BRENTWOOD EXTENDED CARE & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Brentwood Extended Care & Rehab. 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

BRENTWOOD EXTENDED CARE & REHAB
841 NORTH 38TH STREET
MUSKOGEE, OK 74401
(918) 683-8070

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

59%

Number of Residents and Certified Beds

  • Residents: 53
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Wagoner | Haskell | Coweta

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Ultra-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 Brentwood Extended Care & Rehab. 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: 6-104.6%
ADL Index Range: 0-561.5%
Total Percent:66.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1015.6%
ADL Index Range: 0-518.3%
Total Percent:33.9%
 

Rating Details For Brentwood Extended Care & Rehab

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) Hours17 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours33 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 14 Minutes2 Hours and 8 Minutes
Total Licensed Nurse Hours50 Minutes1 Hour and 43 Minutes
Total Nurse Hours2 Hours and 4 Minutes3 Hours and 50 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 Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%9%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%6%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores37%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%40%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores4%13%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain35%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 06/24/2011.

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

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/24/2011
  • Correction Date: 07/06/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/24/2011
  • Correction Date: 07/06/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/24/2011
  • Correction Date: 07/06/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/24/2011
  • Correction Date: 07/06/2011

Resident Assessment

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: 06/24/2011
  • Correction Date: 07/06/2011

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)03/18/2009$3,055
Civil Money Penalty (CMP)08/10/2010$3,558
Civil Money Penalty (CMP)08/05/2009$28,854
Civil Money Penalty (CMP)08/10/2010$28,908
Civil Money Penalty (CMP)08/10/2010$84,516
Civil Money Penalty (CMP)08/10/2010$89,423

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brentwood Extended Care & Rehab, 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: 03/02/2010
  • Correction Date: 03/08/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Complaint Filed: 08/10/2010
  • Correction Date: 12/03/2010
Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/02/2010
  • Correction Date: 03/31/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/02/2010
  • Correction Date: 03/31/2010
Keep Safe, Clean and Homelike Surroundings.
  • Complaint Filed: 03/02/2010
  • Correction Date: 03/22/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/09/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Get Rid of Garbage Properly.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 08/05/2009
  • Correction Date: 09/18/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/05/2009
  • Correction Date: 09/18/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
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: 08/10/2010
  • Correction Date: 12/03/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/10/2010
  • Correction Date: 12/03/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 03/02/2010
  • Correction Date: 03/31/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/08/2010

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 08/05/2009
  • Correction Date: 09/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/02/2010
  • Correction Date: 03/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/10/2010
  • Correction Date: 11/03/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/10/2010
  • Correction Date: 11/08/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/08/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/03/2010

Resident Assessment

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: 08/05/2009
  • Correction Date: 09/18/2009
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: 03/02/2010
  • Correction Date: 03/30/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
Do an Assessment of the Resident Every Year.
  • Complaint Filed: 08/10/2010
  • Correction Date: 09/17/2010
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: 08/10/2010
  • Correction Date: 11/03/2010
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: 10/11/2010
  • Correction Date: 11/03/2010

Resident Rights

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: 08/10/2010
  • Correction Date: 09/17/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/03/2010
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 10/11/2010
  • Correction Date: 10/29/2010
Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 10/11/2010
  • Correction Date: 11/03/2010

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 Brentwood Extended Care & Rehab 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 06/23/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/21/2010
Portable Fire Extinguishers.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/15/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/23/2011
  • Correction Date: 08/16/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/06/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/23/2011
  • Correction Date: 08/16/2011
Properly Protected Cooking Facilities.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/15/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/20/2011
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/20/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/15/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/15/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/21/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/06/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/20/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/23/2011
  • Correction Date: 08/16/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/20/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/04/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/23/2011
  • Correction Date: 07/15/2011
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011