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Epworth Villa Health Services
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14901 North Penn Avenue
Oklahoma City, OK 73134
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | No |
| Certified Beds | 87 |
| 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: 05/23/2011
| Date of last standard health inspection: | 05/23/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in OK: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in OK: | 0 - 12 |
Inspection, 00/04/2008
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/04/2008 | 02/05/2008 | 1 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/04/2008 | 02/07/2008 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/04/2008 | 01/07/2008 | 2 | Few |
| Keep all essential equipment working safely. | 00/04/2008 | 02/04/2008 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/04/2008 | 02/04/2008 | 2 | Many |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Encode each resident | 00/04/2008 | 00/06/2008 | 1 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/04/2008 | 00/05/2008 | 1 | Many |
Inspection, 02/03/2005
Environmental Deficiencies |
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| 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. | 02/03/2005 | 00/07/2007 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 02/03/2005 | 00/07/2007 | 2 | Some |
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. | 02/03/2005 | 00/07/2007 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 02/03/2005 | 00/07/2007 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/03/2005 | 00/07/2007 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 02/03/2005 | 00/07/2007 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/03/2005 | 00/07/2007 | 2 | Some |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 02/03/2005 | 00/07/2007 | 2 | Few |
| 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. | 02/03/2005 | 00/07/2007 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/03/2005 | 00/07/2007 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 02/03/2005 | 00/07/2007 | 2 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/03/2005 | 00/07/2007 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/03/2005 | 00/07/2007 | 2 | Few |
| Make sure that doctors visit residents regularly, as required. | 02/03/2005 | 00/07/2007 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 02/03/2005 | 00/07/2007 | 2 | Some |
Inspection, 02/05/2003
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/05/2003 | 02/06/2003 | 3 | Few |
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. | 02/05/2003 | 02/06/2003 | 2 | Some |
Inspection, 01/08/2001
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate | 01/08/2001 | 01/08/2002 | Some | complete and organized clinical records on each re |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/08/2001 | 01/08/2002 | 2 | 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 | 4 out of 5 stars |
| Total Number of Residents | 86 | 64 | 78 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 12 hours 9 minutes | 1 hour 49 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 11 hours 21 minutes | 54 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 11 hours 46 minutes | 55 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 13 hours 29 minutes | 3 hours 36 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: 05/19/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 05/19/2011 |
| 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, 00/02/2008
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/02/2008 | 01/00/2008 | 2 | Some |
| Signs that state that exit doors are to be kept closed. | 00/02/2008 | 02/04/2008 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 00/02/2008 | 02/04/2008 | 1 | Many |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 00/02/2008 | 02/07/2008 | 2 | Many |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper backup exit lighting. | 00/02/2008 | 02/04/2008 | 2 | Many |
| Emergency lighting that can last at least 1 1/2 hours. | 00/02/2008 | 02/04/2008 | 2 | Many |
Inspection, 01/09/2005
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 01/09/2005 | 01/07/2006 | 2 | Some |
| Corridor and hallway doors that block smoke. | 01/09/2005 | 01/07/2006 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/09/2005 | 01/07/2006 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protected exits that allow the resident to escape the building. | 01/09/2005 | 01/07/2006 | 2 | Some |
Inspection, 02/05/2003
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of portable space heaters. | 02/05/2003 | 03/01/2003 | 2 | Some |
