| The Lakes | |
| 5701 West Britton Road, Oklahoma City, Oklahoma 73132 | |
| (405) 773-8900 | |
| Name | The Lakes |
|---|---|
| Location | 5701 West Britton Road, Oklahoma City, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 64.67% |
| Medicare ID (CCN) | 375396 |
| Legal Business Name | Phoenix Healthcare LLC |
| Ownership Type | For Profit - Individual |
| Chain | Phoenix Healthcare (6 nursing homes) |
| Chain Average Overall Rating | 2.7 out of 5 |
| NPI Number | 1891700761 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Phoenix Healthcare LLC |
| Doing Business As | The Lakes Care Center |
| Address | 5701 W Britton Rd, Oklahoma City, OK 73132 |
| Phone Number | 405-773-8900 |
| 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 | 3.99 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.49 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.93 | 0.86 |
| Nurse aide hours per resident per day | 2.58 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.81 | 3.42 |
| RN hours per resident per day on the weekend | 0.53 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 53.8% | 45.8% |
| Registered nurse turnover | 33.3% | 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 | 2 |
| Total Amount of Fines in Dollars | $19,073 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jan 3, 2025 |
| Dec 18, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 3, 2025 |
| Nov 21, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 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, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2024 |
| Nov 21, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2024 |
| Nov 21, 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 19, 2024 |
| Nov 21, 2024 | 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 Dec 19, 2024 |
| Nov 21, 2024 | 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 | Corrected by Dec 19, 2024 |
| Oct 11, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Nov 16, 2024 |
| Oct 11, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Nov 4, 2024 |
| Oct 11, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 4, 2024 |
| Aug 12, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Sep 18, 2024 |
| Aug 12, 2024 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 18, 2024 |
| Sep 28, 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, pattern | Corrected by Nov 7, 2023 |
| Sep 28, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 7, 2023 |
| Sep 28, 2023 | 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 7, 2023 |
| Jun 8, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2022 |
| Jun 8, 2022 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2022 |
| Jun 8, 2022 | Provide 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2022 |
| Jun 8, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2022 |
| Jun 8, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.71 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.42 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.13 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.75 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 7.03 | 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 | 4.66 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.14 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.06 | 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 | 14.21 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.3 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.59 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.62 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.88 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.82 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.13 | 15.38 |
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