Heartsworth Center For Nursing & Rehabilitation
Inspection Findings
F-Tag F0678
F 0678 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Res #3, dated [DATE REDACTED], showed in Section C the resident had a BIMS score of 15 which indicated their cognition was intact for decision making.A physician's order, dated [DATE REDACTED], showed Res #3 was a full code.On [DATE REDACTED] at 9:36 a.m., CNA #1 was asked to describe their involvement in the care of Res #3 that occurred on [DATE REDACTED]. CNA #1 stated they were working on a different hall than the one Res #3 had resided.
They stated CNA #2 had come to them and stated Res #3 had died and they had never done the aftercare before. CNA #1 stated they asked CNA #2 if the resident was a DNR or full code because the aftercare was different. They stated CNA #2 had replied they had not done CPR so they assumed there was a DNR and
they would clean the resident up accordingly. CNA #1 stated they went to the hall where Res #3 was and cleaned the body. CNA #1 was asked what Res #3's body looked like. They stated the upper body clothing was covered in a foul-smelling vomit and when they rolled the body to the sides during cleaning, more of
the substance exited the resident's mouth. They stated the skin looked normal except the veins looked bluer than a living person. CNA #1 was asked if there was any blue areas of the skin or any stiffness observed.
They stated the skin did not have any blue areas and the body was limp.On [DATE REDACTED] at 9:49 a.m., CNA #2 was asked to describe their involvement in the care of Res #3 that occurred on [DATE REDACTED]. CNA #2 stated they had gone into Res #3's room for their routine check and the resident did not respond when they spoke with them and did not appear to be breathing. CNA #2 stated they went to LPN #1 and gave them that information. They stated LPN #1 entered the room and put a blood pressure measuring device on the resident's arm and checked Res #3's blood pressure. They stated LPN #1 stated, She's dead. CNA #2 stated they asked LPN #1 what they should do to which the LPN replied, Clean (them) up. CNA #2 was asked what LPN #1 had done after telling them to clean them up. CNA #2 stated they saw LPN #1 go look at their computer but did not know what they were doing. CNA #2 stated they went to get help from CNA #1 because they had never cleaned a deceased body before. CNA #2 was asked to describe what they and CNA #1 had done regarding the cleaning of the body. CNA #2 stated they removed the resident's clothing and brief, then washed the body, brushed the resident's hair, then covered the body with a sheet. CNA #2 was asked to describe the resident's body when they had cleaned it. They stated the skin looked pale all over. CNA #2 was asked if there was any discoloration to the skin such as blue or purple areas. They stated
the skin did not have any discoloration. CNA #2 was asked to describe if the body seemed stiff or limp. They replied the body was limp. CNA #2 added the resident's body had vomit on it and when they rolled the body to the side to clean it, and vomit came out of the resident's mouth and nose and looked like there was some blood in it.On [DATE REDACTED] at 10:54 a.m., the ADON was asked what information they had regarding Res #3's death on [DATE REDACTED]. The ADON stated they found out about the death from LPN #1 in a text message which stated the resident was deceased and all they had done. The ADON stated LPN #1 texted back and asked if they had performed CPR but did not get a reply. The ADON stated they later texted again and asked if
they had performed CPR and LPN #1 then called them. They stated LPN #1 told them the resident had emesis (vomit) on them to which they replied that did not matter if the resident was a full code and if they were, they should have gotten CPR. The ADON stated they then looked up Res #3's code status and found out the resident was a full code. The ADON stated LPN #1 replied the resident was on hospice care and had a DNR. The ADON stated they then went to the facility about 10:00 a.m. and Res #3's body had already been removed from the facility. The ADON stated they checked with the resident's hospice service, and they did not have a DNR. The ADON stated Res #3 should have received CPR on the day they had died.
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Heartsworth Center For Nursing & Rehabilitation in Vinita, OK inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Vinita, 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 Heartsworth Center For Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.