YORK MANOR NURSING HOME

Nursing Home Inspector

500 SOUTH YORK
MUSKOGEE, OK 74403
Muskogee County
Phone: 918-682-6724
Provider Number: 375132
Last Inspection: 09/14/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 42
Beds Available: 18
Percent Occupancy: 70%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non 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

 

4

Facility
14

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2017
22

2016
27

2015

Medicare Ratings

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

 

Details by Inspection Date

9/14/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/14/2017
 

7/14/2016 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. Isolated : Minimal 3 8/29/2016
 
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 8/29/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/29/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/29/2016
 
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. Isolated : Minimal 3 8/29/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 8/29/2016
 

8/27/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 10/16/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 10/16/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/16/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 10/16/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 10/16/2015
 
Failed To: Provide or obtain dental services for each resident. Pattern : Minimal 4 10/16/2015
 
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 10/16/2015
 

Complaint Investigation Deficiencies

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

2/17/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 2/24/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 42 68.30 61.05
Registered Nurses 0.41 0.42 0.47
Licensed Practical / Vocational Nurses 0.76 0.77 0.83
Certified Nursing Assistants 2.90 2.46 2.47
Total Staff Hours 4.06 3.66 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 16 9 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 90 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 92 95
of long-stay residents experiencing one or more falls with major injury 9 5 5
of long-stay residents who have depressive symptoms 3 3 5
of long-stay residents who lose too much weight 9 7 8
of long-stay residents who received an antianxiety or hypnotic medication 69 41 29
of long-stay residents who received an antipsychotic medication 27 16 19
of long-stay residents who self-report moderate to severe pain 5 13 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 11 18 15
of long-stay residents whose need for help with daily activities has increased 11 16 15
of long-stay residents with a catheter inserted and left in their bladder 5 5 2
of long-stay residents with a urinary tract infection 14 4 5
of low risk long-stay residents who lose control of their bowels or bladder 23 28 34
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 64 79