COUNTRYSIDE ESTATES

Nursing Home Inspector

HIGHWAY 64 EAST
WARNER, OK 74469
Muskogee County
Phone: 918-463-5143
Provider Number: 375341
Last Inspection: 09/05/2017

About the Nursing Home

Number of Beds: 111
Number of Residents: 76
Beds Available: 35
Percent Occupancy: 68%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

12

Facility
14

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
34

2016
70

2015

Medicare Ratings

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

 

Details by Inspection Date

9/5/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/8/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/8/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/8/2017
 

6/9/2016 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. Pattern : Minimal 4 8/5/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 8/5/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Isolated : Minimal 3 8/5/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 8/5/2016
 
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 8/5/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 8/5/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 8/5/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 8/5/2016
 
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 8/5/2016
 

3/27/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/28/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/28/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/28/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 4/28/2015
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 4/28/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern : Minimal 4 4/28/2015
 
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 4/28/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/28/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/28/2015
 
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 4/28/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 4/28/2015
 
Failed To: Keep each resident free from drugs that restrain them, unless needed for medical treatment. Pattern : Minimal 4 4/28/2015
 
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 4/28/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 4/28/2015
 
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 4/28/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 4/28/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 4/28/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/28/2015
 

Complaint Investigation Deficiencies

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

7/26/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 8/9/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 8/9/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Immediate 6 8/9/2017
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Pattern : Minimal 4 8/9/2017
 

4/20/2017 Investigation

 
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 5/10/2017
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Minimal 4 5/10/2017
 

3/21/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 4/7/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 4/7/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Actual 5 4/7/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 4/7/2017
 
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 4/7/2017
 

2/28/2017 Investigation

 
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. Pattern : Minimal 4 4/7/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 2/28/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Actual 5 4/7/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Minimal 4 3/22/2017
 
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 4/7/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 76 68.30 61.05
Registered Nurses 0.31 0.42 0.47
Licensed Practical / Vocational Nurses 1.56 0.77 0.83
Certified Nursing Assistants 2.93 2.46 2.47
Total Staff Hours 4.80 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 18 9 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 90 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 92 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 3 5
of long-stay residents who lose too much weight 14 7 8
of long-stay residents who received an antianxiety or hypnotic medication 60 41 29
of long-stay residents who received an antipsychotic medication 7 16 19
of long-stay residents who self-report moderate to severe pain 33 13 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 20 18 15
of long-stay residents whose need for help with daily activities has increased 14 16 15
of long-stay residents with a catheter inserted and left in their bladder 15 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 10 28 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 77 64 79
of short-stay residents who had an outpatient emergency department visit 10 11 16
of short-stay residents who newly received an antipsychotic medication 3 75 64
of short-stay residents who self-report moderate to severe pain 41 2 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 23 20
of short-stay residents who were rehospitalized after a nursing home admission 23 61 74
of short-stay residents with pressure ulcers that are new or worsened 3 26 23