RANCHWOOD NURSING CENTER

Nursing Home Inspector

824 SOUTH YUKON PARKWAY
YUKON, OK 73099
Canadian County
Phone: 405-354-2022
Provider Number: 375229
Last Inspection: 08/31/2017

About the Nursing Home

Number of Beds: 150
Number of Residents: 131
Beds Available: 19
Percent Occupancy: 87%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - City
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

 

65

Facility
37

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

65

2017
30

2016
18

2015

Medicare Ratings

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

 

Details by Inspection Date

8/31/2017 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 9/29/2017
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/29/2017
 
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 9/29/2017
 
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 9/29/2017
 
Failed To: Give notice to the resident before a room or roommate change. Pattern : Minimal 4 9/29/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 9/29/2017
 
Failed To: Provide clean bed and bath linens that are in good condition. Isolated : Minimal 3 9/29/2017
 
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 9/29/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 9/29/2017
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern : Minimal 4 9/29/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/29/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 9/29/2017
 
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 9/29/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/29/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 9/29/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/29/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 9/29/2017
 

10/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 11/7/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/7/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 11/7/2016
 
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. Pattern : Minimal 4 11/7/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/7/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/7/2016
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 11/7/2016
 
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 11/7/2016
 

8/13/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Pattern : Minimal 4 9/9/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 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: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 9/9/2015
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 9/9/2015
 

Complaint Investigation Deficiencies

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

2/16/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 3/2/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/21/2017
 

5/24/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/10/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 131 68.80 61.05
Registered Nurses 0.64 0.56 0.47
Licensed Practical / Vocational Nurses 0.70 0.82 0.83
Certified Nursing Assistants 3.27 2.61 2.47
Total Staff Hours 4.60 3.99 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 13 5 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 99 95 95
of long-stay residents experiencing one or more falls with major injury 8 4 5
of long-stay residents who have depressive symptoms 0 10 5
of long-stay residents who lose too much weight 7 8 8
of long-stay residents who received an antianxiety or hypnotic medication 34 34 29
of long-stay residents who received an antipsychotic medication 14 15 19
of long-stay residents who self-report moderate to severe pain 0 9 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 10 15
of long-stay residents whose need for help with daily activities has increased 11 11 15
of long-stay residents with a catheter inserted and left in their bladder 2 3 2
of long-stay residents with a urinary tract infection 5 6 5
of low risk long-stay residents who lose control of their bowels or bladder 28 34 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 83 80 79
of short-stay residents who had an outpatient emergency department visit 18 13 16
of short-stay residents who made improvements in function 58 59 64
of short-stay residents who newly received an antipsychotic medication 2 3 2
of short-stay residents who self-report moderate to severe pain 2 20 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 57 73 74
of short-stay residents who were rehospitalized after a nursing home admission 29 20 23
of short-stay residents who were successfully discharged to the community 52 45 48
of short-stay residents with pressure ulcers that are new or worsened 3 2 1