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Haskell Care Center

405 North Choctaw, Haskell, OK 74436 · For profit - Limited Liability company · 58 certified beds · (918) 482-3310 Medicare & Medicaid certified

Call the home — (918) 482-3310 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Sep 2024Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation$3,422 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • lower-than-typical staff turnover (29% vs 45% nationally) — better care continuity
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $3,422 in federal fines (most recent 2023-11-21)
  • its payroll-based staffing rating is low (1/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
505 S Main St · (918) 483-0111 · Call to confirm hours
Pharmacy
114 N Broadway · (918) 486-2193 · Call to confirm hours
Grocery
31299 E 156th St S · (918) 508-9011 · Call to confirm hours
Park
310 N Broadway · (918) 485-2836 · Typically dawn to dusk
Place of worship
126 W Franklin St · (918) 482-3389

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.3%13.6%15.4%better
Long-stay residents who lose too much weight8.8%3.3%5.4%worse
Long-stay residents with a catheter left in their bladder1.5%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection3.7%2.8%2.0%worse
Long-stay residents with depressive symptoms0.0%3.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%4.7%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened0.0%13.7%16.1%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication22.4%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine94.7%94.6%95.3%typical
Long-stay residents with pressure ulcers4.8%4.7%4.7%typical
Long-stay residents with worsening bladder/bowel control16.0%17.1%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table19.8%17.5%17.1%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Staffing

RN hours/ resident / day
LPN hours/ resident / day
Aide hours/ resident / day
Total nurse hours/ resident / day
RN hoursweekends
29.0%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 58 beds and averages 35.0 residents a day — about 60% occupied, or roughly 23 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 3.48 hrs/resident/day on weekends vs 3.84 on weekdays — 9% thinner on weekends. RN hours go from 0.34 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

7
deficiencies at the latest standard inspection (2024-09-27)
4
at the previous standard inspection (2023-08-10)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 11 most serious are shown; the remaining 15 are one tap away and print in full.

  • Actual harm · Gcited before2023-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to provide adequate supervision and assistance to help prevent falls for two (#1 and #5) of three residents reviewed for falls. Res #1 had four falls in two months, they suffered a hematoma to back of head and abrasion to elbow with one fall and had a fracture to their orbital facial bones on the last fall. The facility failed to: a) Implement interventions and/or appropriate interventions to prevent falls for the residents after each fall occurrence. b) Monitor and/or update the residents' plan of care for appropriate fall interventions. c) Ensure staff were aware of additional care needs for the residents. The administrator identified 16 residents had fallen in the last six months. Findings: A Falls and Fall Risk, Managing policy documented .staff, with the input of the Attending Physician, will identify appropriate interventions to reduce the risk of falls .If falling recurs despite initial interventions staff will implement additional or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-09-27 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure posted staffing information contained projected and actual staffing hours worked. The administrator identified 35 residents who resided in the facility. Findings: On 09/22/24 at 11:05 a.m., a white board at the nursing station was observed to contain the facility name, date, census, staff and their position, but did not contain projected and actual staffing hours worked. On 09/25/24 at 3:54 p.m., a white board at the nursing station was observed to contain the facility name, date, census, staff and their position, but did not contain projected and actual staffing hours worked. On 09/27/24 at 3:52 p.m., the corporate nurse stated they were not aware of the requirements to post projected and actual hours worked.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-27 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to report an allegation of abuse for one (#10) of two sampled residents reviewed for abuse. The administrator identified seven allegations of abuse within the last six months. Findings: A policy titled ABUSE POLICY read in part, .REPORT ALL ALLEGED VIOLATIONS AND ALL SUBSTANTIATED INCIDENTS TO THE STATE AGENCY AND TO ALL OTHER AGENCIES AS REQUIRED AND TAKE ALL NECESSARY CORRECTIVE ACTIONS DEPENDING ON THE RESULTS OF THE INVESTIGATION . Res #10 had diagnoses which included quadriplegia, depressive episodes, mood disorder due to known physiological condition, anxiety disorder, and pain. A care plan, dated 05/24/24, documented the resident had an ADL self care deficit related to a diagnosis of