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Pocola Health and Rehab

200 Home Street, Pocola, OK 74902 · For profit - Limited Liability company · 90 certified beds · (918) 436-2228 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0758)2 immediate-jeopardy citations$14,069 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,069 in federal fines (most recent 2025-03-27)
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)

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.

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
9101 Jenny Lind Rd · (479) 274-6000 · Call to confirm hours
Pharmacy
102 E Folsom Blvd · (918) 436-2900 · Call to confirm hours
Grocery
106 E Folsom Blvd · (918) 436-7717 · Call to confirm hours
Park
941 S Pocola Blvd · Typically dawn to dusk
Place of worship
904 E Pryor Ave · (918) 436-2547

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 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 1 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 1 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 rating1★
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 increased28.6%13.6%15.4%worse
Long-stay residents who lose too much weight13.1%3.3%5.4%worse
Long-stay residents with a catheter left in their bladder6.9%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.9%2.8%2.0%better
Long-stay residents with depressive symptoms0.5%3.4%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury6.4%4.7%3.3%worse
Long-stay residents whose ability to walk worsened29.3%13.7%16.1%worse
Long-stay residents on antianxiety or hypnotic medication46.8%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.6%95.3%typical
Long-stay residents with pressure ulcers6.0%4.7%4.7%worse
Long-stay residents with worsening bladder/bowel control31.2%17.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table16.7%17.5%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%74.1%79.4%better
Short-stay residents rehospitalized after admission34.3%27.3%22.6%worse
Short-stay residents with an outpatient ER visit16.6%16.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.122.311.67worse
Long-stay outpatient ER visits per 1,000 resident days1.952.961.80typical

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.2%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
44.1%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 44.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF44.2%CMS range 32.0–56.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 5.9–15.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge44.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge47.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge58.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay7.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 4.5–13.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.261.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.20
RN hours/ resident / day
0.95
LPN hours/ resident / day
2.91
Aide hours/ resident / day
4.07
Total nurse hours/ resident / day
0.17
RN hoursweekends
50.0%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 90 beds and averages 66.3 residents a day — about 74% occupied, or roughly 24 beds typically open. It usually has some room. 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.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.20 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.91 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.56 hrs/resident/day on weekends vs 4.28 on weekdays — 17% thinner on weekends. RN hours go from 0.22 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as 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

3
deficiencies at the latest standard inspection (2025-07-30)
15
at the previous standard inspection (2024-03-11)

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

  • Immediate jeopardy · J2025-03-27 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    On 03/24/25, an Immediate Jeopardy (IJ) was determined to exist related to the facilities failure to ensure CMAs were trained and competent to ensure residents were administered medications as ordered. On 03/15/25 at 10:10 a.m., a nurse note showed CMA #1 reported to RN #1 they may have administered the wrong medications to Resident #2. The note showed the DON was notified and camera footage was reviewed, confirming Resident #2 was administered the wrong medications. The note showed the physician was notified and orders were received to send the resident to the emergency room. On 03/24/25 at 8:13 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 03/24/25 at 8:27 p.m., the DON was notified of the IJ situation and provided the IJ template. On 03/26/25 at 12:58 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. It showed the actions to remove the immediacy of the alleged deficient practice were as follows: The plan of removal read in part, POR for Immediate Jeopardy Template #2. 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · J2025-03-27 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    On 03/24/25, an Immediate Jeopardy (IJ) was determined to exist related to the facilities failure to ensure CMAs were trained and competent to ensure residents were administered medications as ordered. On 03/15/25 at 10:10 a.m., a nurse note showed CMA #1 reported to RN #1 they may have administered the wrong medications to Resident #2. The note showed the DON was notified and camera footage was reviewed, confirming Resident #2 was administered the wrong medications. The note showed the physician was notified and orders were received to send the resident to the emergency room. On 03/24/25 at 8:13 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 03/24/25 at 8:27 p.m., the DON was notified of the IJ situation and provided the IJ template. On 03/26/25 at 12:58 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The POR showed the actions to remove the immediacy of the alleged deficient practice were as follows: The plan of removal read in part, POR for Immediate Jeopardy Template #2.…

