HOLIDAY HEIGHTS NURSING HOME

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 06/03/2011.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/06/2009 Correction Date: 05/20/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 06/03/2011 Correction Date: 07/18/2011

Mistreatment

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. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/08/2010 Correction Date: 07/19/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/03/2011 Correction Date: 07/18/2011

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. Inspection Date: 05/06/2009 Correction Date: 05/15/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/06/2009 Correction Date: 05/23/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/06/2009 Correction Date: 08/08/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/08/2010 Correction Date: 07/19/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/03/2011 Correction Date: 07/18/2011

Resident Assessment

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: 05/06/2009 Correction Date: 05/22/2009
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. Inspection Date: 05/06/2009 Correction Date: 08/21/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 05/06/2009 Correction Date: 05/22/2009
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. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 06/03/2011 Correction Date: 07/18/2011

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. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/08/2010 Correction Date: 07/19/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 06/03/2011 Correction Date: 07/18/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/03/2011 Correction Date: 07/18/2011

The table below lists incident reports by the nursing staff or administration for Holiday Heights Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 02/05/2010 Correction Date: 03/22/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/06/2009 Correction Date: 10/23/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 02/05/2010 Correction Date: 03/22/2010
Have a Program to Keep Infection from Spreading. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010
Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010

Mistreatment

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: 06/03/2011 Correction Date: 07/18/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 06/03/2011 Correction Date: 07/18/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 08/06/2009 Correction Date: 10/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 08/06/2009 Correction Date: 10/08/2009
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: 08/06/2009 Correction Date: 08/21/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Complaint Filed: 04/22/2010 Correction Date: 05/24/2010
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: 04/22/2010 Correction Date: 05/24/2010

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: 04/22/2010 Correction Date: 05/24/2010

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 Holiday Heights Nursing Home 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.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/08/2010 Correction Date: 07/13/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/06/2009 Correction Date: 05/22/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/06/2009 Correction Date: 05/23/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/06/2009 Correction Date: 05/22/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/06/2009 Correction Date: 05/08/2009
Exits That Are Accessible at All Times. Inspection Date: 07/08/2010 Correction Date: 07/09/2010
Exits That Are Accessible at All Times. Inspection Date: 06/01/2011 Correction Date: 07/18/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/06/2009 Correction Date: 05/08/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 05/06/2009 Correction Date: 05/22/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/06/2009 Correction Date: 05/20/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/06/2009 Correction Date: 05/18/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 05/06/2009 Correction Date: 05/18/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 07/08/2010 Correction Date: 07/09/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/01/2011 Correction Date: 07/18/2011
Properly Located and Lighted "Exit" Signs. Inspection Date: 06/01/2011 Correction Date: 07/18/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/08/2010 Correction Date: 07/13/2010

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: 07/18/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/06/2009 Correction Date: 05/13/2009