Federal Nursing-Home Survey Record
Green Country Care Center
Does Green Country Care Center have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Green Country Care Center (CCN 375421), in Tulsa, OK, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $12,740 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Civil money penalties on file
$12,740
CMS has $12,740 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 2.7
Deficiency timeline — full federal history
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
The resident has the right to receive notices in a format and a language he or she understands.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
18 citations from earlier inspection cycles — historical, not current (expand)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide enough food/fluids to maintain a resident's health.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Assess the resident when there is a significant change in condition
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.
Ensure each resident receives an accurate assessment.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Assess the resident when there is a significant change in condition
Document what happened
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