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Sienna Extended Care & Rehab

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9221 Harmony Drive
Midwest City, OK 73130
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Details

Type of Ownership For profit - Individual
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 100
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/15/2012

Date of last standard health inspection: 02/15/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/06/2012 03/01/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 00/02/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe 00/02/2005 01/04/2005 2 Some
Keep accurate 00/02/2005 01/04/2005 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/02/2005 02/02/2006 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/02/2005 01/04/2005 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/02/2005 01/04/2005 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/02/2005 01/04/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 00/02/2005 01/04/2005 2 Some
Properly care for residents needing special services 00/02/2005 01/04/2005 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/02/2005 01/04/2005 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/02/2005 01/04/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/02/2005 01/04/2005 and a family member of situations (injury/decline/ the resident's doctor
Provide timely notification to the resident before transfer or discharge. 00/02/2005 01/04/2005 2 Few

Inspection, 01/09/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 01/09/2004 00/08/2006 comfortable and home-like environment; and allow r clean
Have a program that investigates 01/09/2004 00/08/2006 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/09/2004 00/08/2006 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 01/09/2004 00/08/2006 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/09/2004 00/08/2006 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/09/2004 00/08/2006 2 Some

Inspection, 00/06/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 00/06/2004 01/05/2004 Some grooming and personal and oral hygiene.
Properly care for residents needing special services 00/06/2004 01/05/2004 colostomy including: injections

Inspection, 03/00/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep clinical record information safe. 03/00/2003 02/03/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/00/2003 02/03/2004 3 Few
Dispose of garbage and refuse properly. 03/00/2003 02/03/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 03/00/2003 02/03/2004 2 Some
Have a program that investigates 03/00/2003 02/03/2004 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 03/00/2003 02/03/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2003 02/03/2004 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 03/00/2003 02/03/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 03/00/2003 02/03/2004 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 03/00/2003 02/03/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 03/00/2003 02/03/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 03/00/2003 02/03/2004 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2003 02/03/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 03/00/2003 02/03/2004 2 Few
Send unopened mail from residents and promptly deliver unopened mail to residents. 03/00/2003 02/03/2004 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/00/2003 02/03/2004 2 Some
Reasonably accommodate the needs and preferences of each resident. 03/00/2003 02/03/2004 2 Some
Send unopened mail from residents and promptly deliver unopened mail to residents. 03/00/2003 02/03/2004 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/00/2003 02/03/2004 2 Some
Reasonably accommodate the needs and preferences of each resident. 03/00/2003 02/03/2004 2 Some

Inspection, 01/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/07/2003 00/03/2005 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/07/2003 00/03/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/07/2003 00/03/2005 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/07/2003 00/03/2005 2 Few

Inspection, 01/05/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/05/2002 01/00/2004 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2002 01/00/2004 2 Some
Keep accurate 01/05/2002 01/00/2004 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 01/05/2002 01/00/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2002 01/00/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/05/2002 01/00/2004 2 Few
Maintain comfortable and safe temperature levels. 01/05/2002 01/00/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2002 01/00/2004 2 Few
Have a program that investigates 01/05/2002 01/00/2004 Few controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/05/2002 02/09/2006 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2002 01/00/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2002 01/00/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/05/2002 01/00/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/05/2002 01/00/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2002 01/00/2004 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 01/05/2002 01/00/2004 2 Some
Provide activities to meet the interests and needs of each resident. 01/05/2002 01/00/2004 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/05/2002 01/00/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2002 01/00/2004 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/05/2002 01/00/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2002 01/00/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/05/2002 02/02/2006 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/05/2002 02/02/2006 2 Few
Keep residents' personal and medical records private and confidential. 01/05/2002 01/00/2004 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/05/2002 01/00/2004 1 Many
Keep residents' personal and medical records private and confidential. 01/05/2002 01/00/2004 2 Some

Inspection, 02/01/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/01/2001 02/03/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/01/2001 02/03/2002 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/01/2001 02/03/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/01/2001 02/03/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Use a registered nurse at least 8 hours a day, 7 days a week. 02/01/2001 02/03/2002 1 Many
Use a registered nurse at least 8 hours a day 02/01/2001 02/03/2002 Many 7 days a week.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Completely assess the resident at least every twelve months. 02/01/2001 02/03/2002 1 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 02/01/2001 02/03/2002 1 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/01/2001 02/03/2002 1 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 64 96
Total, Licensed Nurse Staff Hours
per Resident per Day 		16 hours 19 minutes 12 hours 9 minutes 1 hour 12 minutes
RN Hours
per Resident per Day 		15 hours 30 minutes 11 hours 21 minutes 12 minutes
LPN/LVN Hours
per Resident per Day 		15 hours 45 minutes 11 hours 46 minutes 1 hour
CNA Hours
per Resident per Day 		17 hours 14 minutes 13 hours 29 minutes 2 hours 34 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/09/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/09/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OK: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OK: 0 - 0

Inspection, 02/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/08/2003 02/03/2004 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/08/2003 02/03/2004 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/08/2003 02/03/2004 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2003 02/03/2004 1 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 02/08/2003 02/03/2004 2 Some

Inspection, 00/09/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2002 01/00/2004 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/09/2002 01/00/2004 2 Some

Inspection, 01/09/2001

Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/09/2001 02/03/2002 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/09/2001 02/03/2002 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/09/2001 02/03/2002 2 Many