SeniorHomeViolations
B-
73/100

Elmbrook Home Inspection Report, Violations & Safety Grade (Ardmore, Oklahoma)

1811 9Th Avenue NW, Ardmore, Oklahoma 73401

Phone: 5802233303

CMS Overall:3/5

Overview & Bed Count

Certified Beds
126
Avg Residents/Day
73.4
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Carter
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityOklahoma AvgDifference
RN Hours per Resident per Day0.370.34+0.03
Total Nurse Hours per Resident per Day3.623.82-0.20
CMS Staffing Rating3/52.7/5-
Nursing Staff Turnover49.3%55.4%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-02-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-02-13Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2025-08-26Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-08-26Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-01-16Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E – Moderate Harm Potential
2025-01-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-01-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2025-01-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-01-16Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-01-16Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-01-16Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2024-04-30Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2025-01-16Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2025-01-16Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2023-10-26Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2023-10-26Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2023-10-26Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.E – Moderate Harm Potential
2022-05-26Egress DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2022-05-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-05-26Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2022-05-26Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2022-05-26Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2022-05-26Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2022-05-26Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-05-26Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2022-05-26Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.E – Moderate Harm Potential
2022-05-26Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2022-05-26Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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