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Epworth Villa Health Services

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 87
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: 05/23/2011

Date of last standard health inspection: 05/23/2011
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, 00/04/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/04/2008 02/05/2008 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2008 02/07/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/04/2008 01/07/2008 2 Few
Keep all essential equipment working safely. 00/04/2008 02/04/2008 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. 00/04/2008 02/04/2008 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Encode each resident 00/04/2008 00/06/2008 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/04/2008 00/05/2008 1 Many

Inspection, 02/03/2005

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. 02/03/2005 00/07/2007 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/03/2005 00/07/2007 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. 02/03/2005 00/07/2007 2 Many
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. 02/03/2005 00/07/2007 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/03/2005 00/07/2007 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/03/2005 00/07/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2005 00/07/2007 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/03/2005 00/07/2007 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. 02/03/2005 00/07/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2005 00/07/2007 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. 02/03/2005 00/07/2007 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/03/2005 00/07/2007 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/03/2005 00/07/2007 2 Few
Make sure that doctors visit residents regularly, as required. 02/03/2005 00/07/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/03/2005 00/07/2007 2 Some

Inspection, 02/05/2003

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. 02/05/2003 02/06/2003 3 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. 02/05/2003 02/06/2003 2 Some

Inspection, 01/08/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/08/2001 01/08/2002 Some complete and organized clinical records on each re
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. 01/08/2001 01/08/2002 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 4 out of 5 stars
Total Number of Residents 86 64 78
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour 49 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 54 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 55 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 3 hours 36 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: 05/19/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/19/2011
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, 00/02/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2008 01/00/2008 2 Some
Signs that state that exit doors are to be kept closed. 00/02/2008 02/04/2008 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. 00/02/2008 02/04/2008 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/02/2008 02/07/2008 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 00/02/2008 02/04/2008 2 Many
Emergency lighting that can last at least 1 1/2 hours. 00/02/2008 02/04/2008 2 Many

Inspection, 01/09/2005

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. 01/09/2005 01/07/2006 2 Some
Corridor and hallway doors that block smoke. 01/09/2005 01/07/2006 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. 01/09/2005 01/07/2006 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protected exits that allow the resident to escape the building. 01/09/2005 01/07/2006 2 Some

Inspection, 02/05/2003

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 02/05/2003 03/01/2003 2 Some
 

14901 North Penn Avenue
Oklahoma City, OK 73134

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