quadriplegia. The care plan documented the resident was at risk of altered psychosocial well being related to no family support and history of ineffective coping mechanisms. The quarterly assessment, dated 08/18/24, documented the resident was not impaired cognitively and was dependent with activities of daily living. On 09/23/24 at 1:22…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-27 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure discharge and entry resident assessments were completed for one (#7) of six sampled residents whose resident assessments were reviewed. The administrator identified 35 residents who resided in the facility. Findings: Res #7 had diagnoses which included cerebral infarction. A progress note, dated 06/24/24 at 2:56 p.m., documented Res #7 left the facility via the facility van to visit their family member at the hospital and stay with another family member. A progress note, dated 06/25/24 at 4:02 p.m., documented Res #7 returned to the facility via the facility van. A progress note, dated 07/09/24 at 9:59 a.m., documented Res #7 left the facility to stay with a family member who was hospitalized . A progress note, dated 07/12/24 at 1:56 p.m., documented Res #7 returned to the facility. There was no discharge return anticipated or re-entry resident assessments completed. On 09/27/24 at 3:27 p.m., the MDS coordinator stated they were not aware discharge and entry tracking resident assessments had to be done when someone…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-27 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure a resident assessment was accurate for one (#7) of six sampled residents whose resident assessments were reviewed. The administrator identified 35 residents who resided in the facility. Findings: Res #7 had diagnoses which included major depressive disorder, anxiety, bipolar disorder, and suicidal ideations. Res #7 had a level II PASARR which was completed on 09/22/21. An annual resident assessment, dated 08/29/24, documented Res #7 did not have a level II PASARR. On 09/27/24 at 3:22 p.m., the MDS coordinator stated they miscoded the resident assessment for Res #7. They stated knew the resident had a level II PASARR, but just failed to code it on the resident assessment.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-27 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to: a. ensure a level II PASARR was care planned for one (#7); and b. make a referral to the OHCA after a new serious mental illness diagnosis for one (#9) of two sampled residents whose PASARRs were reviewed. The administrator identified 35 residents who resided in the facility. Findings: 1. Res #7 had diagnoses which included major depressive disorder, anxiety, bipolar disorder, and suicidal ideations. Res #7 had a level II PASARR completed on 09/22/21 and it documented the resident needed a psychiatric consult and counseling services. The care plan for Res #7 did not contain documentation regarding a psychiatric consult or counseling services. On 09/27/24 at 3:22 p.m., the MDS coordinator stated they failed to add interventions as recommended on the PASARR for psych visits/counseling. They stated they usually care planned things like that ,but just failed to do it. 2. Res #9 was admitted to the facility on [DATE]. On 06/29/20 the resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure a resident was competent to self administer medication and report medication errors to the physician for one (#7) of six sampled residents whose medications were reviewed. The administrator identified 35 residents who resided in the facility. Findings: Res #7 had diagnoses which included major depressive disorder, anxiety, bipolar disorder, and suicidal ideations. Res #7's Level II PASARR, dated 09/22/21, documented Res #7 required professional nursing supervision with medication and required medication management. A physician's order, dated 07/05/23, documented an order for folic acid (a supplement) 1 mg daily. A physician's order, dated 07/05/23, documented an order for tamsulosin (a medication for enlarged prostate) 0.4 mg at bedtime. A physician's order, dated 07/05/23, documented an order for Sodium Bicarbonate (a medication for heartburn) 650 mg three times a day. A physician's order, dated 07/05/23, documented an order for calcitriol (a medication for low calcium) 0.25 mcg every other day. A physician's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure oxygen tubing and humidifier bottles were changed and labeled monthly for one (#5) of two sampled residents whose oxygen tubing/humidifier bottles were observed. The administrator identified 35 residents who resided in the facility Findings: Res #5 had diagnoses which included COPD, chronic respiratory failure, dyspnea, abnormalities of breathing, and congestive heart failure. A physician's order, dated 07/20/23, documented Res #5's oxygen tubing and humidifier bottle were to be changed and labeled monthly on the 20th of each month. A care plan focus, dated 08/30/23, documented the resident's oxygen tubing and humidifier bottle were to be changed and labeled monthly. A TAR for September 2024, documented Res #5's oxygen tubing and humidifier bottle was changed on 09/20/24. On 09/22/24 at 11:10 a.m., the oxygen tubing