Callaway Nursing Home

For profit - Limited Liability company · 1300 West Lindsey, Sulphur, OK 73086 · See home’s Medicare page

No Ownership Data Provided

Home did not provide details about ownership and managerial control of the facility.

Nurse hours/resident/day

Data unavailable

Nurse turnover

Data unavailable

Certified beds

Qualifying beds in the certified provider or supplier facility.

Average residents/day

Average number of residents based on daily census.

Inspection Reports

total deficiencies

infection-related deficiency

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.

Jan 5, 2024

Standard report

4 deficiencies

to F

Full report

Administration Deficiency — F0837

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Administration Deficiency — F0851

Failure to: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Pharmacy Service Deficiency — F0755

Failure to: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Dec 8, 2022

Standard report

6 deficiencies

to E

Full report

Quality of Life and Care Deficiency — F0695

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Nutrition and Dietary Deficiency — F0812

Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Administration Deficiency — F0851

Failure to: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0636

Failure to: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0638

Failure to: Assure that each resident's assessment is updated at least once every 3 months.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0640

Failure to: Encode each resident's assessment data and transmit these data to the State within 7 days of assessment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Jun 24, 2021

Standard report

15 deficiencies

1 Payment Suspension

to G

Full report

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

Actual harm that is not immediate jeopardy

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0550

Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Nursing and Physician Services Deficiency — F0725

Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Pharmacy Service Deficiency — F0756

Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Pharmacy Service Deficiency — F0758

Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Administration Deficiency — F0865

Failure to: Have a plan that describes the process for conducting QAPI and QAA activities.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0563

Failure to: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0584

Failure to: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0636

Failure to: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0657

Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Nutrition and Dietary Deficiency — F0812

Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0561

Failure to: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0661

Failure to: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0676

Failure to: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Penalties

$237K

total fines

payment suspension

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.

Jul 17, 2023

$13,636 fine