WAGONER HEALTH & REHAB

Nursing Home Inspector

205 NORTH LINCOLN AVENUE
WAGONER, OK 74467
Wagoner County
Phone: 918-485-2203
Provider Number: 375369
Last Inspection: 07/19/2017

About the Nursing Home

Number of Beds: 117
Number of Residents: 36
Beds Available: 81
Percent Occupancy: 31%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
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
29

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
36

2016
34

2015

Medicare Ratings

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

 

Details by Inspection Date

7/19/2017 Inspection

 
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 8/3/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 8/3/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 8/3/2017
 

5/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 5/25/2016
 
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 6/1/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 6/1/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 6/10/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/1/2016
 
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 5/27/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/16/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/26/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/16/2016
 

3/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 4/3/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/10/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 4/10/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 4/10/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 3/11/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 4/9/2015
 
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 4/1/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Immediate 6 3/10/2015
 

Complaint Investigation Deficiencies

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

9/22/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 9/24/2017
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 9/24/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 9/24/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Widespread : Minimal 5 9/24/2017
 

5/23/2017 Investigation

 
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 6/16/2017
 

5/3/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 6/8/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 8/3/2017
 

2/17/2016 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 3/17/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 36 50.50 61.05
Registered Nurses 0.62 0.46 0.47
Licensed Practical / Vocational Nurses 0.66 0.79 0.83
Certified Nursing Assistants 2.69 3.11 2.47
Total Staff Hours 3.97 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 3 2 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 99 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 96 95
of long-stay residents experiencing one or more falls with major injury 6 5 5
of long-stay residents who have depressive symptoms 3 1 5
of long-stay residents who lose too much weight 2 1 8
of long-stay residents who received an antianxiety or hypnotic medication 41 35 29
of long-stay residents who received an antipsychotic medication 23 23 19
of long-stay residents who self-report moderate to severe pain 5 3 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 18 10 15
of long-stay residents whose need for help with daily activities has increased 22 13 15
of long-stay residents with a catheter inserted and left in their bladder 5 4 2
of long-stay residents with a urinary tract infection 6 3 5
of low risk long-stay residents who lose control of their bowels or bladder 23 23 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 95 79
of short-stay residents who had an outpatient emergency department visit 14 14 16
of short-stay residents who newly received an antipsychotic medication 0 Not Available   64
of short-stay residents who self-report moderate to severe pain 6 0 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 3 20
of short-stay residents who were rehospitalized after a nursing home admission 28 58 74
of short-stay residents who were successfully discharged to the community 40 28 23
of short-stay residents with pressure ulcers that are new or worsened 1 40 48