COWETA MANOR NURSING HOME

Nursing Home Inspector

30049 EAST 151ST STREET SOUTH
COWETA, OK 74429
Wagoner County
Phone: 918-486-2166
Provider Number: 375304
Last Inspection: 10/19/2016

About the Nursing Home

Number of Beds: 100
Number of Residents: 65
Beds Available: 35
Percent Occupancy: 65%
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

 

46

Facility
29

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

46

2016
36

2015
26

2014

Medicare Ratings

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

 

Details by Inspection Date

10/19/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 1/4/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 1/4/2017
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 1/4/2017
 
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 1/4/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/4/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/4/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 1/4/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 1/4/2017
 
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 1/4/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/4/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/4/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 1/4/2017
 

12/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/21/2016
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 2/21/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 2/21/2016
 
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 2/21/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/21/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/21/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 2/21/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/21/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 2/21/2016
 
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 2/21/2016
 

11/14/2014 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. Pattern : Minimal 4 12/30/2014
 
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 12/30/2014
 
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 12/30/2014
 
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 12/30/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/30/2014
 
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 12/30/2014
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 12/30/2014
 

Complaint Investigation Deficiencies

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

2/23/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Pattern : Minimal 4 4/5/2017
 
Failed To: Completely assess the resident at least every twelve months. Pattern : Minimal 4 4/5/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 4/5/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 4/5/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 4/5/2017
 

4/26/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 5/20/2016
 

8/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 10/10/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/10/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 65 50.50 61.05
Registered Nurses 0.30 0.46 0.47
Licensed Practical / Vocational Nurses 0.91 0.79 0.83
Certified Nursing Assistants 3.54 3.11 2.47
Total Staff Hours 4.75 4.36 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 2 2 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 96 95
of long-stay residents experiencing one or more falls with major injury 5 5 5
of long-stay residents who have depressive symptoms 0 1 5
of long-stay residents who lose too much weight 1 1 8
of long-stay residents who received an antianxiety or hypnotic medication 30 35 29
of long-stay residents who received an antipsychotic medication 24 23 19
of long-stay residents who self-report moderate to severe pain 2 3 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 2 10 15
of long-stay residents whose need for help with daily activities has increased 5 13 15
of long-stay residents with a catheter inserted and left in their bladder 4 4 2
of long-stay residents with a urinary tract infection 1 3 5
of low risk long-stay residents who lose control of their bowels or bladder 24 23 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 79
of short-stay residents who newly received an antipsychotic medication 0 14 16
of short-stay residents who self-report moderate to severe pain 0 Not Available   64
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 31 0 2
of short-stay residents with pressure ulcers that are new or worsened 3 3 20