NOWATA NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Nowata Nursing 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

NOWATA NURSING CENTER
436 SOUTH JOE
NOWATA, OK 74048
(918) 273-2236

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

Residents: 35
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:

Bartlesville | Dewey | Collinsville

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 "Clinically Complex". 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 Nowata Nursing 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

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: 11-14 - No Signs of depression	42.3%
Total Percent:	42.3%

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: 15-16 - No Signs of depression	42.3%
ADL Index Range: 2-5 - No Signs of depression	3.8%
Total Percent:	46.2%

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: 2-5 - Less restorative nursing	11.5%
Total Percent:	11.5%

Rating Details For Nowata Nursing 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	20 Minutes	49 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	48 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 23 Minutes	2 Hours and 17 Minutes
Total Licensed Nurse Hours	1 Hour and 8 Minutes	1 Hour and 26 Minutes
Total Nurse Hours	3 Hours and 30 Minutes	3 Hours and 42 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	90-100%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	90%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	56%	40%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	12%	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	9%	8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	4%	13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	9%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	6%	10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	15%	11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	3%	8%

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 03/16/2011.

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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/16/2011 Correction Date: 03/30/2011

Environmental

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 11/19/2008 Correction Date: 12/05/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/13/2010 Correction Date: 01/13/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/13/2010 Correction Date: 01/20/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 01/13/2010 Correction Date: 01/13/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/16/2011 Correction Date: 04/15/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/16/2011 Correction Date: 04/11/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/16/2011 Correction Date: 03/30/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/13/2010 Correction Date: 01/14/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/16/2011 Correction Date: 04/11/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 11/19/2008 Correction Date: 01/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/19/2008 Correction Date: 01/14/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 01/13/2010 Correction Date: 01/16/2010
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/13/2010 Correction Date: 01/13/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 03/16/2011 Correction Date: 03/24/2011

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: 03/16/2011 Correction Date: 03/22/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/16/2011 Correction Date: 03/22/2011

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 11/19/2008 Correction Date: 11/24/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/13/2010 Correction Date: 01/19/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/16/2011 Correction Date: 03/29/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 11/19/2008 Correction Date: 11/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/19/2008 Correction Date: 11/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/13/2010 Correction Date: 01/13/2010
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: 03/16/2011 Correction Date: 03/31/2011

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)	11/19/2008	$5,600

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Nowata Nursing 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