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HENNESSEY NURSING & REHAB

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HENNESSEY NURSING & REHAB is a for profit - individual facility in HENNESSEY, OK with 50 certified beds and a 2-star overall CMS rating. The facility has 28 deficiency records on file. Total penalties: $34K.

705 EAST 3RD STREET, HENNESSEY, OK 73742

Phone: 4058534390

Overall Rating

2/5

Health Inspection

2/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
375485
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
50
Residents
30
In Hospital
No
County
Kingfisher
Last Inspection
Aug 7, 2024

Staffing Data

RN Hours
0.54 (nat'l avg: 0.68)
LPN Hours
1.24
CNA Hours
3.37
Total Nursing Hours
5.15 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
80.0%
RN Turnover
80.0%

What the CMS Record Reveals About HENNESSEY NURSING & REHAB

HENNESSEY NURSING & REHAB operates 50 certified beds in HENNESSEY, OK with approximately 30 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 28 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $34K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.15 total nursing hours per resident day (national average 3.89), with RN coverage at 0.54 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, HENNESSEY NURSING & REHAB falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 80.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 9, 2024

E — Pattern - Minimal harm Aug 7, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0678

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Aug 7, 2024 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Sep 9, 2024

D — Isolated - Minimal harm Apr 15, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 30, 2024

D — Isolated - Minimal harm Apr 15, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2024

G — Isolated - Actual harm Apr 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2024

J — Isolated - Jeopardy Apr 15, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2024

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 14, 2023

E — Pattern - Minimal harm Jul 6, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2023

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Aug 14, 2023

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2023

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2023

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2023

E — Pattern - Minimal harm Jul 6, 2023 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2023

D — Isolated - Minimal harm Jul 6, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 14, 2023

E — Pattern - Minimal harm May 8, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 9, 2023

E — Pattern - Minimal harm Dec 7, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 2, 2022

E — Pattern - Minimal harm Dec 7, 2021 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jan 2, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 6.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 12.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 87.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 37.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 13.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.0% Yes

Penalty History 1 penalties totaling $34K

Date Type Amount
Apr 15, 2024 Fine $34K

Frequently Asked Questions

What is the overall CMS rating for HENNESSEY NURSING & REHAB?
HENNESSEY NURSING & REHAB has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at HENNESSEY NURSING & REHAB?
HENNESSEY NURSING & REHAB reports 5.15 total nursing hours per resident day (national average: 3.89). RN hours are 0.54 per resident day (national average: 0.68). Nursing staff turnover is 80.0%.
How many beds does HENNESSEY NURSING & REHAB have?
HENNESSEY NURSING & REHAB has 50 certified beds with approximately 30 residents. The facility is located at 705 EAST 3RD STREET, HENNESSEY, OK 73742.
Does HENNESSEY NURSING & REHAB have any deficiencies on record?
Yes, HENNESSEY NURSING & REHAB has 28 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has HENNESSEY NURSING & REHAB received any fines or penalties?
Yes, HENNESSEY NURSING & REHAB has received 1 penalties totaling $34K.
Who owns HENNESSEY NURSING & REHAB?
HENNESSEY NURSING & REHAB is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was HENNESSEY NURSING & REHAB last inspected?
The most recent health inspection for HENNESSEY NURSING & REHAB was on Aug 7, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for HENNESSEY NURSING & REHAB?
HENNESSEY NURSING & REHAB is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial