SOUTHERN HILLS REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Southern Hills Rehabilitation Center. 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

SOUTHERN HILLS REHABILITATION CENTER
5170 SOUTH VANDALIA
TULSA, OK 74135
(918) 496-3963

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: 84
  • Certified Beds: 106

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Jenks | Broken Arrow | Glenpool

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 "Very 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 Southern Hills Rehabilitation Center. 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

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: 11-165.1%
ADL Index Range: 6-1011.0%
ADL Index Range: 0-521.4%
Total Percent:37.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.8%
ADL Index Range: 6-1023.1%
ADL Index Range: 0-518.1%
Total Percent:54.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.4%
ADL Index Range: 6-104.1%
Total Percent:4.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-52.3%
Total Percent:2.3%
 

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: 0-1
- No Signs of depression
0.9%
Total Percent:0.9%
 

Rating Details For Southern Hills Rehabilitation Center

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) Hours23 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 30 Minutes2 Hours and 6 Minutes
Total Licensed Nurse Hours54 Minutes1 Hour and 30 Minutes
Total Nurse Hours3 Hours and 25 Minutes3 Hours and 35 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 Vaccination86%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%94%

Long-Term Stay Deficiencies

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 Sores9%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder45%40%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%10%

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%85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%13%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%23%

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 06/03/2011.

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

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 06/03/2011
  • Correction Date: 01/01/1900

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)03/18/2010$22,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Southern Hills Rehabilitation Center, 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: 10/15/2008
  • Correction Date: 11/10/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/18/2010
  • Correction Date: 04/17/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Post Nurse Staffing Information.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/16/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/16/2009
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/16/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 03/18/2010
  • Correction Date: 04/17/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 03/18/2010
  • Correction Date: 04/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 05/07/2009
  • Correction Date: 06/21/2009
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: 05/07/2009
  • Correction Date: 06/21/2009
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: 06/03/2011
  • Correction Date: 08/18/2011

Resident Rights

Have a Private Telephone Available for Use.
  • Complaint Filed: 03/18/2010
  • Correction Date: 03/26/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011
Send and Promptly Deliver Unopened Mail to Residents.
  • Complaint Filed: 06/03/2011
  • Correction Date: 08/18/2011

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 Southern Hills Rehabilitation Center 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 05/24/2011.

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

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/02/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 05/07/2009
  • Correction Date: 05/08/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/07/2009
  • Correction Date: 05/11/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/24/2011
  • Correction Date: 07/25/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/24/2011
  • Correction Date: 07/25/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/07/2009
  • Correction Date: 05/08/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/24/2011
  • Correction Date: 07/25/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/24/2011
  • Correction Date: 07/25/2011
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011