REBOLD MANOR

Nursing Home Inspector

1701 EAST 6TH STREET
OKMULGEE, OK 74447
Okmulgee County
Phone: 918-756-1967
Provider Number: 375494
Last Inspection: 01/24/2017

About the Nursing Home

Number of Beds: 114
Number of Residents: 53
Beds Available: 61
Percent Occupancy: 46%
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

 

23

Facility
15

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
23

2016
42

2014

Medicare Ratings

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

 

Details by Inspection Date

1/24/2017 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. Isolated : Minimal 3 3/1/2017
 
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 3/1/2017
 
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 3/1/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 3/1/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 3/1/2017
 
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 3/1/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/1/2017
 

2/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 3/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/30/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/30/2016
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 3/30/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/30/2016
 
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 3/30/2016
 

12/3/2014 Inspection

 
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. Pattern : Minimal 4 1/7/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 1/7/2015
 
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 1/7/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 1/7/2015
 
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 1/7/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/7/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 1/7/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 1/7/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/7/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/7/2015
 
Failed To: Put firmly secured handrails on each side of hallways. Isolated : Minimal 3 1/7/2015
 

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 53 45.80 61.05
Registered Nurses 0.65 0.31 0.47
Licensed Practical / Vocational Nurses 0.94 0.71 0.83
Certified Nursing Assistants 1.97 1.84 2.47
Total Staff Hours 3.56 2.87 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 9 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 97 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 97 95
of long-stay residents experiencing one or more falls with major injury 3 4 5
of long-stay residents who have depressive symptoms 5 3 5
of long-stay residents who lose too much weight 17 10 8
of long-stay residents who received an antianxiety or hypnotic medication 16 24 29
of long-stay residents who received an antipsychotic medication 21 22 19
of long-stay residents who self-report moderate to severe pain 2 3 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 12 15
of long-stay residents whose need for help with daily activities has increased 19 12 15
of long-stay residents with a catheter inserted and left in their bladder 0 2 2
of long-stay residents with a urinary tract infection 3 8 5
of low risk long-stay residents who lose control of their bowels or bladder 52 31 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 89 79
of short-stay residents who had an outpatient emergency department visit 18 15 16
of short-stay residents who made improvements in function 69 41 64
of short-stay residents who newly received an antipsychotic medication 1 1 2
of short-stay residents who self-report moderate to severe pain 12 20 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89 84 74
of short-stay residents who were rehospitalized after a nursing home admission 26 24 23
of short-stay residents who were successfully discharged to the community 50 47 48
of short-stay residents with pressure ulcers that are new or worsened 1 3 1