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Southern Hills Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 106
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 06/03/2011

Date of last standard health inspection: 06/03/2011
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, 00/02/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/02/2008 02/03/2010 2 Some
Provide activities to meet the interests and needs of each resident. 00/02/2008 02/03/2010 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/02/2008 02/03/2010 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/02/2008 02/03/2010 2 Some

Inspection, 00/03/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/03/2006 01/08/2008 1 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/03/2006 01/08/2008 3 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/03/2006 01/08/2008 2 Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 00/03/2006 01/08/2008 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/03/2006 00/08/2009 3 Some
Post nurse staffing information/data on a daily basis. 00/03/2006 01/08/2008 1 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/03/2006 01/08/2008 3 Some
Keep accurate 00/03/2006 01/08/2008 Some complete and organized clinical records on each re
Have a detailed 00/03/2006 01/08/2008 such as fire written plan for disasters and emergencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/03/2006 00/08/2009 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2006 01/08/2008 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2006 01/08/2008 4 Few
Have a program that investigates, controls and keeps infection from spreading. 00/03/2006 01/08/2008 2 Some
Provide housekeeping and maintenance services. 00/03/2006 01/08/2008 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2006 01/08/2008 4 Few
Have a program that investigates 00/03/2006 01/08/2008 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from drugs that restrain them, unless needed for medical treatment. 00/03/2006 01/08/2008 2 Some
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/03/2006 01/08/2008 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. 00/03/2006 01/08/2008 2 Some
Keep each resident free from drugs that restrain them 00/03/2006 01/08/2008 Some unless needed for medical treatment.
Protect each resident from mistreatment 00/03/2006 01/08/2008 Some neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/03/2006 01/08/2008 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. 00/03/2006 01/08/2008 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/03/2006 01/08/2008 2 Some
Ensure that residents are safe from serious medication errors. 00/03/2006 01/08/2008 2 Some
Keep the rate of medication errors (wrong drug 00/03/2006 01/08/2008 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 00/03/2006 01/08/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/03/2006 01/08/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2006 00/08/2009 4 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/03/2006 01/08/2008 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. 00/03/2006 01/08/2008 2 Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/03/2006 01/08/2008 2 Few
Provide activities to meet the interests and needs of each resident. 00/03/2006 01/08/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2006 00/08/2009 4 Some
Assist those residents who need help with eating/drinking 00/03/2006 01/08/2008 Some grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/03/2006 01/08/2008 and that incontinent patients receive proper servi unless medically necessary
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 00/03/2006 01/08/2008 vomiting diarrhea
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2006 00/08/2009 3 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2006 00/08/2009 3 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 00/03/2006 01/08/2008 2 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/03/2006 01/08/2008 4 Some
Keep residents' personal and medical records private and confidential. 00/03/2006 01/08/2008 2 Some
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/03/2006 01/08/2008 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2006 01/08/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/03/2006 01/08/2008 2 Some
Honor a residents' rights as a residents of the nursing home 00/03/2006 01/08/2008 and as citizens or residents of the United States. free of coercion and reprisal
Immediately tell the resident 00/03/2006 01/08/2008 and a family member of situations (injury/decline/ the resident's doctor
Keep residents' personal and medical records private and confidential. 00/03/2006 01/08/2008 2 Some
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/03/2006 01/08/2008 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2006 01/08/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/03/2006 01/08/2008 2 Some

Inspection, 01/08/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/08/2005 00/02/2007 Some grooming and personal and oral hygiene.

Inspection, 01/08/2003

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. 01/08/2003 01/07/2004 2 Some
Keep accurate 01/08/2003 01/07/2004 Some complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2003 01/07/2004 3 Some
Ensure residents maintain acceptable nutritional status. 01/08/2003 01/07/2004 3 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2003 01/07/2004 3 Some
Ensure residents maintain acceptable nutritional status. 01/08/2003 01/07/2004 3 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 01/08/2003 02/06/2003 2 Some
Provide residents with private access to a telephone. 01/08/2003 02/06/2003 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 86 64 92
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 51 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 18 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 33 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 12 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: 05/24/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 05/24/2011
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, 00/01/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/01/2008 01/06/2009 2 Some
Automatic sprinkler systems that have been maintained in working order. 00/01/2008 01/01/2009 2 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. 00/01/2008 01/01/2009 2 Many
Hazardous Area Deficiencies
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. 00/01/2008 01/01/2009 2 Some
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. 00/01/2008 01/01/2009 2 Some
Smoke Compartmentation and Control Deficiencies
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. 00/01/2008 01/01/2009 2 Many
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/01/2008 01/01/2009 2 Many
Smoking Regulations Deficiencies
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." 00/01/2008 01/01/2009 2 Some

Inspection, 02/04/2005

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. 02/04/2005 02/05/2007 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/04/2005 02/05/2007 2 Some
Smoke Compartmentation and Control Deficiencies
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. 02/04/2005 02/05/2007 2 Some
Smoking Regulations Deficiencies
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." 02/04/2005 02/05/2007 2 Some
 

5170 South Vandalia
Tulsa, OK 74135

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