SHADY REST CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Shady Rest Care 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

SHADY REST CARE CENTER
210 SOUTH ADAIR
PRYOR, OK 74361
(918) 825-4455

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

Residents: 32
Certified Beds: 65

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:

Chouteau | Salina | Inola

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 Shady Rest Care Center. 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

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	8.9%
ADL Index Range: 6-10	1.9%
ADL Index Range: 0-5	29.3%
Total Percent:	40.1%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	27.4%
ADL Index Range: 0-5	8.9%
Total Percent:	36.3%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	19.7%
Total Percent:	19.7%

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: 2-5 - No Signs of depression	3.8%
Total Percent:	3.8%

Rating Details For Shady Rest Care 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 Day	Reported	Expected
Registered Nurse (RN) Hours	21 Minutes	55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	42 Minutes	33 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 6 Minutes	2 Hours and 17 Minutes
Total Licensed Nurse Hours	1 Hour and 4 Minutes	1 Hour and 28 Minutes
Total Nurse Hours	3 Hours and 9 Minutes	3 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 Facility

Oklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	88%	90%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	59%	40%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	13%	10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	6%	11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	2%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	1%	6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	10%	6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	5%	6%
Percent of Long-Stay Residents Who Lose Too Much Weight	7%	8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	4%	8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	3%	3%
Percent of Long-Stay Residents Who Were Physically Restrained	17%	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	69%	89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	-	13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	29%	23%
Percent of Short-Stay Residents Who Have Delirium	7%	3%

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 11/17/2010.

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

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/25/2009 Correction Date: 11/30/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/25/2009 Correction Date: 11/09/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/25/2009 Correction Date: 03/11/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 11/17/2010 Correction Date: 01/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/25/2009 Correction Date: 03/11/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/14/2008 Correction Date: 09/10/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 11/17/2010 Correction Date: 01/01/2011
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 11/17/2010 Correction Date: 01/01/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/17/2010 Correction Date: 01/01/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/25/2009 Correction Date: 11/30/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/17/2010 Correction Date: 01/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 08/14/2008 Correction Date: 09/28/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/25/2009 Correction Date: 03/11/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/25/2009 Correction Date: 03/11/2010
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: 09/25/2009 Correction Date: 11/09/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/17/2010 Correction Date: 01/01/2011
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: 11/17/2010 Correction Date: 01/01/2011
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 11/17/2010 Correction Date: 01/01/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 08/14/2008 Correction Date: 09/01/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 09/25/2009 Correction Date: 11/09/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 11/17/2010 Correction Date: 12/07/2010

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 Taken	Date	Amount
Civil Money Penalty (CMP)	09/25/2009	$3,000
Denial of Payment for New Admission (DPNA)	09/25/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Shady Rest Care 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 Complaints

Degree of Harm

Residents Affected