    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
  • Actual harm · Gcited before2025-11-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 monitor and prevent sexual abuse for 1 (#1) 1 sampled resident reviewed for abuse.The director of nursing identified 62 residents resided in the facility. Findings:Findings: An undated, Elder Abuse Policy and Procedure, read in part, It is the policy of .to thoroughly investigate all allegations concerning resident abuse .to prevent further abuse .pending an investigation. This facility reserves the right to take whatever actions it, in its sole discretion, deems appropriate to investigate and to prevent possible abuse .Abuse: Any intentional act of one or more of the following .sexual physical, mental/emotional .involuntary seclusion which may be imposed on a resident of this facility by any .or other residents .Abuse is a non-accidental .or sexual abuse, whenever there is impermissible or unjustifiable harmful or offensive contact with the resident .Contact with a resident may constitute abuse even if there is no evidence of physical…

    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 · E2025-07-30 · tag F0628 — pattern
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 provide a copy of the facility bed hold policy to residents discharged to the hospital for 2 (#9 and #61) of 2 sampled residents whose clinical records were reviewed for hospital discharge. The DON identified three residents who were discharged to the hospital in the last 90 days. Findings: 1. A significant change assessment, dated 04/16/25, showed Res #61 had diagnoses which included renal failure and hypertension. The assessment showed Res #61 had a BIMS score (a test of cognitive function) of 2, which was indicative of severe cognitive impairment. A health status note, dated 06/01/25 at 10:50 a.m., showed Res #61 was being sent to the emergency room for evaluation and the power of attorney was notified and an ambulance was called. On 07/24/25 at 2:28 p.m., LPN #1 stated they did not give a copy of the bed hold policy to residents when they were sent to the hospital. On 07/24/25 at 2:30 p.m., the DON stated they gave residents a copy of the bed hold…

    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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-30 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 PRN psychotropic medication orders were limited to 14 days and then re-evaluated for 1 (#57) of 5 sampled residents reviewed for unnecessary medications.The DON identified 50 residents received psychotropic medications. Findings:An undated Pharmacy Service Policy, read in part, PRN orders for psychotropic drugs are limited to 14 days, unless the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days. Should the attending physician or prescribing practitioner believe that it is appropriate for the PRN order to be extended beyond 14 days, he or she will document his/her rationale in the residents' medical record and indicate the duration for the PRN order.A physician's order, dated 02/22/25, showed Res #57 was to receive 0.5 milligrams of Ativan (an antidepressant medication) by mouth every 12 hours as needed for anxiety. The order did not have an end date.A Pharmaceutical Consultant Report, dated 03/28/25, read in part, This resident has been…

    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 · D2025-07-30 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure an enteral tube feeding bag was properly labeled for 1 (#7) of 1 sampled resident reviewed for tube feeding management. The DON identified one resident who received enteral tube feeding via continuous pump. Findings:On 07/22/25 at 12:51 p.m., Res #7 was observed with tube feeding running at 50ml/hr. No label was observed on the tube feeding bag. On 07/29/25 at 8:04 a.m., Res #7 was observed with tube feeding running at 50ml/hr. No label was observed on the tube feeding bag.On 07/29/25 at 2:03 p.m., certified medication aide #1 stated they could not tell by looking at the tube feeding bag which resident it was intended for or what time it was hung. They stated it should have a label on the bag. On 07/29/25 at 2:06 p.m., LPN #1 stated they could not identify which resident the tube feeding was for because the bag was not labeled. LPN #1 stated they did not know why it was not labeled. On 07/29/25 at 2:30 p.m., the DON stated they could not tell what time or date the bag of tube feeding was hung. They stated they could…

