GRACE LIVING CENTER-TAHLEQUAH UNIVERSITY NORTHWEST

The information listed below provides an in-depth look into the type and quality of care offered at Grace Living Center-Tahlequah University Northwest. 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

GRACE LIVING CENTER-TAHLEQUAH UNIVERSITY NORTHWEST
1201 NORTH VINITA AVENUE
TAHLEQUAH, OK 74464
(918) 456-6181

Nursing Home Ratings

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

Percent of Beds Occupied

52%

Number of Residents and Certified Beds

  • Residents: 72
  • Certified Beds: 139

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Stilwell | Muskogee | Wagoner

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 Grace Living Center-Tahlequah University Northwest. 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

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: 2-1011.1%
Total Percent:11.1%
 

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: 6-1018.5%
ADL Index Range: 0-51.5%
Total Percent:20.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-532.2%
Total Percent:32.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-54.1%
Total Percent:4.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-511.1%
Total Percent:11.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
6.7%
Total Percent:6.7%
 

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
- No Signs of depression
5.2%
ADL Index Range: 0-1
- No Signs of depression
3.7%
Total Percent:8.9%
 

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: 6-10
- Less restorative nursing
5.9%
Total Percent:5.9%
 

Rating Details For Grace Living Center-Tahlequah University Northwest

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) Hours20 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 6 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 24 Minutes2 Hours and 2 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 33 Minutes
Total Nurse Hours3 Hours and 50 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 Given Influenza Vaccination During the Flu Season90%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination74%90%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder44%40%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%6%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination64%85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%13%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain33%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 05/12/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/16/2008
  • Correction Date: 01/29/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 05/12/2011
  • Correction Date: 06/07/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/16/2008
  • Correction Date: 01/29/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Grace Living Center-Tahlequah University Northwest, 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: 03/21/2011
  • Correction Date: 05/04/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/06/2009
  • Correction Date: 02/22/2009
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 03/21/2011
  • Correction Date: 05/04/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
Have a Private Telephone Available for Use.
  • Complaint Filed: 02/25/2010
  • Correction Date: 04/07/2010
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: 03/21/2011
  • Correction Date: 05/04/2011

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 Grace Living Center-Tahlequah University Northwest 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 05/12/2011.

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

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/26/2010
  • Correction Date: 04/07/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/29/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/26/2010
  • Correction Date: 04/07/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/29/2009
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011