Stroud Nursing & Rehab

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was not touched sexually by another resident for 1 (#1) of 5 sampled resident reviewed for abuse. The DON stated 55 residents resided at the facility.

Inspectors wroteBased on record review and interview, the facility to ensure OHCA was contacted for a resident that had a serious mental illness for one (#19) of four sampled residents reviewed for recommendations for evaluation and determination for PASARR level II assessments. The DON identified 35 residents with a serious mental health diagnosis. The facility's Behavioral Assessment, Intervention and Monitoring policy, dated 03/19, read in part, .If the level I screen indicates that the individual may meet the criteria for a mental disorder, intellectual disability or related condition he or she will be referred to the state PASARR representative for the Level II (evaluation and determination) screening process . Res #19 was admitted to the facility with diagnosis which included stroke and hypertension. Resident #19's PASSAR level I , dated 05/27/12, had no diagnosis of a serious mental illness. [...]

Inspectors wroteBased on record review and interview, the facility failed to ensure the PASARR for a resident with a serious mental health diagnosis was filled out correctly and referred to the OHCA for two (#12 and #42) of four sampled residents reviewed for PASARR evaluations. The DON identified 35 residents with a serious mental health diagnosis. 1. Res #12 was admitted to the facility with diagnoses of PTSD and major depressive disorder. A PASARR level I report, dated 12/20/22, documented the resident did not have a serious mental illness. On 02/07/24 at 11:30 a.m., the MDS coordinator stated the PASARR had not been filled out correctly and had not been reported to the OHCA. 2. Res #42 was admitted to the facility with diagnoses of depression, bipolar disorder, psychotic disorder, and schizophrenia. [...]

Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive care plan was developed for Post Traumatic Stress Disorder (PTSD) for one (#12) of one sampled resident who was reviewed for PTSD. The Administrator reported 52 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pain medication was administered upon request for one (#51) of two sampled residents who were reviewed for pain management. The administrator reported 52 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to administer medication as ordered by the physician for one (#39) of seven residents reviewed for medication administration. The administrator reported 52 residents resided in the facility.

Inspectors wroteOn 01/11/23 at 10:20 a.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy related to failing to send a resident who sustained a burn to the hospital. The facility failed to ensure the resident was provided emergency medical evaluation and/or treatment after the resident sustained a serious burn and failed to document assessment and monitoring of the injury. On 12/26/22 at 11:10 p.m. Resident #40 was found by staff with burns to their scalp, hair, face, bilateral ears, and left hand, while wearing oxygen. Resident #40 was not sent to the hospital for evaluation and/or treatment of the burns and was not assessed by the physician until 12/30/22 (Four days after the burn injury occurred.), There was no documentation of the degree, or size of the burns and no documentation of the residents lung sounds or oxygen saturation after the incident. [...]

Inspectors wroteA past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 12/26/22 related to the facility's failure to ensure a resident who smoked was free from accident hazards. The facility failed to prevent a major injury while smoking with oxygen in use for resident #40. Resident #40 sustained burns to top of scalp, left hand, face, right and left ear. On 01/11/23,the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to protect and prevent accident hazards related to smoking in the building while wearing oxygen. The past noncompliance IJ was removed effective 12/27/22 after the facility put measures in place to prevent recurrence. [...]

Inspectors wroteBased on record review and interview the facility failed to ensure laboratory tests were obtained as ordered by the physician for one (#31) of five sampled residents reviewed for laboratory tests. The Resident Census and Conditions of Residents report, dated 01/06/23, documented 50 residents resided in the facility.

Inspectors wroteBased on record review, observation and interview, the facility failed to ensure emergency call systems were functioning and/or the call cords were long enough to be reached by the residents if they were lying on the floor in the shower in three of three shower rooms observed. The Resident Census and Conditions of Residents report, dated 01/06/23, documented three residents were independent with bathing and 50 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for one (#55) of three sampled residents who were reviewed medication administration. The Resident Census and Conditions of Residents report, dated 03/07/23, documented 50 residents resided in the facility.

Inspectors wroteBased on record review, observation and interview, the facility failed to properly label and store food in accordance with professional standards for food safety. The DON identified 50 residents that received meals from the kitchen.

Inspectors wroteBased on record review and interview, the facility failed to ensure the pneumococcal vaccine was administered for one (#31) of five sampled residents reviewed for pneumococcal immunizations. The Resident Census and Conditions of Residents report, dated 01/06/23, documented 34 residents received the pneumococcal vaccine and 50 residents resided in the facility.

Inspectors wroteBased on interview and record review, it was determined the facility failed to update and implement their abuse policy for two (#5 and #7) of two sampled residents who were reviewed for abuse. This had the potential to affect all 54 residents who resided in the facility.

Inspectors wroteBased on interview and record review, it was determined the facility failed to report to the appropriate authorities allegations of abuse in a timely manner for two (#5 and #7) of two sampled residents who were reviewed for abuse. This had the potential to affect all 54 residents who resided in the facility.

Inspectors wroteBased on interview and record review, it was determined the facility failed to complete a comprehensive care plan reflecting the status of the resident during the completion of the assessment and list the possible side effects to monitor when psychoactive medications were administered for four (#3, #8, #25 and #29) of fourteen sampled residents whose care plans were reviewed. The facility census and condition identified 35 residents who received psychoactive medications.

Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure oxygen tubing was changed in a timely manner to prevent cross contamination for one (#29) of two sampled residents whose oxygen tubing was observed. The facility reported 11 residents who received oxygen therapy.