THE HEALTH CENTER AT CONCORDIA

Nursing Home Inspector

7707 WEST BRITTON ROAD
OKLAHOMA CITY, OK 73132
Oklahoma County
Phone: 405-720-7200
Provider Number: 375518
Last Inspection: 06/01/2017

About the Nursing Home

Number of Beds: 30
Number of Residents: 30
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare
Types of Councils: Resident
Ownership: Non profit - Corporation
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

 

12

Facility
30

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
12

2016
57

2015

Medicare Ratings

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

 

Details by Inspection Date

6/1/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 6/30/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/30/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/30/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/30/2017
 

3/16/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/18/2016
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 4/18/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/18/2016
 

1/23/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 2/27/2015
 
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 2/27/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 2/27/2015
 
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 : Minimal 3 2/27/2015
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 2/27/2015
 
Failed To: Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. Isolated : Minimal 3 2/27/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 2/27/2015
 
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 2/27/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 2/27/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 2/27/2015
 
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 2/27/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 2/27/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/27/2015
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 2/27/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 2/27/2015
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated : Minimal 3 2/27/2015
 

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 30 74.85 61.05
Registered Nurses 0.27 0.61 0.47
Licensed Practical / Vocational Nurses 1.26 1.03 0.83
Certified Nursing Assistants 1.41 2.43 2.47
Total Staff Hours 2.93 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 11 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 90 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 92 95
of long-stay residents experiencing one or more falls with major injury 8 4 5
of long-stay residents who have depressive symptoms 14 4 5
of long-stay residents who lose too much weight 14 7 8
of long-stay residents who received an antianxiety or hypnotic medication 19 26 29
of long-stay residents who received an antipsychotic medication 8 18 19
of long-stay residents who self-report moderate to severe pain 4 7 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 28 17 15
of long-stay residents whose need for help with daily activities has increased 23 15 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 2 3 5
of short-stay residents assessed and appropriately given the pneumococcal vaccine 80 41 34
of short-stay residents who had an outpatient emergency department visit 36 80 79
of short-stay residents who made improvements in function 89 18 16
of short-stay residents who newly received an antipsychotic medication 8 60 64
of short-stay residents who self-report moderate to severe pain 7 3 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80 20 20
of short-stay residents who were rehospitalized after a nursing home admission 29 79 74
of short-stay residents who were successfully discharged to the community 52 25 23
of short-stay residents with pressure ulcers that are new or worsened 3 48 48