GREEN COUNTRY CARE CENTER

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 Green Country Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 06/10/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 02/19/2008 Correction Date: 03/20/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/19/2008 Correction Date: 03/20/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 06/10/2010 Correction Date: 07/05/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 02/19/2008 Correction Date: 04/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/10/2010 Correction Date: 07/14/2010
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 06/10/2010 Correction Date: 07/05/2010

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. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/14/2009 Correction Date: 05/28/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2009 Correction Date: 05/28/2009

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: 04/14/2009 Correction Date: 05/28/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/14/2009 Correction Date: 05/28/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/19/2008 Correction Date: 04/14/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/19/2008 Correction Date: 04/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 04/14/2009 Correction Date: 05/28/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/19/2008 Correction Date: 03/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/19/2008 Correction Date: 04/14/2008
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: 02/19/2008 Correction Date: 04/14/2008
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: 04/14/2009 Correction Date: 05/28/2009
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: 04/14/2009 Correction Date: 05/28/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
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: 04/14/2009 Correction Date: 05/28/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 06/10/2010 Correction Date: 06/30/2010
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: 06/10/2010 Correction Date: 06/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/10/2010 Correction Date: 06/30/2010
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: 06/10/2010 Correction Date: 06/30/2010

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. Inspection Date: 02/19/2008 Correction Date: 03/20/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/19/2008 Correction Date: 04/15/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/19/2008 Correction Date: 03/20/2008
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: 04/14/2009 Correction Date: 05/28/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/14/2009 Correction Date: 05/28/2009
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: 06/10/2010 Correction Date: 06/10/2010

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.

The table below lists incident reports by the nursing staff or administration for Green Country Care Center, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 06/25/2008 Correction Date: 06/26/2008
Have a Program to Keep Infection from Spreading. Complaint Filed: 02/17/2010 Correction Date: 03/23/2010

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. Complaint Filed: 06/25/2008 Correction Date: 06/25/2008

Resident Rights

Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Complaint Filed: 06/25/2008 Correction Date: 07/07/2008

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 Green Country Care 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 06/08/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/07/2009 Correction Date: 05/28/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/12/2008 Correction Date: 04/20/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/07/2009 Correction Date: 05/28/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/07/2009 Correction Date: 05/28/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/12/2008 Correction Date: 03/20/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/07/2009 Correction Date: 05/28/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Properly Maintained Smoke Detectors. Inspection Date: 02/12/2008 Correction Date: 03/20/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/08/2010 Correction Date: 07/10/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Proper Backup Exit Lighting. Inspection Date: 04/07/2009 Correction Date: 05/28/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/07/2009 Correction Date: 05/28/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/08/2010 Correction Date: 10/25/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 06/08/2010 Correction Date: 10/25/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/07/2009 Correction Date: 05/28/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/08/2010 Correction Date: 06/15/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/12/2008 Correction Date: 03/20/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/07/2009 Correction Date: 05/28/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/08/2010 Correction Date: 07/10/2010