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

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

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Nearby Cities:

Marlow | Waurika | Lawton

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 ServicesResident ConditionsPercent 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: 11-162.4%
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: 2-103.1%
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: 0-52.0%
Total Percent:2.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.8%
ADL Index Range: 0-515.5%
Total Percent:20.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.8%
ADL Index Range: 0-523.0%
Total Percent:34.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-167.9%
ADL Index Range: 6-105.9%
ADL Index Range: 0-54.6%
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 DayReportedExpected
Registered Nurse (RN) Hours10 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes33 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 19 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours48 Minutes1 Hour and 24 Minutes
Total Nurse Hours4 Hours and 6 Minutes3 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 FacilityOklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%40%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain25%23%
Percent of Short-Stay Residents Who Have Pressure Sores17%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 InspectorsDegree of HarmResidents Affected

Environmental

Get Rid of Garbage Properly.
  • Inspection Date: 05/15/2008
  • Correction Date: 06/13/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/15/2008
  • Correction Date: 06/20/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 05/15/2008
  • Correction Date: 06/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/28/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/30/2010
  • Correction Date: 11/12/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 09/30/2010
  • Correction Date: 09/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/15/2008
  • Correction Date: 09/11/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/28/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/28/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/15/2008
  • Correction Date: 06/10/2008
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.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/12/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/30/2010
  • Correction Date: 10/28/2010

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 TakenDateAmount
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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/15/2008
  • Correction Date: 05/22/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/10/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008

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.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/17/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/17/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/18/2008
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.
  • Complaint Filed: 05/15/2008
  • Correction Date: 06/10/2008
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.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 12/09/2008
  • Correction Date: 12/11/2008

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Portable Fire Extinguishers.
  • Inspection Date: 05/13/2008
  • Correction Date: 05/20/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/13/2008
  • Correction Date: 01/01/1900
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/18/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/09/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/10/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/21/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/17/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/19/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/17/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/24/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 09/28/2010
  • Correction Date: 10/01/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/19/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/09/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/18/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/10/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/17/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/18/2009
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/12/2009
Proper Backup Exit Lighting.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/12/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/29/2009
  • Correction Date: 08/12/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/28/2010
  • Correction Date: 11/12/2010
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011