COUNTRY CLUB CARE
The information listed below provides an in-depth look into the type and quality of care offered at Country Club Care. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
COUNTRY CLUB CARE
1904 NORTH HIGHWAY 81
DUNCAN, OK 73533
(580) 255-4600
1904 NORTH HIGHWAY 81
DUNCAN, OK 73533
(580) 255-4600
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
79%Number of Residents and Certified Beds
- Residents: 82
- Certified Beds: 104
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Country Club Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
High Rehabilitation Plus Extensive Services
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 2.4% |
| Total Percent: | 2.4% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 3.1% |
| Total Percent: | 3.1% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 0-5 | 2.0% |
| Total Percent: | 2.0% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 4.8% |
| ADL Index Range: 0-5 | 15.5% |
| Total Percent: | 20.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 11.8% |
| ADL Index Range: 0-5 | 23.0% |
| Total Percent: | 34.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 7.9% |
| ADL Index Range: 6-10 | 5.9% |
| ADL Index Range: 0-5 | 4.6% |
| Total Percent: | 18.4% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 6.1% |
| Total Percent: | 6.1% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - Signs of depression | 3.1% |
| Total Percent: | 3.1% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 0-1 - Less restorative nursing | 0.7% |
| Total Percent: | 0.7% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 15-16 - Less restorative nursing | 3.1% |
| ADL Index Range: 11-14 - Less restorative nursing | 2.8% |
| ADL Index Range: 0-1 - Less restorative nursing | 3.3% |
| Total Percent: | 9.2% |
Rating Details For Country Club Care
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 10 Minutes | 51 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 38 Minutes | 33 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 19 Minutes | 2 Hours and 11 Minutes |
| Total Licensed Nurse Hours | 48 Minutes | 1 Hour and 24 Minutes |
| Total Nurse Hours | 4 Hours and 6 Minutes | 3 Hours and 34 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Oklahoma Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 5% | 8% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 6% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 15% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 5% | 6% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 16% | 13% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 5% | 9% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 10% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 42% | 40% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 11% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 89% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 85% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 25% | 23% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 17% | 13% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/30/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Get Rid of Garbage Properly.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 12/09/2008 | $325 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Country Club Care, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
1) Hire Only People Who Have 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.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Country Club Care had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/28/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
Properly Maintained Smoke Detectors.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Proper Backup Exit Lighting.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011
