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Forrest Manor Nursing Center
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1410 North Choctaw
Dewey, OK 74029
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 116 |
| 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: 03/22/2012
| Date of last standard health inspection: | 03/22/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 4 |
| Average number of Health Deficiencies in OK: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in OK: | 0 - 14 |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/00/2012 | 02/04/2001 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assure that each resident | 01/00/2012 | 02/04/2001 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | 00/03/2012 | 01/05/2001 | 2 | Many |
| Store, cook, and serve food in a safe and clean way. | 00/03/2012 | 01/05/2001 | 2 | Many |
Inspection, 00/03/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/03/2012 | 01/05/2001 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Dispose of garbage and refuse properly. | 00/03/2012 | 01/05/2001 | 2 | Many |
| Have a program that investigates, controls and keeps infection from spreading. | 00/03/2012 | 01/05/2001 | 2 | Many |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 00/03/2012 | 01/05/2001 | 2 | Some |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 00/03/2012 | 01/05/2001 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | 00/03/2012 | 01/05/2001 | 2 | Many |
| Store, cook, and serve food in a safe and clean way. | 00/03/2012 | 01/05/2001 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/03/2012 | 01/05/2001 | 2 | Some |
| Ensure that residents are safe from serious medication errors. | 00/03/2012 | 01/05/2001 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/03/2012 | 01/05/2001 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/03/2012 | 01/05/2001 | 2 | Few |
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. | 00/03/2012 | 01/05/2001 | 1 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/03/2012 | 01/05/2001 | 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. | 00/03/2012 | 02/01/2012 | 2 | Some |
Inspection, 01/09/2011
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 01/09/2011 | 00/06/2012 | 2 | Some |
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. | 01/09/2011 | 00/06/2012 | 2 | Few |
Inspection, 02/02/2008
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/02/2008 | 02/01/2009 | 2 | Some |
Resident Rights Deficiencies |
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| 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. | 02/02/2008 | 02/01/2009 | 2 | Some |
Inspection, 02/07/2004
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. | 02/07/2004 | 00/07/2005 | 2 | Many |
Inspection, 02/02/2003
Administration Deficiencies |
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| 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 | 02/02/2003 | 01/05/2004 | 2 | Some |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/02/2003 | 01/05/2004 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | 02/02/2003 | 00/05/2004 | 2 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 02/02/2003 | 02/00/2004 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | 02/02/2003 | 00/06/2004 | 2 | Few |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 02/02/2003 | 01/05/2004 | 2 | Many |
| Store, cook, and serve food in a safe and clean way. | 02/02/2003 | 03/00/2004 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/02/2003 | 03/00/2004 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents to self-administer drugs if determined safe. | 02/02/2003 | 03/00/2004 | 2 | Few |
Inspection, 02/07/2001
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 02/07/2001 | 01/03/2003 | 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. | 02/07/2001 | 01/03/2003 | 2 | Many |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 02/07/2001 | 01/03/2003 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/07/2001 | 01/02/2004 | 2 | Few |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 02/07/2001 | 01/03/2003 | 1 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/07/2001 | 01/02/2004 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/07/2001 | 01/02/2004 | 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 | 1 out of 5 stars |
| Total Number of Residents | 85 | 60 | 84 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 11 hours 21 minutes | 43 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 10 hours 33 minutes | 9 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 10 hours 58 minutes | 34 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 12 hours 41 minutes | 2 hours 11 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: 03/21/2012
| Automatic Sprinkler Systems in all required areas | Partial |
| Date of last standard fire safety inspection: | 03/21/2012 |
| 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, 00/02/2012
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 00/02/2012 | 02/02/2012 | 1 | Many |
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. | 00/02/2012 | 02/02/2012 | 2 | Some |
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. | 00/02/2012 | 02/02/2012 | 2 | Many |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly maintained smoke detectors. | 00/02/2012 | 02/02/2012 | 2 | Many |
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. | 00/02/2012 | 02/02/2012 | 2 | Some |
Inspection, 02/01/2003
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 02/01/2003 | 00/00/0000 | 1 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/01/2003 | 03/01/2003 | 2 | Many |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 02/01/2003 | 00/06/2005 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/01/2003 | 00/04/2004 | 2 | Some |
Inspection, 02/06/2001
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 02/06/2001 | 02/08/2002 | 1 | Many |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/06/2001 | 00/09/2003 | 2 | Some |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 02/06/2001 | 00/09/2003 | 2 | Some |