    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 before2024-08-15 · 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 by immediately reporting abuse for two (#1 and #2) of three sampled residents reviewed for abuse. The DON identified 56 residents resided in the facility. Findings: An abuse policy titled POCOLA HEALTH AND REHAB, addendum 08/29/18, read in parts .The facility is committed to protecting the residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultant, volunteers, .Staff is responsible for identifying, correcting, and intervening in situations in which abuse, neglect, and misappropriation of property are more likely to occur .All alleged violations and/or abuse reported to the charge nurse will be assessed and then reported to the appropriate agencies with a 2 hour timeline. The nurse will also notify the Administrator and Director of Nursing immediately . 1. Resident #1 had diagnoses which included diabetes mellitus, morbid obesity, major depressive disorder, anxiety disorder, and schizophrenia. A facility incident report, dated 07/11/24…

    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 · E2024-08-15 · 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 ensure an allegation of abuse was reported within the two hours to OSDH for two (#1 and #2) of three sampled residents reviewed for abuse. The DON identified 56 residents resided in the facility. Findings: An abuse policy titled POCOLA HEALTH AND REHAB, addendum 08/29/18, read in parts .The facility is committed to protecting the residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultant, volunteers, .Staff is responsible for identifying, correcting, and intervening in situations in which abuse, neglect, and misappropriation of property are more likely to occur .The Administrator and the Director of Nursing are responsible for the initial reporting, investigation of the alleged violations and reporting the results to the proper authorities .All alleged violations and/or abuse reported to the charge nurse will be assessed and then reported to the appropriate agencies with a 2 hour timeline. The nurse will also notify the Administrator and Director of Nursing…

    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 · E2024-08-15 · 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 conduct a thorough abuse investigation for two (#1 and #2) of three residents reviewed for abuse. The DON identified 56 residents resided in the facility. Findings: An abuse policy titled POCOLA HEALTH AND REHAB, addendum 08/29/18, read in parts .The facility is committed to protecting the residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultant, volunteers, .Staff is responsible for identifying, correcting, and intervening in situations in which abuse, neglect, and misappropriation of property are more likely to occur .The Administrator and the Director of Nursing are responsible for the initial reporting, investigation of the alleged violations and reporting the results to the proper authorities. The facility must have evidence that all alleged violations are thoroughly investigated and must prevent further potential abuse while investigation is in the progress .Staff - to - Resident: Immediately respond to the needs of the injured party. The accused 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-08 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 a resident was free from abuse for one (#1) of three residents sampled for abuse. The DON identified 56 residents residing in the facility. Findings: Res #1 had diagnoses which included Alzheimer's disorder, dementia, depression disorder, and anxiety disorder. A document titles Oklahoma State Department of Health Incident Report Form, dated 04/19/24, signed by the DON read in part, .CNA had made and put on her story on Snap Chat, .in a mocking and abusive way, verbally not physically .From the video . seemed very upset and disturbed by the CNA talking to her . She then posted this video on snap chat for all her viewers to see. This Incident Report Form documented physician, family/representative, DHS/APS, and Nurse Aide Registry was notified of the abusive behavior and video. This report also documented that the CNA involved in the video was terminated on 04/19/24. On 04/29/24, an in-service was conducted with all employees on abuse and reporting abuse. On 05/08/24 at 1:54 p.m., the DON stated they…

    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 · Past Non-Compliance
  • Potential for harm · F2024-03-11 · tag F0732 — widespread
    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 post the required staffing information in a manner easily accessible to residents and vistors. This affected 53 of 53 residents. The DON identified 53 residents who resided in the facility. Findings: On 03/06/24 at 10:00 a.m., surveyor was unable to locate posted staffing. RN #1 reported posted staffing was on the bulletin board on 200 Hall outside the dining room entrance. Observed posted staffing information on an 8.5 x 11 piece of copy paper pinned to a bulletin board approximately six feet from the floor. Surveyor was unable to read the posted staffing information unless directly in front of the bulletin board looking up ten inches. Posted staffing information did not document the census or staffing hours for each employee. Posted staffing remained in the same location and without the facility census or staffing hours for each employee for the remainder of the survey. On 03/08/24 at 10:00 a.m., the DON questioned why the residents can't tilt their heads up and read the staffing information. The DON reported that's a new…

