BAPTIST VILLAGE OF OWASSO

Nursing Home Inspector

12600 EAST 73RD STREET NORTH
OWASSO, OK 74055
Tulsa County
Phone: 918-272-8007
Provider Number: 375382
Last Inspection: 10/11/2017

About the Nursing Home

Number of Beds: 120
Number of Residents: 80
Beds Available: 40
Percent Occupancy: 67%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Other
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

 

0

Facility 		25

County 		26

OK 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
0

2017		 18

2016		 22

2015

Medicare Ratings

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

 

Details by Inspection Date

8/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/30/2016
 
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 9/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/30/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/30/2016
 
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 9/30/2016
 

6/26/2015 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 8/5/2015
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 8/5/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 8/5/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/5/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/5/2015
 
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 8/5/2015
 

Complaint Investigation Deficiencies

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

1/6/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 1/30/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 80 76.97 61.05
Registered Nurses 0.49 0.50 0.47
Licensed Practical / Vocational Nurses 0.92 0.95 0.83
Certified Nursing Assistants 3.86 2.71 2.47
Total Staff Hours 5.27 4.15 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 10 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 90 89 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 94 95
of long-stay residents experiencing one or more falls with major injury 8 5 5
of long-stay residents who have depressive symptoms 1 5 5
of long-stay residents who lose too much weight 12 9 8
of long-stay residents who received an antianxiety or hypnotic medication 25 23 29
of long-stay residents who received an antipsychotic medication 18 14 19
of long-stay residents who self-report moderate to severe pain 13 8 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 20 15
of long-stay residents whose need for help with daily activities has increased 16 17 15
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 8 4 5
of low risk long-stay residents who lose control of their bowels or bladder 24 42 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 78 79
of short-stay residents who had an outpatient emergency department visit 15 12 16
of short-stay residents who made improvements in function 86 65 64
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 30 17 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 74 74
of short-stay residents who were rehospitalized after a nursing home admission 23 23 23
of short-stay residents who were successfully discharged to the community 62 51 48
of short-stay residents with pressure ulcers that are new or worsened 1 1 1