HERITAGE PARK

Nursing Home Inspector

6912 NORTHWEST 23RD STREET
BETHANY, OK 73008
Oklahoma County
Phone: 405-789-7208
Provider Number: 375511
Last Inspection: 01/20/2017

About the Nursing Home

Number of Beds: 55
Number of Residents: 47
Beds Available: 8
Percent Occupancy: 85%
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

 

44

Facility
30

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

44

2017
44

2015
19

2014

Medicare Ratings

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

 

Details by Inspection Date

1/20/2017 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 2/8/2017
 
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 2/8/2017
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 2/8/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 2/8/2017
 
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 2/8/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 2/8/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Actual 5 2/8/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Actual 5 2/8/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 2/8/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 2/8/2017
 

11/19/2015 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 12/14/2015
 
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 12/14/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 12/16/2015
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 12/14/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/16/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/16/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 12/16/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/16/2015
 
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. Isolated : Minimal 3 12/16/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 12/16/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 12/16/2015
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 12/16/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/16/2015
 

9/17/2014 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 9/25/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 9/25/2014
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern : Minimal 4 10/2/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/25/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/25/2014
 

Complaint Investigation Deficiencies

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

9/20/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Pattern : Minimal 4 11/3/2017
 
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 11/3/2017
 

5/2/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated : Minimal 3 6/7/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Immediate 5 5/25/2017
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Immediate 5 6/29/2017
 
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. Isolated : Immediate 5 6/29/2017
 
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 5/25/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 6/29/2017
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 5/25/2017
 

11/16/2016 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 11/23/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 47 74.85 61.05
Registered Nurses 0.26 0.61 0.47
Licensed Practical / Vocational Nurses 0.93 1.03 0.83
Certified Nursing Assistants 2.61 2.43 2.47
Total Staff Hours 3.81 4.07 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 13 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 90 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 92 95
of long-stay residents experiencing one or more falls with major injury 13 4 5
of long-stay residents who have depressive symptoms 8 4 5
of long-stay residents who lose too much weight 10 7 8
of long-stay residents who received an antianxiety or hypnotic medication 36 26 29
of long-stay residents who received an antipsychotic medication 47 18 19
of long-stay residents who self-report moderate to severe pain 13 7 9
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 22 17 15
of long-stay residents whose need for help with daily activities has increased 21 15 15
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 0 3 5
of low risk long-stay residents who lose control of their bowels or bladder 34 41 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 67 80 79
of short-stay residents who self-report moderate to severe pain 39 18 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70 60 64
of short-stay residents with pressure ulcers that are new or worsened 0 3 2