RAINBOW TERRACE CARE CENTER

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 08/27/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/15/2009 Correction Date: 10/15/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/15/2009 Correction Date: 10/16/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/15/2009 Correction Date: 12/13/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/27/2010 Correction Date: 12/24/2010
Keep Temperature Levels Comfortable and Safe. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/27/2010 Correction Date: 12/03/2010
Get Rid of Garbage Properly. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/27/2010 Correction Date: 12/24/2010
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/27/2010 Correction Date: 12/24/2010
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/15/2009 Correction Date: 11/20/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/27/2010 Correction Date: 12/01/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/27/2010 Correction Date: 10/30/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 12/02/2008 Correction Date: 03/20/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

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: 12/02/2008 Correction Date: 01/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
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: 10/15/2009 Correction Date: 11/27/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
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: 08/27/2010 Correction Date: 10/20/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/27/2010 Correction Date: 12/24/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/02/2008 Correction Date: 03/20/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/27/2010 Correction Date: 12/24/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
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: 12/02/2008 Correction Date: 01/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/02/2008 Correction Date: 01/05/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
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: 10/15/2009 Correction Date: 11/27/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Do an Assessment of the Resident Every Year. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
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: 08/27/2010 Correction Date: 10/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
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: 08/27/2010 Correction Date: 12/03/2010
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: 08/27/2010 Correction Date: 10/20/2010

Resident Rights

Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 10/15/2009 Correction Date: 12/11/2009
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: 08/27/2010 Correction Date: 10/20/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Have a Private Telephone Available for Use. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/27/2010 Correction Date: 10/20/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/27/2010 Correction Date: 10/20/2010

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

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 12/02/2008 Correction Date: 12/26/2008

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 12/02/2008 Correction Date: 01/16/2009
Provide Needed Housekeeping and Maintenance. Complaint Filed: 09/16/2009 Correction Date: 09/30/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 09/16/2009 Correction Date: 10/30/2009
Put a Bathroom in or Next to Each Resident's Room. Complaint Filed: 09/16/2009 Correction Date: 10/23/2009

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: 06/19/2008 Correction Date: 07/30/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Complaint Filed: 12/02/2008 Correction Date: 01/16/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 12/02/2008 Correction Date: 03/20/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 06/19/2008 Correction Date: 07/01/2008
Provide Activities to Meet the Needs of Each Resident. Complaint Filed: 12/02/2008 Correction Date: 01/16/2009

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: 12/02/2008 Correction Date: 03/20/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Complaint Filed: 12/02/2008 Correction Date: 01/16/2009
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: 12/02/2008 Correction Date: 04/27/2009
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: 04/01/2009 Correction Date: 04/27/2009

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 Rainbow Terrace 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 08/25/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/02/2008 Correction Date: 12/24/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/02/2008 Correction Date: 01/06/2009
Properly Protected Cooking Facilities. Inspection Date: 08/25/2010 Correction Date: 10/06/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 08/25/2010 Correction Date: 10/22/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/25/2010 Correction Date: 10/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/02/2008 Correction Date: 01/01/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/14/2009 Correction Date: 10/26/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/25/2010 Correction Date: 10/15/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/02/2008 Correction Date: 01/01/2009
Exits That Are Accessible at All Times. Inspection Date: 08/25/2010 Correction Date: 10/22/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/25/2010 Correction Date: 10/01/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/25/2010 Correction Date: 09/01/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/25/2010 Correction Date: 10/22/2010
Restrictions on the Use of Flammable Curtains. Inspection Date: 08/25/2010 Correction Date: 09/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/14/2009 Correction Date: 11/27/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/25/2010 Correction Date: 10/01/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/02/2008 Correction Date: 01/26/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/14/2009 Correction Date: 10/26/2009
Proper Backup Exit Lighting. Inspection Date: 08/25/2010 Correction Date: 10/22/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/25/2010 Correction Date: 10/01/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 08/25/2010 Correction Date: 10/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 12/02/2008 Correction Date: 12/24/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/25/2010 Correction Date: 10/15/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/02/2008 Correction Date: 01/16/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 12/02/2008 Correction Date: 01/01/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/25/2010 Correction Date: 10/29/2010