SOUTHBROOK HEALTHCARE, INC
The information listed below provides an in-depth look into the type and quality of care offered at Southbrook Healthcare, Inc. 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
SOUTHBROOK HEALTHCARE, INC
832 ISABEL SOUTHWEST
ARDMORE, OK 73401
(580) 223-5901
832 ISABEL SOUTHWEST
ARDMORE, OK 73401
(580) 223-5901
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
44%Number of Residents and Certified Beds
- Residents: 50
- Certified Beds: 114
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is 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 "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 Southbrook Healthcare, Inc. 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 |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 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 | 2.0% |
| ADL Index Range: 2-10 | 3.0% |
| Total Percent: | 5.0% |
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: 11-16 | 1.8% |
| Total Percent: | 1.8% |
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: 11-16 | 3.8% |
| ADL Index Range: 6-10 | 17.0% |
| ADL Index Range: 0-5 | 5.9% |
| Total Percent: | 26.7% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 13.3% |
| ADL Index Range: 6-10 | 25.2% |
| ADL Index Range: 0-5 | 6.9% |
| Total Percent: | 45.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.8% |
| ADL Index Range: 6-10 | 4.3% |
| ADL Index Range: 0-5 | 1.0% |
| Total Percent: | 9.1% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 1.9% |
| ADL Index Range: 0-5 | 3.3% |
| Total Percent: | 5.2% |
Extensive Services
- 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: 2-16 - Isolation for active infectious disease | 0.3% |
| Total Percent: | 0.3% |
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 - Signs of depression | 1.6% |
| ADL Index Range: 6-10 - Signs of depression | 1.3% |
| Total Percent: | 2.9% |
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: 11-14 - Signs of depression | 0.4% |
| ADL Index Range: 11-14 - No Signs of depression | 1.1% |
| Total Percent: | 1.5% |
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: 2-5 - Less restorative nursing | 0.3% |
| Total Percent: | 0.3% |
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: 0-1 - Less restorative nursing | 2.0% |
| Total Percent: | 2.0% |
Rating Details For Southbrook Healthcare, Inc
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 | 31 Minutes | 1 Hour |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 7 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 12 Minutes | 2 Hours and 17 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 37 Minutes | 1 Hour and 38 Minutes |
| Total Nurse Hours | 3 Hours and 49 Minutes | 3 Hours and 55 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 Who Spend Most of Their Time in Bed or in a Chair | 6% | 6% |
| 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 Bladder | 5% | 6% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 4% | 9% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 78% | 40% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 8% | 11% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 8% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 16% | 13% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 8% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 8% | 6% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 10% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 43% | 85% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 85% | 89% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 8% | 13% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 40% | 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 07/22/2010.
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 |
Administration
Keep Accurate and Appropriate Medical Records.
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1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Keep Sound Levels Comfortable.
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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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Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Make Sure That Residents Are Well Nourished.
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Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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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 Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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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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Provide Activities to Meet the Needs of Each Resident.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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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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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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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Make Sure That Doctors Visit Residents Regularly, As Required.
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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.
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Have a Private Telephone Available for Use.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Southbrook Healthcare, Inc, 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 |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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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 Southbrook Healthcare, Inc 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 07/21/2010.
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 |
Building Service Equipment
Properly Protected Cooking Facilities.
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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
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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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Hazardous Area
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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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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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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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
