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Grace Living Center-Southwest O K C

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About Grace Living Center-Southwest O K C

General Information

Legal Business NameCapitol Hill Nc LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1994 (23 years)
Capacity120
Residents78
Percent Occupied65%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Grace Living Center-Southwest O K C

Grace Living Center-Southwest O K C
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oklahoma Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 28, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionAllow residents to have visitors.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionProvide clean bed and bath linens that are in good condition.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

June 28, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintDevelop 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.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

May 25, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 55 days
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

December 15, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$3,000 fine

July 31, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,488 fine
FManyPotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.

June 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

November 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

September 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Grace Living Center-Southwest O K C require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 40min
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.0%
98.6%
98.6%
98.6%
94.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
95.9%
94.6%
90.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
39.5%
39.5%
34.0%
41.5%
33.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of low risk long-stay residents who lose control of their bowels or bladder
31.7%
30.6%
31.0%
33.8%
29.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.6%
10.4%
12.5%
14.1%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose ability to move independently worsened
20.3%
18.8%
13.6%
13.0%
20.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antipsychotic medication
9.8%
11.5%
4.5%
21.2%
14.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose need for help with daily activities has increased
21.0%
22.6%
18.0%
24.3%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who self-report moderate to severe pain
10.6%
3.0%
1.4%
2.7%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who lose too much weight
15.4%
16.2%
18.9%
13.9%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
1.5%
0.0%
5.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who have depressive symptoms
6.0%
9.0%
4.2%
1.4%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a urinary tract infection
7.2%
2.9%
1.4%
1.4%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents experiencing one or more falls with major injury
5.2%
5.5%
3.4%
1.2%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.4%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

94.7%
87.0%
64.6%
71.1%
77.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
51.2%
84.4%
84.4%
84.4%
71.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
61.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
34.6%
29.2%
39.1%
24.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
3.7%
3.4%
0.0%
2.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who newly received an antipsychotic medication
2.1%
2.0%
3.7%
1.9%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents with pressure ulcers that are new or worsened