and humidifier bottle labels were dated 08/21/24. On 09/23/24 at 2:38 p.m., the oxygen tubing and humidifier bottle labels were dated 08/21/24. On 09/25/24 at 9:41 a.m., the oxygen tubing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-27 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to implement their abuse policy for one (#10) of twelve sampled residents reviewed for abuse and one (CNA#1) of five sampled employees whose background checks were reviewed. The administrator identified 35 residents who resided in the facility. Findings: A policy titled ABUSE POLICY read in part, .THIS FACILITY HAS PROCEDURES TO IDENTIFY EVENTS, SUCH AS SUSPICIOUS BRUISING OF RESIDENT, OCCURRENCES, PATTERNS AND TRENDS THAT MAY CONSTITUTE ABUSE .THIS FACILITY HAS PROCEDURES TO INVESTIGATE DIFFERENT TYPES OF INCIDENTS AND IDENTIFY THE STAFF MEMBER/MEMBERS RESPONSIBLE FOR THE INITIAL REPORTING .PROTECT RESIDENTS FROM HARM DURING AN INVESTIGATION .REPORT ALL ALLEGED VIOLATIONS AND ALL SUBSTANTIATED INCIDENTS TO THE STATE AGENCY AND TO ALL OTHER AGENCIES AS REQUIRED . An undated Abuse Policy, read in part, This facility has procedures to screen potential employees for a history of abuse, neglect or mistreating residents. The screening will include .checking with the the appropriate licensing boards and registries. A Background…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-27 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to thoroughly investigate an allegation of abuse for one (#10) of two sampled residents reviewed for abuse. The administrator identified seven allegations of abuse within the last six months. Findings: A policy titled ABUSE POLICY read in part, .THIS FACILITY HAS PROCEDURES TO INVESTIGATE DIFFERENT TYPES OF INCIDENTS AND IDENTIFY THE STAFF MEMBER/MEMBERS RESPONSIBLE FOR THE INITIAL REPORTING, LEADING TO THE INVESTIGATION OF ALLEGED VIOLATIONS AND REPORTING OF RESULTS TO THE PROPER AUTHORITIES . Res #10 had diagnoses which included quadriplegia, depressive episodes, mood disorder due to known physiological condition, anxiety disorder, and pain. A care plan, dated 05/24/24, documented the resident had an ADL self care deficit related to a diagnosis of quadriplegia. The care plan documented the resident was at risk of altered psychosocial well being related to no family support and history of ineffective coping mechanisms. A quarterly assessment, dated 08/18/24, documented the resident was not impaired cognitively and was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-10 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to develop a wound care plan for one (#24) resident of three residents reviewed for pressure ulcers. Findings: The Resident Census and Conditions of Residents, dated 08/07/23, documented three residents had pressure ulcers. Res #24 was admitted with diagnoses which included diabetes and hemiplegia (paralysis of one side of the body) affecting the left side. Skin assessments dated 07/07/23, 07/14/23, and 07/21/23 documented Res #24 had a pressure ulcer on the right heel. On 08/07/23 at 9:50 a.m., Res #24 was observed lying on their left side. On 08/09/23 at 10:46 a.m., LPN #1 was observed applying Betadine (a topical antiseptic) to a pressure ulcer on Res #24's right heel. On 08/09/23 at 10:47 a.m.,LPN #1 reported Res #24 was noncompliant with wearing a heel protector on their right foot and keeping their right foot off of the surface of the bed. On 08/09/23 at 11:06 a.m., the MDS coordinator reported the wound care for Res #24 should have been on the care plan. On 08/09/23 11:07 at 11:07 a.m., LPN #1 reported…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · E2023-08-10 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure residents' care plans were reviewed and revised for two (#18 and #25) of 12 residents whose care plans were reviewed. The facility failed to update the residents' care plans: a. with new interventions in response to psychotropic drugs for resident #18, and b. with new interventions in response to weight loss for resident #25. The Resident Census and Conditions of Residents documented 34 residents resided in the facility. Findings: a. Resident #18 was admitted with diagnoses of disorder with delusions, psychosis, Alzheimer's, and alcohol-induced persisting dementia. A quarterly resident assessment dated [DATE] documented the resident's cognition was severely impaired. The assessment also documented the resident required supervision with all ADLs. A care plan dated 07/22/22 for mood and behavioral status documented to administer antidepressants and antipsychotic medications as prescribed by physician with a target date of 07/21/23.