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Callaway Nursing Home

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 86
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: 01/13/2012

Date of last standard health inspection: 01/13/2012
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, 02/06/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/06/2009 01/00/2011 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. 02/06/2009 01/00/2011 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. 02/06/2009 01/00/2011 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/06/2009 01/00/2011 and that incontinent patients receive proper servi unless medically necessary
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. 02/06/2009 01/00/2011 1 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/06/2009 01/00/2011 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/06/2009 01/00/2011 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/06/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have enough outside ventilation via a window or mechanical ventilation 01/06/2009 03/01/2010 Some or both.

Inspection, 01/00/2004

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. 01/00/2004 01/02/2004 2 Few

Inspection, 00/03/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/03/2004 01/00/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 00/03/2004 01/00/2004 and manage each resident's personal money which is secure

Inspection, 02/05/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ staff that are licensed 02/05/2003 03/00/2004 or registered in accordance with state laws. certified

Inspection, 01/06/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/06/2003 03/00/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/06/2003 03/00/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/06/2003 03/00/2004 2 Some
Keep all essential equipment working safely. 01/06/2003 03/00/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/06/2003 03/00/2004 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/06/2003 03/00/2004 2 Many
Provide housekeeping and maintenance services. 01/06/2003 03/00/2004 2 Some
Make sure there is a pest control program to prevent/deal with mice 01/06/2003 03/00/2004 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/06/2003 03/00/2004 2 Some
Keep each resident free from physical restraints 01/06/2003 03/00/2004 Some unless needed for medical treatment.
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. 01/06/2003 03/00/2004 2 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/06/2003 03/00/2004 2 Some
Store, cook, and serve food in a safe and clean way. 01/06/2003 03/00/2004 2 Some
Store 01/06/2003 03/00/2004 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
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. 01/06/2003 03/00/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/06/2003 03/00/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/06/2003 03/00/2004 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. 01/06/2003 03/00/2004 2 Few
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. 01/06/2003 03/00/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/06/2003 03/00/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/06/2003 03/00/2004 2 Few
Develop a complete care plan that meets all the resident's needs 01/06/2003 03/00/2004 Few with timetables and actions that can be measured.
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. 01/06/2003 03/00/2004 2 Some
Keep residents' personal and medical records private and confidential. 01/06/2003 03/00/2004 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/06/2003 03/00/2004 2 Few
Keep residents' personal and medical records private and confidential. 01/06/2003 03/00/2004 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/06/2003 03/00/2004 2 Few

Inspection, 00/08/2002

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. 00/08/2002 02/05/2003 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2002 02/05/2003 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/08/2002 02/05/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2002 02/05/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/08/2002 02/05/2003 2 Some
Keep all essential equipment working safely. 00/08/2002 02/05/2003 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/08/2002 02/05/2003 2 Few
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. 00/08/2002 02/05/2003 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. 00/08/2002 02/05/2003 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2002 02/05/2003 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. 00/08/2002 01/00/2004 2 Some
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. 00/08/2002 02/05/2003 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. 00/08/2002 02/05/2003 2 Few
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. 00/08/2002 02/05/2003 2 Few
Assure that each resident 00/08/2002 02/05/2003 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/08/2002 02/05/2003 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/08/2002 02/05/2003 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/08/2002 02/05/2003 2 Some
Make sure that doctors visit residents regularly, as required. 00/08/2002 02/05/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/08/2002 02/05/2003 1 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/08/2002 02/05/2003 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/08/2002 02/05/2003 2 Some
Provide resident groups or resident family groups with private space to meet. 00/08/2002 02/05/2003 2 Some

Inspection, 01/03/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/03/2001 00/04/2005 2 Many
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/03/2001 02/00/2004 2 Many
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. 01/03/2001 02/07/2002 2 Some
Provide housekeeping and maintenance services. 01/03/2001 02/07/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2001 02/07/2002 2 Some
Keep all essential equipment working safely. 01/03/2001 02/07/2002 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/03/2001 02/07/2002 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/03/2001 00/04/2005 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 01/03/2001 02/07/2002 2 Many
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. 01/03/2001 01/00/2004 2 Many
Protect each resident from mistreatment 01/03/2001 02/07/2002 Many neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/03/2001 02/00/2004 investigation identification
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. 01/03/2001 02/07/2002 2 Many
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. 01/03/2001 02/07/2002 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. 01/03/2001 02/07/2002 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/03/2001 02/07/2002 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. 01/03/2001 00/04/2005 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2001 02/07/2002 3 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 01/03/2001 02/07/2002 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. 01/03/2001 02/07/2002 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2001 02/07/2002 2 Some
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. 01/03/2001 00/04/2005 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/03/2001 00/04/2005 2 Few
Keep residents' personal and medical records private and confidential. 01/03/2001 02/07/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/03/2001 02/07/2002 2 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/03/2001 02/07/2002 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 1 out of 5 stars
Total Number of Residents 86 64 74
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 15 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 45 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 1 minute

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: 01/10/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/10/2012
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, 01/05/2003

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. 01/05/2003 03/00/2004 1 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. 01/05/2003 03/00/2004 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. 01/05/2003 03/00/2004 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/05/2003 03/00/2004 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." 01/05/2003 03/00/2004 2 Some

Inspection, 00/06/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/06/2002 02/05/2003 2 Many
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. 00/06/2002 02/05/2003 1 Many
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. 00/06/2002 02/05/2003 2 Some
Corridor and hallway doors that block smoke. 00/06/2002 02/05/2003 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. 00/06/2002 02/05/2003 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/06/2002 02/05/2003 2 Some
Rooms that can be unlocked from inside without a key. 00/06/2002 02/05/2003 2 Few
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. 00/06/2002 02/05/2003 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/06/2002 02/05/2003 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." 00/06/2002 02/05/2003 2 Many

Inspection, 01/00/2001

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. 01/00/2001 02/00/2004 1 Many
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. 01/00/2001 02/07/2002 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2001 02/07/2002 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Rooms that can be unlocked from inside without a key. 01/00/2001 02/07/2002 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 01/00/2001 02/07/2002 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/00/2001 02/07/2002 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/00/2001 02/07/2002 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. 01/00/2001 02/07/2002 2 Some
 

1300 West Lindsay
Sulphur, OK 73086

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