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1000 ROLLING HILLS LANE ADA, OK 74820 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Apr 6, 2022 Follow-up to inspection on 2022-01-13*	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Jan 13, 2022	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: EXERCISE OF RIGHTS RN SUPERVISION OF NURSING CARE
Nov 4, 2021	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE SUPERVISION OF CONTRACT STAFF
Jun 10, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Oct 24, 2019	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS RN SUPERVISION OF NURSING CARE NURSING CARE PLAN MEDICAL RECORD SERVICES CONTENT OF RECORD: HISTORY & PHYSICAL
Jan 15, 2019	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS CONTENT OF RECORD INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available
Jun 18, 2018	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: DISCHARGE SUMMARY
May 10, 2017	5	0	0	5	Read full report
Deficiencies cited in this report: QAPI GOVERNING BODY, STANDARD TAG NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Dec 16, 2016	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCE PROCEDURES
Aug 6, 2015	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN PHYSICAL ENVIRONMENT
Jul 22, 2015	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI VERBAL ORDERS FOR DRUGS
May 5, 2015	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT DATA COLLECTION & ANALYSIS NURSING SERVICES RN SUPERVISION OF NURSING CARE
Mar 27, 2013	8	0	0	8	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT SAFETY RN SUPERVISION OF NURSING CARE DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN No Description Available MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM
Mar 27, 2013	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Mar 26, 2013	8	0	0	8	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT SAFETY RN SUPERVISION OF NURSING CARE DIRECTOR OF DIETARY SERVICES QUALIFIED DIETITIAN No Description Available MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROGRAM
Dec 5, 2012	27	0	0	27	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Jan 24, 2012 Follow-up to inspection on 2011-11-15*	3	0	0	3	Read full report
Deficiencies cited in this report: RADIOLOGIST RESPONSIBILITIES RECORDS FOR RADIOLOGIC SERVICES No Description Available
Nov 15, 2011	28	0	0	28	Read full report
Deficiencies cited in this report: LICENSURE OF PERSONNEL GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY CONTRACTED SERVICES PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available RN SUPERVISION OF NURSING CARE SAFETY POLICY AND PROCEDURES SAFETY FOR PATIENTS AND PERSONNEL PERIODIC EQUIPMENT MAINTENANCE No Description Available RADIOLOGIST RESPONSIBILITIES QUALIFIED STAFF RECORDS FOR RADIOLOGIC SERVICES No Description Available FOOD AND DIETETIC SERVICES ORGANIZATION COMPETENT DIETARY STAFF No Description Available DIETS OPO AGREEMENT RESPIRATORY CARE SERVICES ORGANIZATION OF RESPIRATORY CARE SERVICES DIRECTOR OF RESPIRATORY SERVICES ADEQUATE RESPIRATORY CARE STAFFING RESPIRATORY CARE SERVICES POLICIES RESPIRATORY CARE PERSONNEL POLICIES
Nov 15, 2011	0	5	0	5	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available
Sep 22, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Sep 21, 2011	10	0	0	10	Read full report
Deficiencies cited in this report: LICENSURE OF PERSONNEL CONTRACTED SERVICES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT No Description Available RN SUPERVISION OF NURSING CARE FOOD AND DIETETIC SERVICES QUALIFIED DIETITIAN COMPETENT DIETARY STAFF No Description Available DIETS
May 10, 2011	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCE PROCEDURES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS PHARMACY: REPORTING ADVERSE EVENTS

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts