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Some OK nursing homes getting money from state, but fined by feds

Reported by: Marla Carter
Email: mcarter@kjrh.com
Last Update: 11/20/2009 5:59 am
Three years ago legislators initiated a plan to improve nursing home care in Oklahoma.

The plan was to divvy up $13 million each year, with the most money going to nursing homes with high marks from the state.
But now some say the state's nursing home rating system gets a failing grade.

People like Jack Crow, who says his wife, Carol, was abused in an Norman nursing home.

"Everyone who knew her, cried and felt guilt.  They should've been able to do something," said Jack Crow.

While the allegations weren't taken to criminal court, the nursing home was investigated and lost federal funding.  Ultimately it was forced to shutdown.  All the while, the state gave that same nursing home $46,000 as part of its incentive program.

"That doesn't make any sense what-so-ever, that's why it is imperative that this system be shutdown immediately," said Wes Bledsoe with a Perfect Cause, a nursing home advocacy group.

Bledsoe says Crow's situation is just one example of how the state's nursing home rating system is broken.

It gives homes between 1 and 5 stars based on questionnaires from residents and employees, quality reports and turnover.

The feds have their own system, giving stars based on  inspections. 

Take another facility, Green Country Care Center in North Tulsa.

The most recent federal report lists 41 deficiencies over about 15 months, that's five times the federal average and more than three times the state average.

The feds fined the nursing home for some of those deficiencies.  The two eventually agreed to a $6,000 settlement.

Around the same time, the state of Oklahoma rewarded the Care Center with $119,000 and currently lists it as a five star facility, the highest mark the state can give.

"Why are we giving bonuses to nursing homes that are also getting fined at the same time?  How in the world can we say this facility is a five star facility?" said Bledsoe.

We took that question to the organization that overseas the state incentive program, the Oklahoma HealthCare Authority.

"No, there's not a problem with that. Again the question I would ask in looking at those deficiencies, how many of those were substantiated?  It's one thing to say there's an allegation of abuse or neglect.  There's another thing to say whether its substantiated," said Von Lawson with OHCA.

Green Country Care Center wouldn't talk to us on camera, and instead referred us to Becky Moore, the executive director for an agency that represents nursing homes.

Moore says she can't speak for the facility but says the star program is working.

"There's no excuse for poor care in any form or fashion, but we do have facilities that make mistakes," said Moore.

But State Representative, Ron Peters, doesn't see it that way.

"There's something wrong when you're getting fined on one hand and getting rewarded on the other hand," said Rep. Ron Peters (R)-Tulsa.

He says lawmakers are working to update the star system so people can log-on to a state website and easily get information about a facility.

But that's not enough for Jack Crow.  He wants homes to go a step further by installing cameras in hallways.

Now, he has his wife in a new home, as says she continues to heal from her emotional wounds.

 "After that had occurred it's pretty difficult to feel safe anywhere," said Crow.

The goal was to make everyone feel safe, that's exactly why some lawmakers are looking at ways to reform the program.

Discussions are already underway in committee meetings, and we'll continue to follow the progress of the program.



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