Heritage at Brandon Place Health & Rehabilitation

Inspectors wroteBased on observation, record review, and interview, the facility failed to follow enhanced barrier precautions and perform hand hygiene to prevent the development of infections for 1 (#1) of 3 sampled residents reviewed for infection control. The DON identified 55 residents resided in the facility and 13 residents with enhanced barrier precautions.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide treatment and care for a resident with a wound vac for 1 (#1) of 1 sampled resident reviewed for a wound vac. The DON identified one resident with a wound vac.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide pressure ulcer treatments to promote healing and prevent infection for 1 (#1) of 3 sampled residents reviewed for pressure ulcers. The DON identified three residents with pressure ulcers.

Inspectors wroteBased on observation and interview, the facility failed to post notice of the availability of past State survey results in areas of the facility that were prominent and accessible to residents, representatives, and the public. The DON identified 48 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were bathed as scheduled for 3 (#1, 3, and #7) of 4 sampled residents reviewed for assistance with ADLs. The DON identified 38 residents required assistance with bathing.

Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who experienced pain received treatment for pain for one (#2) of three sampled residents reviewed for pain management. The VP of clinical services identified 46 residents had orders for pain management in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents' property was not misappropriated for three (#3, 4, and #7) of three sampled residents reviewed for misappropriation. The administrator identified 74 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a call light was within reach of a resident for one (#1) of three sampled residents observed for call lights in reach. The administrator identified 74 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to conduct a thorough investigation after an allegation of misappropriation of resident property for one (#7) of three sampled residents reviewed for misappropriation of resident property. The administrator identified 74 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure labs were not collected without a physician order for one (#6) of three sampled residents reviewed for lab services. The administrator identified 74 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure resident identifiable records were not released to the public. The administrator identified 74 residents resided in the facility.

Inspectors wroteOn 08/16/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Resident #2, who had a known history of unsafe smoking did not smoke in their room and catch themselves on fire. Resident #2 was admitted to the facility on [DATE] with diagnoses which included dementia. Resident #2 was admitted to the hospital on [DATE] with second and third degree burns. On 08/16/24 at 11:45 a.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation related to for Res #2 smoking in their room and catching themselves on fire. On 08/16/24 at 11:47 a.m., the administrator was notified of the IJ situation. On 08/19/24 at 9:10 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: [...]

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement a comprehensive care plan for two (#47 and #73) of 18 residents reviewed for care plans. The administrator identified 76 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure incontinence care was provided in a timely manner for one (#24) of four dependent residents observed for timely overnight incontinence care. The administrator identified 48 residents were dependent for incontinence care.

Inspectors wroteBased on record review and interview, the facility failed to ensure: a.) notification of a change in condition of a wound for one (#2) of 14 residents who had wounds; and b.) a vascular surgeon consult was scheduled for one (#2) of 3 residents reviewed for hospitalizations. The Administrator identified 76 residents who resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to explain the arbitration agreement in a manner the residents/representatives could understand for four (#27, #73, #228, and #238) of four sampled residents who entered into a binding arbitration agreement. The administrator identified 68 residents who had entered into a binding arbitration agreement.

Inspectors wroteBased on record review and interview, the facility failed to notify the physician as ordered when FSBS were outside the ordered parameters for one (#131) of three sampled residents reviewed for insulin administration. The Administrator identified 14 residents with insulin parameter orders resided in the facility.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure medication was available to administer as ordered for two (#46 and #231) of six residents reviewed for medication administration. The Resident Census and Conditions of Residents report, dated 04/11/23, documented 77 residents resided in the facility.

Inspectors wroteBased on observation and interview, the facility failed to ensure medication carts left unattended were securely locked at all times for two of four treatment carts observed. The Resident Census and Conditions of Residents report, dated 04/11/23, documented 77 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to complete a comprehensive resident assessment in a timely manner on admission for one (#131) of 18 sampled residents reviewed for resident assessments. The Resident Census and Conditions of Residents report, dated 04/11/23, documented 77 residents resided in the facility. The DON identified seven new admissions in the past 30 days.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure bathing was provided for one (#231) of three sampled resident reviewed for bathing. The Resident Census and Condition of Residents report, dated 04/18/23, documented 42 residents required assistance of one to two staff and 26 residents were dependent on staff for bathing.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure hair nets were worn in the kitchen by dietary staff. The DON identified 76 residents received nutrition from the kitchen.