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-10 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure daily staffing information containing all of the required components was posted and retained for the required amount of time. Findings: The Resident Census and Conditions of Residents, dated 08/07/23, documented a census of 36 residents. On 08/07/23 at 10:00 a.m., a dry erase board on the west wall adjacent to the nurse's station documented the staff currently on duty and the census. The board did not contain documentation of the actual hours worked for the staff. On 08/08/23 at 10:20 a.m., a dry erase board on the west wall adjacent to the nurse's station documented the staff currently on duty and the census. The board did not contain documentation of the actual hours worked by the staff. On 08/08/23 at 10:23 a.m. the GM and corporate nurse #1 reported the white board did not contain the actual hours worked by the staff. The GM and corporate nurse #1 also reported they did not have documentation of the daily staffing information for the past 18 months. The GM also reported they did not currently have a system to keep…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to provide a hand washing sink in the kitchen with soap and water separate from the sink used for food preparation. The Resident Census and Conditions of Residents, dated 08/07/23, documented 34 residents resided in the facility. On 08/07/23 at 9:28 a.m., an initial tour of the kitchen was conducted. The following observations were made: a. a sink utilized for hand hygiene was in a separate room with pots and pans laying in and around the sink, b. an OUT OF ORDER sign was hanging above the sink, c. no soap was available to wash hands before food preparations, and d. no paper towels were available to dry hands before food preparations. On 08/07/23 at 9:28 a.m., [NAME] #1 stated they used the same sink to wash their hands as they used to prepare food for the residents. They also stated there was a separate sink in the other room but it did not work. [NAME] #2 stated the hand washing sink had not worked since they had started working at the facility. On 08/07/23 at 9:43 a.m., Maintenance #1 stated the hand washing sink was not out…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-04-14 · tag F0644 — pattern
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to reevaluate for preadmission screening and resident review (PASRR) level 1 after a change in diagnosis for two (#10 and #32) of four residents reviewed for PASRR services. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: 1. Res #32 was admitted to the facility on [DATE] and had diagnoses which included Alzheimer's disease A PASRR I assessment, dated 10/03/18, documented no to all questions regarding the resident having a serious mental illness. On 10/09/18, it was documented Res #32 received a new diagnosis of delusional disorder. Review of the medical record revealed no documentation the OHCA was notified of the new diagnosis. On 10/11/18, Res #32 received a new diagnosis of unspecified psychosis. Review of the medical record revealed no documentation the OHCA was notified of the new diagnosis. The resident currently takes Abilify (an antipsychotic medication) daily. On 04/13/22 at 11:24 a.m., the DON…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-04-14 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews, the facility failed to ensure an open wound and edema were assessed for one (#89) of three sampled residents reviewed for skin issues. The ''Resident Census and Conditions of Residents'' report documented 40 residents resided at he facility. Findings: Res #89 was admitted to the facility on [DATE] with diagnoses which included burn of unspecified body region of unspecified degree, unspecified open wound of right knee, and edema. An admission nurse note, dated 03/28/22, documented the resident had completed an antibiotic for MRSA and had a wound on the back of knee and on the heel. A physician order, dated 03/29/22, documented to cleanse posterior right knee with wound cleanser, pat dry, and cover with non-adherent dressing and wrap with Kerlix. A physician order, dated 04/09/22, documented to administer furosemide (a diuretic medication) 20 mg daily for edema. An admission assessment, dated 04/10/22, documented the resident was cognitively intact, had a stage…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-14 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to provide restorative services to help prevent further decline in range of motion for two (#22 and #25) of two residents sampled for limited range of motion. The ''Resident Census and Conditions of Residents'' report documented three residents with contractures. Findings: 1. Res #22 had diagnoses which included cerebral infarction and contracture of muscle of unspecified site. A physician order, dated 11/13/19, documented to provide passive range of motion (PROM) of right hand three to five times a week. A significant change MDS assessment, dated 11/16/21, documented the resident had severely impaired cognition, required limited to extensive assistance with ADLs, had range of motion impairment to one upper extremity, and did not receive restorative services. A quarterly MDS assessment, dated 02/14/22, documented the resident was moderately cognitively impaired, required limited to extensive assistance with ADLs, had range of motion…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-04-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to: a. Evaluate the resident for the risk of falls. b. Determine the root causes of falls. c. Ensure interventions were relevant and implemented consistently. d. Implement new interventions to reduce risks, and e. Evaluate the effectiveness of interventions for one (#28) of three sampled residents reviewed for accident hazards The ''Resident Census