Marlow Nursing & Rehab

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop and implement a care plan for illicit substance use for 1 (#58) of 1 sampled resident reviewed for illicit substance use.The DON identified 52 residents resided in the facility.Findings:A Comprehensive Person-Centered Care Plan policy, dated 12/01/16, showed the care plan should incorporate identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident. A behavior note, dated 01/16/25 at 4:56 p.m., showed at 11:30 a.m., Resident #58 was observed in the hallway, walking quickly, and hollering out loud to staff.

The note showed the resident proceeded to a housekeeper inquiring about where the tissue box in their room was at.

The note showed just prior to the resident's encounter with the housekeeper, the housekeeping staff alerted nursing staff about a tissue box that contained what appeared to be a broken glass pipe with a white substance in it.

The note showed the tissue box also contained a piece of foil, scissors, and a standard light bulb with a burned area on top of it.

The note showed administration was made aware and was given paraphernalia with what appeared to be an illicit drug substance. A quarterly assessment, dated 06/17/25, showed Resident #58's cognition was moderately impaired with a BIMS score of 09.

The assessment showed the resident was independent with activities of daily living.

The assessment showed the resident had a diagnosis of cirrhosis of the liver. A care plan, dated 06/18/25, showed no goals or interventions related to illicit substance use.A Discharge summary, dated [DATE], showed resident discharged from the facility due to death while on hospice services.On 09/29/25 at 9:48 a.m., the ADON reported no incident report was done related to drug paraphernalia.

The ADON reported the drug paraphernalia was taken from the resident, and police were not contacted.On 09/29/25 at 3:44 p.m., the MDS Coordinator reported Resident #58's care plan should have included substance abuse after drug paraphernalia was found in the resident's room.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Marlow Nursing & Rehab

702 South 9th Marlow, OK 73055

SUMMARY STATEMENT OF DEFICIENCIES