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Southbrook Healthcare, Inc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 11
Continuing Care? No
Resident Council? No
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: 09/29/2011

Date of last standard health inspection: 09/29/2011
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, 03/00/2011

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. 03/00/2011 00/09/2001 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 03/00/2011 00/09/2001 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/00/2011 00/09/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 03/00/2011 00/09/2001 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 03/00/2011 00/09/2001 1 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. 03/00/2011 00/09/2001 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. 03/00/2011 00/09/2001 2 Some
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. 03/00/2011 00/09/2001 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 03/00/2011 00/09/2001 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. 03/00/2011 00/09/2001 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 03/00/2011 00/09/2001 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. 03/00/2011 00/09/2001 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 03/00/2011 00/09/2001 1 Some
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2011 00/09/2001 1 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. 03/00/2011 00/09/2001 2 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 03/00/2011 00/09/2001 2 Some
Keep residents' personal and medical records private and confidential. 03/00/2011 00/09/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 03/00/2011 00/09/2001 2 Some

Inspection, 02/09/2009

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. 02/09/2009 00/08/2011 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2009 00/08/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2009 00/08/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2009 00/08/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/09/2009 00/08/2011 2 Some
Keep all essential equipment working safely. 02/09/2009 00/08/2011 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/09/2009 00/08/2011 2 Some
Put firmly secured handrails on each side of hallways. 02/09/2009 00/08/2011 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/09/2009 00/08/2011 2 Some
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/09/2009 00/08/2011 2 Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 02/09/2009 00/08/2011 2 Some
Store, cook, and serve food in a safe and clean way. 02/09/2009 00/08/2011 2 Some
Pharmacy Service Deficiencies
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. 02/09/2009 00/08/2011 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2009 00/08/2011 2 Some
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. 02/09/2009 00/08/2011 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/09/2009 00/08/2011 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. 02/09/2009 00/08/2011 2 Some
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident 02/09/2009 00/08/2011 3 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/09/2009 00/08/2011 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. 02/09/2009 00/08/2011 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2009 00/08/2011 2 Few

Inspection, 02/02/2007

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. 02/02/2007 03/00/2008 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/02/2007 02/07/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2007 03/00/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/02/2007 03/00/2008 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/02/2007 03/00/2008 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. 02/02/2007 03/00/2008 2 Many
Offer other nutritional food to each resident who will not eat the food served. 02/02/2007 03/00/2008 2 Few
Store, cook, and serve food in a safe and clean way. 02/02/2007 03/00/2008 2 Many
Pharmacy Service Deficiencies
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%. 02/02/2007 03/00/2008 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/02/2007 03/00/2008 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/02/2007 03/00/2008 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. 02/02/2007 01/06/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2007 01/07/2008 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/02/2007 02/04/2008 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. 02/02/2007 03/00/2008 2 Few
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. 02/02/2007 02/04/2008 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2007 02/04/2008 2 Some
Make sure that doctors visit residents regularly, as required. 02/02/2007 03/00/2008 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. 02/02/2007 03/00/2008 2 Some
Provide residents with private access to a telephone. 02/02/2007 01/07/2008 2 Few

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 3 out of 5 stars
Total Number of Residents 86 64 114
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour 6 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 36 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 29 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 21 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: 09/27/2011

Automatic Sprinkler Systems in all required areas 51
Date of last standard fire safety inspection: 09/27/2011
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, 02/09/2011

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. 02/09/2011 00/00/0000 1 Many

Inspection, 02/07/2009

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. 02/07/2009 00/00/0000 1 Many
Properly protected cooking facilities. 02/07/2009 00/08/2011 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. 02/07/2009 00/08/2011 2 Many
Corridor and hallway doors that block smoke. 02/07/2009 00/08/2011 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/07/2009 00/08/2011 2 Some
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. 02/07/2009 00/08/2011 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. 02/07/2009 00/08/2011 2 Many
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. 02/07/2009 00/08/2011 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." 02/07/2009 00/08/2011 2 Some

Inspection, 02/01/2007

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. 02/01/2007 03/00/2008 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/01/2007 03/00/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/01/2007 03/00/2008 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. 02/01/2007 01/05/2008 2 Many
Properly located and lighted Exit" signs." 02/01/2007 02/00/2008 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. 02/01/2007 03/00/2008 2 Some
 

832 Isabel Southwest
Ardmore, OK 73401

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