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Grace Living Center-Tahlequah East Shawnee

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About Grace Living Center-Tahlequah East Shawnee

General Information

Legal Business NameEast Shawnee Nursing Center L L C
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 4, 1992 (25 years)
Capacity125
Residents67
Percent Occupied54%
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-Tahlequah East Shawnee

Grace Living Center-Tahlequah East Shawnee
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 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintEnsure 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.
ESomePotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 28, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential 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.
DFewPotential 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.

November 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,605 fine
HSomeActual HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
HSomeActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
HSomeActual HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 24-hour emergency dental care for each resident.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
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 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 InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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-Tahlequah East Shawnee 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 35min
2hr 5min
ReportedExpected
CNA
60min
40min
ReportedExpected
LPN
15min
55min
ReportedExpected
RN
3hr 50min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.4%
83.3%
83.3%
83.3%
94.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
96.6%
98.2%
98.1%
90.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
25.0%
26.9%
21.4%
10.7%
33.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of low risk long-stay residents who lose control of their bowels or bladder
35.1%
33.3%
24.1%
36.5%
29.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antianxiety or hypnotic medication
41.9%
12.9%
11.6%
30.8%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose ability to move independently worsened
26.3%
22.0%
31.6%
30.3%
20.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who received an antipsychotic medication
38.9%
20.4%
4.3%
24.4%
14.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents whose need for help with daily activities has increased
23.4%
26.9%
35.3%
30.1%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who self-report moderate to severe pain
7.3%
7.0%
7.4%
11.8%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who lose too much weight
8.7%
11.1%
13.6%
-
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
5.9%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents who have depressive symptoms
9.1%
12.3%
14.8%
0.0%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a urinary tract infection
5.4%
6.9%
1.8%
1.9%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents experiencing one or more falls with major injury
12.3%
12.7%
6.1%
0.0%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
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

73.2%
79.2%
86.2%
86.8%
77.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.3%
75.0%
75.0%
75.0%
71.8%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
49.9%
58.6%
100.0%
-
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
36.5%
27.9%
39.1%
54.8%
24.0%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who self-report moderate to severe pain
2.1%
2.0%
2.6%
0.0%
2.5%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents who newly received an antipsychotic medication
4.2%
2.4%
3.2%
4.2%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OK
Percentage of short-stay residents with pressure ulcers that are new or worsened