EL RENO POST-ACUTE REHABILITATION CENTER Inspection Report, Violations & Safety Grade (EL RENO, Oklahoma)

2100 TOWNSEND DRIVE, EL RENO, Oklahoma 73036

Phone: 4052623323

CMS Overall:4/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

43.6

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Canadian

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health4/5

Staffing3/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	Oklahoma Avg	Difference
RN Hours per Resident per Day	0.35	0.34	+0.02
Total Nurse Hours per Resident per Day	4.17	3.82	+0.35
CMS Staffing Rating	3/5	2.7/5	-
Nursing Staff Turnover	67.4%	55.4%	-

Health Citation History

24 health citations on record

Date	Category	Description	Severity
2024-05-23	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2024-05-23	Resident Rights Deficiencies	Immediately 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
2024-05-23	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2024-05-23	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2024-05-23	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D – Moderate Harm Potential
2023-11-03	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E – Moderate Harm Potential
2023-11-03	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E – Moderate Harm Potential
2023-11-03	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	E – Moderate Harm Potential
2023-04-03	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2023-04-03	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	E – Moderate Harm Potential
2023-04-03	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D – Moderate Harm Potential
2023-04-03	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2019-09-10	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F – Moderate Harm Potential
2019-09-10	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E – Moderate Harm Potential
2019-09-10	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E – Moderate Harm Potential
2019-09-10	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2019-09-10	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2019-09-10	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2019-09-10	Resident Rights Deficiencies	Honor 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
2019-09-10	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2019-09-10	Resident Assessment and Care Planning Deficiencies	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D – Moderate Harm Potential
2019-09-10	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2019-09-10	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2019-09-10	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

Date	Category	Description	Severity
2023-04-03	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	F – Moderate Harm Potential
2023-04-03	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	F – Moderate Harm Potential
2023-04-03	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2019-09-10	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2019-09-10	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2019-09-10	Egress Deficiencies	Meet other general requirements that are deficient.	E – Moderate Harm Potential
2019-09-10	Smoke Deficiencies	Ensure 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
2019-09-10	Smoke Deficiencies	Provide properly protected cooking facilities.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the EL RENO area at no cost.

Find Safe, Vetted Facilities Near EL RENO
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.