one (#49) of two sampled residents reviewed for restorative services. The DON identified 39 residents received restorative services and the resident census was 66.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure controlled medication counts were correct, and controlled medication counts were completed every shift for two (#10 and #39) sampled residents reviewed during narcotic count. The DON identified the resident census was 66.

Inspectors wrote4. Resident #19 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus with diabetic neuropathy and anxiety disorder. A quarterly assessment, dated 04/06/22, documented the resident's cognition was intact. An incident report, dated 06/01/22, documented the resident spilled her cup of noodles on her the previous night and received burns with blisters to her left upper arm, neck, and chest area. On 06/24/22 at 12:31 p.m., the resident reported the water was too hot and the cup of noodles burned her when she spilled the noodles on her. The resident reported she picked up the cup and her arm jerked and water splashed her on the left upper arm and a few areas on her chest. The burn areas on her chest are now healed. The burn area to left inner arm is healing with no signs of infection. [...]

Inspectors wroteBased on record review and interview the facility failed to provide letters of NOMNC to two (#50 and #56) of three residents reviewed who were reviewed for Beneficiary Notices. Page three of the entrance conference worksheet documented seven residents were discharged from Medicare covered Part A stay with benefit days remaining in the last six months.

Inspectors wroteBased on record review, observation, and interview, the facility failed to develop comprehensive resident centered care plans to address the residents' current needs for four (#12, 19, 29, and #56) of four residents sampled for accident hazards. The Resident Census and Conditions of Residents form documented 63 residents resided in the facility.

Inspectors wroteBased on record review, observation, and interview, the facility failed to provide ADL care in a timely manner for three (#20, 55, and #212) of four residents reviewed for ADL care. The Census and Conditions of Residents'' report documented 63 residents required assistance with ADL care.

Inspectors wroteBased on record review, observation, and interview, the facility failed to provide sufficient staffing to meet the needs of the residents. The Resident Census and Conditions of Residents form documented 63 residents reside in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure expired medications and supplies from the medication storage room were removed and discarded and failed to ensure medications were accurately labeled. The Resident Census and Conditions of Residents form documented 63 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure food was prepared, stored, and distributed in a sanitary manner. The Resident Census and Conditions of Residents form documented 62 residents received their meals from the facility kitchen.

Inspectors wroteBased on record review, observation, and interview, it was determined the facility failed to notify the physician of significant weight loss for one (#13) of two sampled residents reviewed for weight loss. The Resident Census and Conditions of Residents form documented 63 residents resided in the facility.