HIGHER CALL NURSING CENTER in QUAPAW, OK was fined $40,077 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

HIGHER CALL NURSING CENTER (QUAPAW, OK) — $40,077 in CMS Fines

Outcome: HIGHER CALL NURSING CENTER in QUAPAW, OK was fined $40,077 by CMS across 3 separate penalties following 32 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.


• 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.


• 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.


• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.