MEMORIAL HEIGHTS NURSING CENTER

Nursing Home Inspector

1305 SOUTHEAST ADAMS
IDABEL, OK 74745
Mccurtain County
Phone: 580-286-3366
Provider Number: 375123
Last Inspection: 04/12/2017

About the Nursing Home

Number of Beds: 118
Number of Residents: 60
Beds Available: 58
Percent Occupancy: 51%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
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

 

13

Facility
18

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

13

2017
46

2016
28

2015

Medicare Ratings

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

 

Details by Inspection Date

4/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 5/15/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/15/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Potential 4 5/15/2017
 

1/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 3/21/2016
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 3/21/2016
 
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 3/21/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 3/21/2016
 
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 3/21/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 3/21/2016
 
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 3/21/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 3/21/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 3/21/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/21/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/21/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 3/21/2016
 

3/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 4/15/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 4/15/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/15/2015
 
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 4/15/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 4/15/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 4/15/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/15/2015
 

Complaint Investigation Deficiencies

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

4/6/2017 Investigation

 
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. Pattern : Minimal 4 4/24/2017
 
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. Pattern : Minimal 4 4/24/2017
 

12/1/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 1/11/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/11/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 1/11/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 60 60.00 61.05
Registered Nurses 0.29 0.42 0.47
Licensed Practical / Vocational Nurses 1.10 0.90 0.83
Certified Nursing Assistants 2.62 2.56 2.47
Total Staff Hours 4.01 3.87 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 9 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 88 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 95
of long-stay residents experiencing one or more falls with major injury 6 6 5
of long-stay residents who have depressive symptoms 0 5 5
of long-stay residents who lose too much weight 11 9 8
of long-stay residents who received an antianxiety or hypnotic medication 26 27 29
of long-stay residents who received an antipsychotic medication 21 17 19
of long-stay residents who self-report moderate to severe pain 10 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 13 15
of long-stay residents whose need for help with daily activities has increased 9 12 15
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 13 16 5
of low risk long-stay residents who lose control of their bowels or bladder 33 39 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 80 62 79
of short-stay residents who had an outpatient emergency department visit 35 30 16
of short-stay residents who made improvements in function 85 85 64
of short-stay residents who newly received an antipsychotic medication 0 1 2
of short-stay residents who self-report moderate to severe pain 30 24 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 70 74
of short-stay residents who were rehospitalized after a nursing home admission 31 21 23
of short-stay residents who were successfully discharged to the community 47 49 48
of short-stay residents with pressure ulcers that are new or worsened 4 1 1