    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 · Fcited before2024-03-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 store food in accordance with professional standards for food service safety for 53 of 53 residents who received meals from the kitchen. The DON identified 53 residents who received meals from the kitchen. Findings: On 03/05/24 at 10:07 a.m., the ice machine in the dining room was observed with the pad lock unlocked. On 03/05/24 at 10:10 a.m., an initial tour of the kitchen was conducted. A large trash can by the hand washing sink did not have a lid, the lid was in the floor behind the trash can. On 03/05/24 at 10:13 a.m., the freezer observed to have bags of French fries and onion rings open to air the bags were not dated when they had been opened. On 03/05/24 at 10:16 a.m., the DM stated the items in the freezer should not be open to air and should be dated when opened. On 03/05/24 at 10:21 a.m., the ice machine was wiped with a clean cloth from the the ice drop a brown/black substance on the cloth. The DM stated they did not know what the substance was on the cloth. The DM stated they wiped the ice machine down but had…

    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 · F2024-03-11 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure staff followed infection control guidelines to prevent the potential spread of communicable disease while performing wound care, COVID testing and assisting resident to eat. The DON identified 53 resident who resided in the facility. Findings: 1. On 03/06/24 at 8:03 a.m., CNA #2 was observed assisting residents to eat in the dining room. CNA #2 was observed to scratch their face after assisting a resident with his cup, the CNA then they assisted another resident with bites of food. Hand hygiene was not observed during the observation. On 03/06/24 at 8:07 a.m., CNA#2 was observed to touch their clothing and continued to assist the residents with their breakfast. Hand hygiene was not observed during the observation. On 03/06/24 at 8:15 a.m., CNA #3 was observed assisting a resident to eat breakfast the CNA then assisted another resident with their coffee, CNA #3 then went back to assisting the first resident to eat. Hand hygiene was not observed between residents. On 03/06/24 at 8:17 a.m., CNA #2 was observed to stack…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Ecited before2024-03-11 · 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 interview and record review, the facility failed to follow their abuse prevention policy by not obtaining criminal background checks upon hire for 13 of 74 employees hire between 2016 and 2024. The DON identified 53 residents who resided in the facility. Findings: The Abuse Prevention Policy, undated, read in part, .Candidates for employment will be screened for a potential history of abuse, neglect, or mistreating residents before employment. Employee background checks will be done upon hiring and the facility will not knowingly employ any individual who has been convicted of abusing, neglecting, or mistreating individuals. The following methods for screening will be utilized: .OK Screen background checks . The Consent and Release Form, undated, read in part, .You must be fingerprinted to work with this employer . The Employee Information Report, dated 03/06/24, documented the following: a. CNA #7 was hired on 04/18/16 b. BOM was hired on 03/23/17 c. Laundry #1 was hired on 10/03/21 d. CNA #11 was hired on 08/22/22 e. CNA #2 was hired on 10/16/22 f. CMA #2 was hired on…

    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 · E2024-03-11 · 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 observation, record review, and interview, the facility failed to ensure residents were fully assessed for the use of side rails for four (#11, 22, 42, and #45) of 35 sampled residents who were reviewed for side rails. The DON identified 35 resident utilized bed rails out of 53 residents residing in the facility. Findings:1. Res #11 had diagnoses which included CHF, chronic kidney disease, and Alzheimer's Disease. A care plan revised 01/01/23, documented the resident required the assistance of half bed rails. The care plan documented to assess and evaluate the use of half bed rails. An annual assessment, dated 01/11/24. documented the resident was moderately impaired with cognition and required substantial to maximal assistance with most ADLs. The assessment documented the resident required substantial/maximal assistance to roll left to right, sit to lying, lying to sitting, sit to stand, chair to bed,and toilet transfer. The resident EHR did not contain bed rail assessments. On 03/05/24 at 11:26 a.m., the resident was observed sitting in the bed with half rails up on both…

