MCALESTER NURSING & REHAB

Nursing Home Inspector

615 EAST MORRIS STREET
MCALESTER, OK 74501
Pittsburg County
Phone: 918-426-4010
Provider Number: 375487
Last Inspection: 08/24/2017

About the Nursing Home

Number of Beds: 63
Number of Residents: 58
Beds Available: 5
Percent Occupancy: 92%
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

 

26

Facility
20

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
21

2016
0

2015

Medicare Ratings

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

 

Details by Inspection Date

8/24/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/25/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 9/25/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/25/2017
 
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 9/25/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Isolated : Minimal 3 9/25/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/25/2017
 
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 9/25/2017
 

9/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 11/18/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 11/18/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/18/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/18/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 11/18/2016
 

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 58 47.63 61.05
Registered Nurses 0.33 0.32 0.47
Licensed Practical / Vocational Nurses 0.82 0.68 0.83
Certified Nursing Assistants 3.15 2.37 2.47
Total Staff Hours 4.30 3.37 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 7 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 96 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 97 95
of long-stay residents experiencing one or more falls with major injury 7 7 5
of long-stay residents who have depressive symptoms 5 5 5
of long-stay residents who lose too much weight 4 8 8
of long-stay residents who received an antianxiety or hypnotic medication 9 27 29
of long-stay residents who received an antipsychotic medication 38 19 19
of long-stay residents who self-report moderate to severe pain 6 11 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 8 11 15
of long-stay residents whose need for help with daily activities has increased 11 11 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 1 7 5
of low risk long-stay residents who lose control of their bowels or bladder 17 25 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 92 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 10 79 64
of short-stay residents who self-report moderate to severe pain 14 2 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 18 20
of short-stay residents who were rehospitalized after a nursing home admission 33 85 74
of short-stay residents with pressure ulcers that are new or worsened 0 20 23