MEMORIAL NURSING CENTER

Nursing Home Inspector

319 EAST JOSEPHINE
FREDERICK, OK 73542
Tillman County
Phone: 580-335-7565
Provider Number: 375567
Last Inspection: 08/09/2017

About the Nursing Home

Number of Beds: 30
Number of Residents: 25
Beds Available: 5
Percent Occupancy: 83%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - City/county
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

 

3

Facility
3

County
26

OK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
10

2016

Medicare Ratings

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

 

Details by Inspection Date

8/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 8/25/2017
 

6/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/15/2016
 
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 8/15/2016
 
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 8/15/2016
 

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 25 25.00 61.05
Registered Nurses 0.27 0.27 0.47
Licensed Practical / Vocational Nurses 1.38 1.38 0.83
Certified Nursing Assistants 1.21 1.21 2.47
Total Staff Hours 2.86 2.86 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 11 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 78 78 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 95
of long-stay residents experiencing one or more falls with major injury 14 14 5
of long-stay residents who have depressive symptoms 9 9 5
of long-stay residents who lose too much weight 14 14 8
of long-stay residents who received an antianxiety or hypnotic medication 45 45 29
of long-stay residents who received an antipsychotic medication 35 35 19
of long-stay residents who self-report moderate to severe pain 14 14 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 25 15
of long-stay residents whose need for help with daily activities has increased 31 31 15
of long-stay residents with a catheter inserted and left in their bladder 0 0 2
of long-stay residents with a urinary tract infection 3 3 5