RANCH TERRACE NURSING HOME

Nursing Home Inspector

1310 EAST CLEVELAND
SAPULPA, OK 74066
Creek County
Phone: 918-224-2578
Provider Number: 375539
Last Inspection: 11/15/2016

About the Nursing Home

Number of Beds: 85
Number of Residents: 67
Beds Available: 18
Percent Occupancy: 79%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For 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

 

24

Facility
18

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

24

2016
89

2015
91

2014

Medicare Ratings

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

 

Details by Inspection Date

11/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 1/17/2017
 
Failed To: Completely assess the resident at least every twelve months. Pattern : Minimal 4 1/17/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 1/17/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 1/17/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/17/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 1/17/2017
 

9/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 10/20/2015
 
Failed To: Tell the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Isolated : Minimal 3 10/20/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 10/20/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 10/20/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/20/2015
 
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 10/20/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/20/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/20/2015
 
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 10/20/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/20/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 10/20/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/18/2015
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 10/20/2015
 
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 10/20/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Widespread : Minimal 5 10/20/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 10/20/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/30/2015
 
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. Isolated : Minimal 3 10/20/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/18/2015
 
Failed To: Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Pattern : Minimal 4 10/20/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/20/2015
 
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 10/20/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/20/2015
 

10/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Actual 5 11/18/2014
 
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. Isolated : Minimal 3 11/18/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 11/18/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Actual 5 11/18/2014
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 11/18/2014
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 11/18/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/18/2014
 
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated : Minimal 3 11/18/2014
 
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 11/18/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/18/2014
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Minimal 4 11/18/2014
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 11/18/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 11/18/2014
 
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 : Actual 5 11/18/2014
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 11/18/2014
 
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 11/18/2014
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/18/2014
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 11/18/2014
 
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 11/18/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 11/18/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 11/18/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 11/18/2014
 

Complaint Investigation Deficiencies

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

3/16/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 4/17/2017
 

1/20/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 2/9/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Pattern : Minimal 4 2/9/2017
 
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 : Minimal 3 2/9/2017
 
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. Pattern : Minimal 4 2/9/2017
 
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 2/9/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OK State Avg
Number of Residents 67 65.71 61.05
Registered Nurses 0.43 0.43 0.47
Licensed Practical / Vocational Nurses 0.20 0.68 0.83
Certified Nursing Assistants 2.23 2.61 2.47
Total Staff Hours 2.86 3.72 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 5 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 94 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 95 95
of long-stay residents experiencing one or more falls with major injury 6 5 5
of long-stay residents who have depressive symptoms 10 11 5
of long-stay residents who lose too much weight 15 7 8
of long-stay residents who received an antianxiety or hypnotic medication 28 30 29
of long-stay residents who received an antipsychotic medication 6 12 19
of long-stay residents who self-report moderate to severe pain 14 12 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 13 15
of long-stay residents whose need for help with daily activities has increased 9 13 15
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 5 4 5
of low risk long-stay residents who lose control of their bowels or bladder 32 26 34
of short-stay residents assessed and appropriately given the pneumococcal vaccine 84 80 79
of short-stay residents who newly received an antipsychotic medication 8 15 16
of short-stay residents who self-report moderate to severe pain 38 75 64
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 17 2 2
of short-stay residents with pressure ulcers that are new or worsened 12 25 20