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Complaint Investigation

Broken Arrow Nursing Home, Inc

Inspection Date: August 14, 2025
Total Violations 1
Facility ID 375565
Location BROKEN ARROW, OK
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

wandering risk scale, dated 08/09/25, showed Resident #4 was at high risk to wander (score 11). A care plan, updated 08/09/25, showed Resident #4 was at risk for wandering related to dementia with poor safety awareness. On 08/14/25 at 12:18 p.m., the QA nurse stated they did not know why the beauty shop door was open since the beautician was off on Thursdays. The QA nurse stated the door handle on the beauty shop door should have had a lock. The QA nurse stated the facility had just obtained the wood and glass cabinet, but the padlock they used to secure the old cabinet did not fit and could not secure the new cabinet. The QA nurse stated the door to the room should have a lock and they would get maintenance to secure the room. On 08/14/25 at 12:21 p.m., the QA nurse looked at the coaxial cord looped over the door handle to Resident room [ROOM NUMBER] and stated the coaxial cord did not secure the room and would not keep anyone out of the room. The QA nurse opened the door to room [ROOM NUMBER], observed the three spray bottles, stated the clear liquid in the spray bottle was water, the milky white liquid in the second spray bottle was floor wax (Extreme Shine Floor Finish), and the last spray bottle was labeled with Surface TB Hard Surface Disinfectant-No Dye. The QA nurse stated the room should have been secured with a lock and maintenance should have changed the room's door handle to a locking door handle when they started

the remodeling the room. On 08/14/25 at 1:15 p.m., the administrator stated they were surprised to see the beauty shop did not have a lock on the door. The administrator stated the wood and glass cabinet was a recent purchase and they did not know the old lock did not fit the new cabinet. The administrator stated both the cabinet, and the beauty shop door should have been locked. The administrator stated the door to room [ROOM NUMBER] needed to be secured and the maintenance supervisor would have both doors secured shortly.

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📋 Inspection Summary

BROKEN ARROW NURSING HOME, INC in BROKEN ARROW, OK inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BROKEN ARROW, OK, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BROKEN ARROW NURSING HOME, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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