A list of the most recent deficiencies for Broken Arrow Nursing Home, Inc. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-28 | 2023-10-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-28 | 2023-10-09 | 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 | 2023-09-28 | 2023-10-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-28 | 2023-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-09-28 | 2023-10-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-19 | 2021-07-16 | N |
| 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 | 2021-05-19 | 2021-07-16 | 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 | 2021-05-19 | 2021-07-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-05-19 | 2021-07-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-19 | 2021-07-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-19 | 2021-07-16 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-19 | 2021-07-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-07-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-19 | 2021-07-16 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-19 | 2021-07-16 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-19 | 2021-07-16 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-05-19 | 2021-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-19 | 2021-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-19 | 2021-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-19 | 2021-07-16 | 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 | 2021-05-11 | 2021-05-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-11 | 2021-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-11 | 2021-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-25 | 2019-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-25 | 2019-04-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-03-25 | 2019-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-25 | 2019-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-25 | 2019-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-19 | 2019-04-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-03-19 | 2019-03-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-17 | 2018-03-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-17 | 2018-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-17 | 2018-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-17 | 2018-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-01-17 | 2018-02-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-17 | 2018-01-19 | N |
