Bixby Towers Post-Acute Rehab

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jul 9, 2026.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 9, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 28, 2026.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 28, 2026.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 17, 2026.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 17, 2026.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

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.

Rule F0688. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

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

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Provide or get specialized rehabilitative services as required for a resident.

Rule F0825. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Keep all essential equipment working safely.

Rule F0908. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 24, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 24, 2025.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 24, 2025.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 24, 2025.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Rule F0693. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 6, 2025.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Rule F0919. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 6, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2025.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

Keep all essential equipment working safely.

Rule F0908. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2025.

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Rule F0626. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 8, 2024.

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

Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Rule F0742. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.

Rule F0711. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Rule F0943. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Rule F0949. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 6, 2024.

Provide or get specialized rehabilitative services as required for a resident.

Rule F0825. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 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.

Rule F0758. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 14, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 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.

Rule F0578. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

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

Rule F0582. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Assist a resident in gaining access to vision and hearing services.

Rule F0685. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Provide or obtain dental services for each resident.

Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 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.

Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

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

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Dispose of garbage and refuse properly.

Rule F0814. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Implement a program that monitors antibiotic use.

Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 2, 2024.

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Rule F0565. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2024.

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

Rule F0580. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2024.

Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Rule F0585. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 1, 2024.

Provide appropriate foot care.

Rule F0687. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 26, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 22, 2024.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 7, 2024.

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.

Rule F0688. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 7, 2024.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 7, 2024.