A list of the most recent deficiencies for Edmond Health Care Center. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2023-09-21 | 2023-10-13 | 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 | 2023-09-21 | 2023-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-21 | 2023-10-13 | 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 | 2023-07-11 | 2023-07-21 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-07-11 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-11 | 2023-07-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-11 | 2023-07-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-11 | 2023-07-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-11 | 2023-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-05-31 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-30 | 2022-05-02 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-16 | 2022-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-16 | 2022-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-01-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-01-14 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-23 | 2021-12-23 | 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 | 2021-11-23 | 2021-12-23 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-11-23 | 2021-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-11-23 | 2021-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-23 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-11-23 | 2021-12-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-16 | 2021-12-23 | 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 | 2021-11-16 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-16 | 2021-12-23 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-11-23 | 2021-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-22 | 2021-10-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-15 | 2019-10-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-11 | 2019-08-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-15 | 2019-08-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-15 | 2019-08-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-07-15 | 2019-08-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-15 | 2019-08-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-15 | 2019-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-15 | 2019-08-12 | 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 | 2019-07-15 | 2019-08-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-15 | 2019-08-12 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-07-15 | 2019-08-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-15 | 2019-08-12 | 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 | 2019-07-15 | 2019-08-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-15 | 2019-08-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-11 | 2019-08-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-11 | 2019-07-12 | N |
