Elmbrook of Atoka in ATOKA, OK was fined $6,350 by CMS across 2 separate penalties following 14 deficiency citations identified during federal surveys.

Elmbrook of Atoka (ATOKA, OK) — $6,350 in CMS Fines

Outcome: Elmbrook of Atoka in ATOKA, OK was fined $6,350 by CMS across 2 separate penalties following 14 deficiency citations identified during federal surveys.

Deficiency areas cited:

• PASARR screening for Mental disorders or Intellectual Disabilities


• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• Ensure each resident’s drug regimen must be free from unnecessary drugs.


• 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.


• Provide and implement an infection prevention and control program.


• 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.


• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.


• Post nurse staffing information every day.