and Conditions of Residents report documented 40 residents resided in the facility. Findings: Res #28 was admitted to the facility on [DATE] and had diagnoses which included Lewy body dementia and closed displaced fracture of right radial styloid process. A nurse note, dated 02/02/22, at 10:24 p.m., documented the resident was walking in the front lobby with her walker when she lost her balance and fell. The note documented the resident hit her head on the floor and an a area on the back of her head started swelling and turning purple. The note documented the resident's slippers were coming off…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-14 · tag F0700 — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to assess the need and risk of using bed rails for two (#17 and #90) of two sampled residents reviewed for bed rail usage. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: 1. Res #17 was admitted to the facility with diagnoses which included Alzheimer's disease, low back pain, osteoarthritis, and osteoporosis. A significant change assessment, dated 02/03/22, documented the resident was severely impaired with cognition and required extensive assistance with two person assist with bed mobility and total assistance with two person assist with transfers. A care plan, last review date of 03/14/21, did not address side rail usage for the resident. The clinical record revealed no assessments related to the use of bed rails. On 04/11/22 at 10:04 a.m., Res #17 was observed in bed with a quarter bed rail up and on an air mattress. On 04/12/22 at 1:21 p.m., Res # 17 was observed in bed with a quarter bed rail up on the bed. On 04/12/22 at 1:27 p.m., the DON was asked…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-14 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    3. Res #2 had a physician order, dated 04/01/20, which documented to administer carvedilol 12.5 mg twice a day for chronic systolic heart failure. A physician order, dated 12/08/20, documented to monitor and document blood pressure twice daily. The order documented the therapeutic range was more than 90/60 and less than 160/90. The order documented to notify the physician if out of range. As of 04/13/22, the April 2022 MAR, documented two blood pressures for the month. No other blood pressure documentation was provided. Based on record review and interview, the facility failed to ensure residents' drug regimen was free from unnecessary medication for four (#2, 7, 26, and #32) of five sampled residents who were reviewed for unnecessary medication. The facility failed to monitor blood pressures as ordered for residents #2, 7, 26, and #32 and failed to administer the correct dose of insulin for resident #7. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: 1. Res #7 was admitted to the facility with diagnoses which included…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-14 · tag F0770 — failed to provide lab services — pattern
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    3. Resident #2 had diagnoses which included diabetes mellitus, hyperlipidemia, congestive heart failure, and cerebral infarction. A physician order, dated 08/05/20, documented to obtain a CBC and CMP lab test every six months in August and February. A physician order, dated 08/05/20, documented to obtain a HgA1c lab test every three months in August, November, February, and May. On 04/14/22 at 12:11 p.m., the corporate nurse stated she could not find where the facility obtained the CBC, CMP, and HgA1c in February as ordered. Based on record review, observation, and interview, the facility failed to ensure physician ordered lab services were obtained for four (#2, 7, 26, and #32) of five residents sampled reviewed for unnecessary medications. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: 1. Res #7 was admitted to the facility with diagnoses which included hypertension, hyperlipidemia, vit D deficiency, hyperglycemia, and edema. A physician order, dated 06/13/18, documented the facility was to obtain a CBC yearly in October, a CMP…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-14 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure an allegation of abuse was reported to OSDH within two hours after the allegation was made for one (#89) of two residents sampled for abuse. The ''Resident Census and Conditions of Residents report documented 40 residents resided at the facility. Findings: The facility's Abuse Policy and Procedures read, .The initial allegation reporting to the Oklahoma State Department of Health will be completed within 2 hours of knowledge of allegation on the OSDH form 283 and faxed . A grievance report, dated 04/08/22, documented a family member of Res #89 reported to the administrator that a staff member had yelled at Res #89 during night shift. An admission assessment, dated 04/10/22, documented the resident was cognitively intact. On 04/11/22 at 12:24 PM, Res #89 stated he was treated well, he liked it here, and had no problems with the facility. On 04/13/22 at 4:44 p.m., the administrator and the corporate administrator stated they looked at the allegation as a grievance and did not report the initial allegation. They stated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews, the facility