| Heritage Park | |
| 6912 Northwest 23rd Street, Bethany, Oklahoma 73008 | |
| (405) 789-7208 | |
| Name | Heritage Park |
|---|---|
| Location | 6912 Northwest 23rd Street, Bethany, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 55 |
| Occupancy Rate | 84.18% |
| Medicare ID (CCN) | 375511 |
| Legal Business Name | Heritage Park Management, LLC |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1477308534 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Heritage Park Management LLC |
| Address | 6912 Nw 23rd St, Bethany, OK 73008 |
| Phone Number | 405-789-7208 |
| 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 | 2.83 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.19 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.84 | 0.86 |
| Nurse aide hours per resident per day | 1.8 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.74 | 3.42 |
| RN hours per resident per day on the weekend | 0.19 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 69.8% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 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 |
|---|---|---|---|
| Oct 23, 2024 | Honor the resident's right to manage his or her financial affairs. F0567, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 5, 2024 |
| Oct 23, 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 Dec 5, 2024 |
| Oct 23, 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 Dec 5, 2024 |
| Oct 23, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, pattern | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | The resident has the right to receive notices in a format and a language he or she understands. F0574, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 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, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 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, isolated | Corrected by Dec 5, 2024 |
| Oct 23, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2024 |
| Sep 19, 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, pattern | Corrected by Oct 20, 2023 |
| Sep 19, 2023 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 20, 2023 |
| Sep 19, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 20, 2023 |
| Sep 19, 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 Oct 20, 2023 |
| Sep 19, 2023 | 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 Oct 20, 2023 |
| Sep 19, 2023 | 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, isolated | Corrected by Oct 20, 2023 |
| Sep 19, 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 Oct 20, 2023 |
| Oct 13, 2022 | 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 10, 2022 |
| Oct 13, 2022 | Ensure 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.25 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.55 | 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 | 2.3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.55 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.55 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 12.5 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.03 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.85 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.56 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.89 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.51 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.12 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 28.74 | 15.38 |
The Grand at Bethany Skilled Nursing and Therapy Location: 7000 Northwest 32nd Street, Bethany, Oklahoma 73008 Phone: (405) 789-7242 |