GRACE LIVING CENTER-NORMAN

Nursing Home Inspector

201 48TH AVENUE SOUTHWEST
NORMAN, OK 73072
Cleveland County
Phone: 405-366-8800
Provider Number: 375122
Last Inspection: 08/04/2017

About the Nursing Home

Number of Beds: 136
Number of Residents: 121
Beds Available: 15
Percent Occupancy: 89%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

27

Facility
27

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

27

2017
21

2016
14

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

8/4/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 8/23/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/23/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 8/23/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 8/23/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/23/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 8/23/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/23/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/23/2017
 

6/23/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 7/20/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 7/20/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 7/20/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/20/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 7/20/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/20/2016
 

8/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 9/9/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/9/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/9/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/9/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

5/3/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 6/7/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 6/7/2017
 

9/6/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. Isolated : Minimal 3 9/27/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 121 74.09 61.05
Registered Nurses 0.55 0.47 0.47
Licensed Practical / Vocational Nurses 1.25 0.91 0.83
Certified Nursing Assistants 1.99 2.51 2.47
Total Staff Hours 3.79 3.88 3.77

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OK State Avg%
of high risk long-stay residents with pressure ulcers 3 9 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 91 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 94 95
of long-stay residents experiencing one or more falls with major injury 3 5 5
of long-stay residents who have depressive symptoms 0 1 5
of long-stay residents who lose too much weight 7 6 8
of long-stay residents who received an antianxiety or hypnotic medication 19 29 29
of long-stay residents who received an antipsychotic medication 20 22 19
of long-stay residents who self-report moderate to severe pain 1 8 9
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 14 13 15
of long-stay residents whose need for help with daily activities has increased 10 12 15
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 3 7 5
of low risk long-stay residents who lose control of their bowels or bladder 75 35 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 80 79
of short-stay residents who had an outpatient emergency department visit 10 16 16
of short-stay residents who made improvements in function 64 63 64
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 11 17 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 69 74
of short-stay residents who were rehospitalized after a nursing home admission 23 25 23
of short-stay residents who were successfully discharged to the community 54 49 48
of short-stay residents with pressure ulcers that are new or worsened 1 4 1