| Forrest Manor Nursing Center | |
| 1410 North Choctaw, Dewey, Oklahoma 74029 | |
| (918) 534-3355 | |
| Name | Forrest Manor Nursing Center |
|---|---|
| Location | 1410 North Choctaw, Dewey, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 116 |
| Occupancy Rate | 47.24% |
| Medicare ID (CCN) | 375501 |
| Legal Business Name | Dewbar Management, LLC |
| Ownership Type | For Profit - Individual |
| NPI Number | 1427088129 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Dewbar Management, LLC |
| Doing Business As | Forrest Manor Nursing Center |
| Address | 1410 North Choctaw St, Dewey, OK 74029 |
| Phone Number | 918-534-3355 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: the nursing home did not submit staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: the nursing home did not submit staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the nursing home did not submit staffing data | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 11, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Implement 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Sep 11, 2024 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Jun 30, 2023 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Implement 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Jun 30, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.09 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.82 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.94 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.55 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.24 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.46 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 54.46 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 37.5 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.17 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.44 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.41 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.75 | 15.38 |