RAINBOW TERRACE CARE CENTER, WELEETKA, OK — Violations & Inspection Reports

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

PASARR screening for Mental disorders or Intellectual Disabilities

Keep residents' personal and medical records private and confidential.

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Implement a program that monitors antibiotic use.

Provide timely, quality laboratory services/tests to meet the needs of residents.

Respond appropriately to all alleged violations.

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.

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.

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Assure that each resident’s assessment is updated at least once every 3 months.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Have enough backup water supply for essential areas of the nursing home.

Make sure that a working call system is available in each resident's bathroom and bathing area.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Assess the resident when there is a significant change in condition

Dispose of garbage and refuse properly.

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.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Provide enough food/fluids to maintain a resident's health.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide and implement an infection prevention and control program.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Provide timely, quality laboratory services/tests to meet the needs of residents.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Assure that each resident’s assessment is updated at least once every 3 months.

Provide or obtain dental services for each resident.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.