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Brentwood Extended Care & Rehab
841 NORTH 38TH STREET
Muskogee, OK 74401
(918) 683-8070
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 90 |
| Number of Residents: | 48 |
| Percent of Occupied Beds: | 53% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071008 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20071022 |
| 20071008 | Health | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm | 20071022 |
| 20090805 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Actual harm | 20090918 |
| 20090805 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Pattern | Actual harm | 20090918 |
| 20090805 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Pattern | Actual harm | 20090918 |
| 20090805 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Actual harm | 20090918 |
| 20100302 | Health | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | Pattern | Minimal harm or potential for actual harm | 20100322 |
| 20100302 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Pattern | Minimal harm or potential for actual harm | 20100330 |
| 20100302 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20100319 |
| 20100302 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20100331 |
| 20100302 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20100331 |
| 20100302 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm | 20100331 |
| 20100302 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20100308 |
| 20101011 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20101108 |
| 20101011 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Actual harm | 20101103 |
| 20101011 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20101108 |
| 20101011 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Minimal harm or potential for actual harm | 20101108 |
| 20101011 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Pattern | Minimal harm or potential for actual harm | 20101103 |
| 20101011 | Health | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | Pattern | Minimal harm or potential for actual harm | 20101103 |
| 20101011 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20101029 |
| 20101011 | Health | Resident Rights Deficiencies | Provide written records when a resident is transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101103 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 92 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 6 | |
| Percent of long-stay residents who have moderate to severe pain: | 9 | |
| Percent of high-risk long-stay residents who have pressure sores: | 37 | |
| Percent of low-risk long-stay residents who have pressure sores: | 4 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 6 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 38 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 11 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 8 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 4 | |
| Percent of long-stay residents who had a urinary tract infection: | 17 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 91 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 35 | |
| Percent of short-stay residents who have pressure sores: | 4 | |
| # of Residents: | 48 |
| # RN Hours per Resident: | 0.29 |
| # LPN Hours per Resident: | 0.54 |
| # CNA Hours per Resident: | 2.32 |
| Total Staff Hours per Resident: | 0.83 |
