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Four Seasons Rehabilitation & Care

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 122
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: 02/17/2012

Date of last standard health inspection: 02/17/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 5
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12
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. 01/03/2012 02/07/2012 4 Some
Have a program that investigates 01/03/2012 02/07/2012 Few controls and keeps infection from spreading.
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/03/2012 02/07/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/03/2012 02/07/2012 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/03/2012 02/07/2012 and that incontinent patients receive proper servi unless medically necessary

Inspection, 00/06/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/06/2009 02/01/2009 Some complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 00/06/2009 02/01/2009 vomiting diarrhea
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 00/06/2009 02/01/2009 Few with timetables and actions that can be measured.

Inspection, 02/03/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/03/2006 01/05/2007 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/03/2006 01/05/2007 2 Some
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. 02/03/2006 01/05/2007 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/03/2006 01/05/2007 2 Some

Inspection, 02/06/2004

Quality Care Deficiencies
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. 02/06/2004 00/03/2005 2 Few

Inspection, 01/01/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/01/2004 02/09/2004 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 01/01/2004 02/09/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/01/2004 02/09/2004 2 Many
Quality Care Deficiencies
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. 01/01/2004 02/09/2004 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/01/2004 02/09/2004 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. 01/01/2004 02/09/2004 2 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. 01/01/2004 02/09/2004 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2004 02/09/2004 2 Some
Provide resident groups or resident family groups with private space to meet. 01/01/2004 02/09/2004 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 00/06/2005 Some grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/06/2004 00/06/2005 2 Many
Use a registered nurse at least 8 hours a day 00/06/2004 00/06/2005 Many 7 days a week.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/06/2004 00/06/2005 2 Some

Inspection, 03/01/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 03/01/2003 02/02/2004 2 Many
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. 03/01/2003 02/02/2004 2 Many
Have a program that investigates, controls and keeps infection from spreading. 03/01/2003 02/02/2004 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 03/01/2003 02/02/2004 2 Many
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. 03/01/2003 02/02/2004 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/01/2003 02/02/2004 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. 03/01/2003 02/02/2004 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. 03/01/2003 02/02/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Send unopened mail from residents and promptly deliver unopened mail to residents. 03/01/2003 02/02/2004 2 Some

Inspection, 01/07/2002

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. 01/07/2002 01/02/2003 2 Some
Keep accurate 01/07/2002 01/02/2003 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable sound levels. 01/07/2002 01/02/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2002 01/02/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/07/2002 01/02/2003 2 Some
Maintain comfortable sound levels. 01/07/2002 01/02/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2002 01/02/2003 2 Some
Have a program that investigates 01/07/2002 01/02/2003 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. 01/07/2002 01/02/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2002 01/02/2003 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/07/2002 01/02/2003 2 Some
Provide activities to meet the interests and needs of each resident. 01/07/2002 01/02/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2002 01/02/2003 2 Some
Assist those residents who need help with eating/drinking 01/07/2002 01/02/2003 Some grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 01/07/2002 01/02/2003 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/07/2002 01/02/2003 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2002 01/02/2003 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 01/07/2002 01/02/2003 2 Some
Develop a complete care plan that meets all the resident's needs 01/07/2002 01/02/2003 Some with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2002 01/02/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/07/2002 01/02/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/07/2002 01/02/2003 2 Some
Keep residents' personal and medical records private and confidential. 01/07/2002 01/02/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/07/2002 01/02/2003 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 2 out of 5 stars
Total Number of Residents 86 64 77
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour 15 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 6 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: 02/15/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/15/2012
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, 00/09/2004

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. 00/09/2004 02/09/2004 2 Some
Corridor and hallway doors that block smoke. 00/09/2004 02/09/2004 2 Some
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. 00/09/2004 02/09/2004 1 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 00/09/2004 02/09/2004 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. 00/09/2004 02/09/2004 2 Some

Inspection, 02/09/2003

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. 02/09/2003 02/02/2004 2 Many
Properly working alarms on sprinkler valves. 02/09/2003 02/02/2004 2 Many
Portable fire extinguishers. 02/09/2003 02/02/2004 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/09/2003 02/02/2004 2 Some
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. 02/09/2003 02/02/2004 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/09/2003 02/02/2004 2 Some
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. 02/09/2003 02/02/2004 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. 02/09/2003 02/02/2004 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. 02/09/2003 02/02/2004 2 Many
Properly located and lighted Exit" signs." 02/09/2003 02/02/2004 2 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 02/09/2003 02/02/2004 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. 02/09/2003 02/02/2004 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/09/2003 02/02/2004 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." 02/09/2003 02/02/2004 2 Some

Inspection, 01/05/2002

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. 01/05/2002 01/06/2003 2 Many
Properly working alarms on sprinkler valves. 01/05/2002 01/06/2003 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/05/2002 00/08/2003 2 Some
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. 01/05/2002 01/00/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/05/2002 01/05/2003 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/05/2002 01/06/2003 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. 01/05/2002 01/00/2003 2 Some
Properly installed hallway dispensers for alcohol-based hand rub. 01/05/2002 01/02/2003 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. 01/05/2002 01/05/2003 2 Some
Properly located and lighted Exit" signs." 01/05/2002 01/05/2003 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." 01/05/2002 00/07/2003 2 Some
 

1212 Four Seasons Drive
Durant, OK 74701

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