A list of the most recent deficiencies for Oklahoma Memory Care Institute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-10-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-22 | 2023-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-22 | 2023-10-25 | N |
| Notify 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. | Health | 2023-09-22 | 2023-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-22 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-25 | N |
| Post nurse staffing information every day. | Health | 2023-09-22 | 2023-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-22 | 2023-10-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-22 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-25 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-22 | 2023-10-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-22 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-10-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-10-20 | 2022-11-08 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-20 | 2022-11-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-20 | 2022-11-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-26 | 2019-10-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-08-26 | 2019-10-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-26 | 2019-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-26 | 2019-10-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-26 | 2019-10-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-08-26 | 2019-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-26 | 2019-10-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-08-26 | 2019-10-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-26 | 2019-10-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-26 | 2019-10-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-26 | 2019-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-26 | 2019-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-20 | 2019-10-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Have an externally vented heating system. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-12 | 2018-09-10 | N |
