SeniorHomeViolations
A
93/100

SHAWN MANOR NURSING HOME Inspection Report, Violations & Safety Grade (PONCA CITY, Oklahoma)

2024 TURNER ROAD, PONCA CITY, Oklahoma 74604

Phone: 5807653364

CMS Overall:5/5

Overview & Bed Count

Certified Beds
96
Avg Residents/Day
52.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Kay
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityOklahoma AvgDifference
RN Hours per Resident per Day0.260.34-0.08
Total Nurse Hours per Resident per Day3.163.82-0.65
CMS Staffing Rating3/52.7/5-
Nursing Staff Turnover48.7%55.4%-

Health Citation History

22 health citations on record

DateCategoryDescriptionSeverity
2024-11-20Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-11-20Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D – Moderate Harm Potential
2024-11-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-11-02Resident Rights DeficienciesLimit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.E – Moderate Harm Potential
2023-11-02Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2023-11-02Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H – Actual Harm
2022-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.H – Actual Harm
2022-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.H – Actual Harm
2022-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.H – Actual Harm
2022-09-09Resident Rights DeficienciesHonor 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
2022-09-09Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2022-09-09Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2022-09-09Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E – Moderate Harm Potential
2022-09-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-09-09Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2022-09-09Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2022-09-09Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2022-09-09Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2022-09-09Resident Assessment and Care Planning DeficienciesDevelop 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
2022-09-09Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D – Moderate Harm Potential
2022-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D – Moderate Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2022-09-09Smoke 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
2022-09-09Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-09-09Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential

Total Penalties & Fines

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

No penalty records found.

Need Help Finding Safe Care?

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

Find Safe, Vetted Facilities Near PONCA CITY
(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.