Deficiency Records for Broken Arrow Nursing Home, Inc
Updated as of March 01, 2022
This is not the most recent data for Broken Arrow Nursing Home, Inc. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-19 | 2021-07-16 | N |
| 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 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-19 | 2021-07-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-19 | 2021-07-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-07-16 | 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 | 2021-05-19 | 2021-07-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-19 | 2021-07-16 | N |
| 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 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-19 | 2021-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 | 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 |
| 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 | 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 |
| 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 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-13 | 2019-08-27 | Y |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-29 | 2018-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-29 | 2018-02-23 | 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 | 2018-01-29 | 2018-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-29 | 2018-02-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-29 | 2018-02-23 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-01-29 | 2018-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-29 | 2018-02-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-01-29 | 2018-02-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-29 | 2018-02-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-29 | 2018-02-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-01-29 | 2018-02-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-01-29 | 2018-02-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-29 | 2018-02-21 | 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 | 2018-01-29 | 2018-02-21 | N |
| Post nurse staffing information every day. | Health | 2018-01-29 | 2018-02-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-01-29 | 2018-02-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-01-29 | 2018-02-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-29 | 2018-02-21 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-01-29 | 2018-02-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-29 | 2018-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-29 | 2018-02-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-29 | 2018-02-21 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-29 | 2018-02-19 | 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 | 2018-01-29 | 2018-02-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-17 | 2018-01-19 | N |
