BALLARD NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Ballard Nursing 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

BALLARD NURSING CENTER
201 WEST 5TH STREET
ADA, OK 74820
(580) 436-1414

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 64
  • Certified Beds: 73

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

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Nearby Cities:

Allen | Holdenville | Wewoka

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 Ballard Nursing 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: 11-160.4%
ADL Index Range: 6-1024.3%
ADL Index Range: 0-59.1%
Total Percent:33.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.8%
ADL Index Range: 6-1012.2%
ADL Index Range: 0-522.6%
Total Percent:36.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.1%
ADL Index Range: 0-57.0%
Total Percent:11.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.2%
ADL Index Range: 6-102.3%
ADL Index Range: 0-51.6%
Total Percent:6.2%
 

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: 15-16
- No Signs of depression
0.3%
Total Percent:0.3%
 

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: 11-14
- Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
2.3%
ADL Index Range: 2-5
- No Signs of depression
2.6%
Total Percent:5.6%
 

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
3.2%
Total Percent:3.2%
 

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
1.5%
ADL Index Range: 11-14
- Less restorative nursing
1.8%
Total Percent:3.2%
 

Rating Details For Ballard Nursing 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) Hours18 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 29 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours50 Minutes1 Hour and 33 Minutes
Total Nurse Hours3 Hours and 19 Minutes3 Hours and 45 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 Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder18%40%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Were Physically Restrained8%4%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair22%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain-23%
Percent of Short-Stay Residents Who Have Pressure Sores21%13%

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 06/02/2011.

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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/08/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Keep All Essential Equipment Working Safely.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/08/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/08/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

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: 02/25/2009
  • Correction Date: 04/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
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.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 04/01/2010
  • Correction Date: 05/05/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
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: 06/02/2011
  • Correction Date: 07/08/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/02/2011
  • Correction Date: 07/08/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Ballard Nursing 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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 08/12/2010
  • Correction Date: 10/01/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Complaint Filed: 08/30/2009
  • Correction Date: 09/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/30/2009
  • Correction Date: 09/18/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/30/2009
  • Correction Date: 09/18/2009

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Complaint Filed: 08/30/2009
  • Correction Date: 09/18/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Complaint Filed: 08/12/2010
  • Correction Date: 10/01/2010

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: 06/02/2011
  • Correction Date: 07/08/2011

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 Ballard Nursing 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 06/01/2011.

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: 03/31/2010
  • Correction Date: 06/07/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011
An Externally Vented Heating System.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011
Properly Protected Cooking Facilities.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/08/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/31/2010
  • Correction Date: 06/07/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/31/2010
  • Correction Date: 06/07/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/08/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/31/2010
  • Correction Date: 06/07/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/08/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/01/2011
  • Correction Date: 07/08/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/31/2010
  • Correction Date: 05/05/2010
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011