HEAVENER NURSING & REHAB

Nursing Home Inspector

114 WEST 2ND STREET
HEAVENER, OK 74937
Le Flore County
Phone: 918-653-2464
Provider Number: 375434
Last Inspection: 06/22/2017

About the Nursing Home

Number of Beds: 84
Number of Residents: 43
Beds Available: 41
Percent Occupancy: 51%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

8

Facility
16

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
8

2016
77

2015

Medicare Ratings

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

 

Details by Inspection Date

6/22/2017 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 7/31/2017
 
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 7/31/2017
 

4/7/2016 Inspection

 
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. Pattern : Minimal 4 5/8/2016
 
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 5/1/2016
 

2/5/2015 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 3/9/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Minimal 4 3/10/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 3/15/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 3/2/2015
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 3/2/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 3/10/2015
 
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 3/1/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/15/2015
 
Failed To: Maintain 15 months of resident assessments in the resident's active clinical record. Pattern : Minimal 4 3/15/2015
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 3/15/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/15/2015
 
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. Isolated : Minimal 3 3/15/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/13/2015
 
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 3/15/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 3/15/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/5/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/24/2015
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 4/1/2015
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Minimal 3 3/15/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 3/31/2015
 
Failed To: Keep clinical record information safe. Pattern : Minimal 4 3/13/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 43 59.17 61.05
Registered Nurses 0.19 0.29 0.47
Licensed Practical / Vocational Nurses 0.89 0.77 0.83
Certified Nursing Assistants 3.06 2.49 2.47
Total Staff Hours 4.15 3.55 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 16 10 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 95
of long-stay residents experiencing one or more falls with major injury 6 4 5
of long-stay residents who have depressive symptoms 0 2 5
of long-stay residents who lose too much weight 16 10 8
of long-stay residents who received an antianxiety or hypnotic medication 47 33 29
of long-stay residents who received an antipsychotic medication 25 16 19
of long-stay residents who self-report moderate to severe pain 25 16 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 24 22 15
of long-stay residents with a catheter inserted and left in their bladder 6 5 2
of long-stay residents with a urinary tract infection 7 11 5
of low risk long-stay residents who lose control of their bowels or bladder 32 28 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 85 79
of short-stay residents who had an outpatient emergency department visit 21 16 16
of short-stay residents who newly received an antipsychotic medication 2 74 64
of short-stay residents who self-report moderate to severe pain 32 3 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 28 20
of short-stay residents who were rehospitalized after a nursing home admission 9 76 74
of short-stay residents with pressure ulcers that are new or worsened 0 16 23