GRACE LIVING CENTER-CHICKASHA

The information listed below provides an in-depth look into the type and quality of care offered at Grace Living Center-Chickasha. 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-CHICKASHA
2300 IOWA AVENUE
CHICKASHA, OK 73023
(405) 224-6456

Nursing Home Ratings

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

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

  • Residents: 90
  • Certified Beds: 120

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:

Anadarko | Blanchard | Tuttle

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 "Ultra-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-Chickasha. 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: 2-103.6%
Total Percent:3.6%
 

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: 11-1612.3%
ADL Index Range: 6-100.4%
ADL Index Range: 0-549.3%
Total Percent:62.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 6-105.3%
ADL Index Range: 0-511.2%
Total Percent:19.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.5%
Total Percent:0.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-101.8%
ADL Index Range: 0-52.9%
Total Percent:4.7%
 

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
0.2%
Total Percent:0.2%
 

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: 2-5
- Signs of depression
0.5%
Total Percent:0.5%
 

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: 11-14
- No Signs of depression
2.6%
Total Percent:2.6%
 

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
1.2%
ADL Index Range: 2-5
- No Signs of depression
0.5%
ADL Index Range: 0-1
- No Signs of depression
3.7%
Total Percent:5.5%
 

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: 0-1
- Less restorative nursing
0.2%
Total Percent:0.2%
 

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: 0-1
- Less restorative nursing
0.9%
Total Percent:0.9%
 

Rating Details For Grace Living Center-Chickasha

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) Hours5 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 17 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes1 Hour and 59 Minutes
Total Licensed Nurse Hours1 Hour and 22 Minutes1 Hour and 31 Minutes
Total Nurse Hours3 Hours and 31 Minutes3 Hours and 30 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 Long-Stay Residents Who Are More Depressed or Anxious20%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%40%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season87%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain42%23%
Percent of Short-Stay Residents Who Have Pressure Sores14%13%
Percent of Short-Stay Residents Who Have Delirium9%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 09/03/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 05/07/2008
  • Correction Date: 07/08/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/03/2010
  • Correction Date: 12/01/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/03/2010
  • Correction Date: 12/01/2010
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 09/03/2010
  • Correction Date: 12/19/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/07/2008
  • Correction Date: 06/20/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/07/2008
  • Correction Date: 06/20/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/14/2009
  • Correction Date: 09/11/2009
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 09/03/2010
  • Correction Date: 10/15/2010

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 TakenDateAmount
Civil Money Penalty (CMP)09/03/2010$4,680
Denial of Payment for New Admission (DPNA)09/03/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Grace Living Center-Chickasha, 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

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/05/2010
  • Correction Date: 06/11/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 05/05/2010
  • Correction Date: 06/11/2010

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-Chickasha 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 08/31/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/19/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/06/2008
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/19/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/26/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/26/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/19/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/26/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/19/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/26/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/19/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/14/2009
  • Correction Date: 08/26/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011