failed to conduct pressure ulcer assessments at least weekly for one (#89) of three sampled residents reviewed for pressure ulcers. The ''Resident Census and Conditions of Residents'' report documented two residents had pressure ulcers. Findings: Res #89 was admitted to the facility on [DATE] with diagnoses which included unstageable pressure ulcer of unspecified heel. An admission nurse note, dated 03/28/22, documented the resident had completed an antibiotic for MRSA and had a wound on the heel. A physician order, dated 03/29/22, documented to cleanse right heel with wound cleanser, pat dry, apply Medihoney with non-adherent pad, and wrap with Kerlix. An admission assessment, dated 04/10/22, documented the resident was cognitively intact and had a stage III pressure ulcer which was present on admission. The care plan, dated 04/11/22, documented the resident had a stage III pressure ulcer on one heel. The care plan documented the nurse would…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-14 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the physician responded to a pharmacy recommendation for one (#32) of five sampled residents whose medications where reviewed. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: Res #32 was admitted to the facility with diagnoses which included Alzheimer's disease, delusional disorders, depressive disorder, and psychosis. A Medication Regimen Review, dated 05/18/21, documented the pharmacist requested a reduction in Abilify (an antipsychotic medication) from 20 mg every day to 15 mg every day for delusional disorder. The review was signed by the physician and dated 05/25/21 but the physician did not mark agree or disagree and provide a rational. The form was noted and documented no changes on 05/25/21 but was not signed or initialed by the nurse who noted the document. Res #32 was currently taking Abilify 20 mg one tablet daily for delusional disorders. The care plan did not document the resident was taking an antipsychotic medication. On 04/13/22 at 11:14 a.m., the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-14 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents were free from unnecessary psychotropic medications for one (#7) of five residents reviewed for unnecessary medications. The Census and Conditions of Residents form documented 31 residents received psychotropic medications. Findings: Res #7 was admitted to the facility with diagnoses which included psychotic disorder with delusions and Alzheimer's disease. A quarterly assessment, dated 01/18/22, documented the resident was severely impaired with cognition and required supervision without physical help from staff. The assessment documented the resident was on an antipsychotic and antidepressant medication. A Medication Regimen Review, dated 01/28/21, documented the pharmacist requested a reduction for Pristiq 50 mg to 25 mg daily for depression. The review documented the physician agreed on 01/29/21 and the order was noted on 01/29/21. A physician order, dated 02/22/21, documented Pristiq 25 mg daily for psychotic disorder with delusions. The resident received Pristiq at 50 mg for 24 days after it was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-14 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview the facility failed to have an adequate call system in place for one (#32) of 16 residents who were reviewed for adequate call system. The Census and Conditions of Residents form documented 40 residents lived in the facility. Findings: The monthly equipment check list documented the call lights were last checked on 03/07/22. Res #32 had diagnoses which included Alzheimer's disease. The resident's quarterly assessment, dated 03/09/22, documented the resident was moderately impaired with cognition and required supervision with no staff assistance with toilet use. Res #34's significant change MDS assessment, dated 03/10/22, documented the resident was cognitively intact and required extensive assistance with ADLs. On 04/11/22 at 10:41 a.m., Res #32 was observed sitting on the side of their bed. Res #32 stated they needed help to the bathroom and needed to pee really bad. Both call cords were observed on Res #34's bed. One of the call cords did not have a button…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$3,422 in federal fines across 1 penalty.

  • $3,422 — penalty dated 2023-11-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleShareSince
HUMPHREYS, DOUGLASIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 12/01/2000
BRANNON, LINDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/10/2025

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$2.4M
Net patient revenuemost recent cost report
-9.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 90%Medicare 1%Other / private 10%

About 90% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$206per resident / day
operating cost
$6,252per month
≈ monthly operating cost
$187per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.

Typical monthly cost in Oklahoma
$7,026/mo
Nursing home (semi-private)
$7,756/mo
Nursing home (private)
$6,150/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375414. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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