    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 · D2024-03-11 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 DNR forms were complete and legal for two (#11 and #40) of 24 residents who were reviewed for advanced directives. The DON identified 29 residents in the facility had DNRs. Findings: Policy DNR ACT, dated 06/01/03, read in part, IT IS THE POLICY OF POCOLA NURSING CENTER TO FOLLOW THE OKLAHOMA DNR ACT OF 1997 . 1. Res #11 had diagnoses which included CHF, chronic kidney disease, and Alzheimer's Disease. An annual assessment, dated 01/11/24. documented the resident was moderately impaired with cognition and required substantial to maximal assistance with most ADLs. A care plan revised 01/01/23, documented the resident had a DNR and the resident would not be resuscitated her their wishes. The EHR documented the resident had a DNR. The DNR form in the resident EHR was signed by the resident's POA and dated 12/30/22. The DNR form did not have two witnesses as required. On 03/07/24 at 2:35 p.m., the DON stated there was not two witnesses on the DNR. 2. Res #49 had diagnoses which included major depressive disorder,…

    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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-11 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 the accuracy of MDS assessments for four (#2, #25, #38 and #42) of 21 residents whose assessments were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 53 residents resided in the facility. Findings: 1. Res #2 had diagnoses which included idiopathic peripheral autonomic neuropathy, dysphagia, pharyngoesophageal, hyperlipidemia, hypertension, and history of deep vein thrombosis. A physician order, dated 05/30/22, doucmented the facility was to administer apixaban (an antiplatelet medication) 5 mg twice a day for a diagnosis of history of deep vein thrombosis. A care plan, date 12/02/23, documented to administer one tablet twice a day related to deep vein thrombosis and to monitor for adverse reactions of anticoagulants. An quarterly assessment, dated 02/25/24, documented the resident was independent in cognitive skills for daily decision making. The assessment documented the resident was frequently incontinent of bladder and always incontinent bowel and…

    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 · D2024-03-11 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 OHCA was notified of a resident with a serious mental illness who stayed in the facility long term for one (#22)of two residents reviewed for PASRR level I screenings. The DON identified 53 residents who resided in the facility. Findings: Res #22 had diagnoses which included generalized anxiety disorder, major depressive disorder, and schizophrenia. A PASRR I, dated 06/26/14, documented the resident had a serious mental illness. The PASRR I documented the hospital called OHCA they stated with a letter from the physician and a short stay for therapy only was a PASRR level II not required. A care plan, revised 08/26/22, documented the resident was always worried someone was talking about her and constantly thinks they are going to die due to diagnosis of schizophrenia. The care plan documented the resident used psychotropic medications related to behavior management. An annual assessment, dated 09/19/23 documented the resident was not considered by the state level two PASRR process to have a serious mental illness…

    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 before2024-03-11 · tag F0656 — failed to write and follow a full care plan — isolated
    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 — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure a comprehensive care plan was developed for weight loss for one (#10) of two sampled residents whose care plans were reviewed. The DON reported 53 residents resided in the facility. Findings: Res #10 had diagnoses which included diabetes mellitus type 2 without complications, abdominal hernia without obstruction, and major depressive disorder. A physician's order dated, 04/15/23, documented snacks three times a day for nutritional supplements. A physician's order dated, 04/16/23, documented health shakes for weight management. A physician's order dated, 06/27/23, documented protein powder three times a day for weight loss of 6.2 pounds in five months. A quarterly assessment, dated 12/29/23, documented the resident was cognitively impaired and required moderate to maximum assistance with all ADLs. A care plan, dated 02/04/24, contained no documentation of weight loss for Res #10. On 03/07/24 at 12:40 p.m., the MDS coordinator stated there was no care plan for weight loss for the resident.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 ensure residents were not catheterized unless required by a clinical condition and assess a resident for continued need for an indwelling urinary catheter for two (#25 and #29) of four resident reviewed for an indwelling urinary catheter. The DON indentified eight residents with an indwelling urinary catheter Findings: 1. Res #29 was admitted to the facility on [DATE] with diagnoses of left artificial hip joint, hypertension, type 2 diabetes mellitus, nephropathy, and was later diagnosed with stage 3 kidney disease, dementia, congestive heart failure, and urinary tract infection. A physician's order, dated 02/06/24, documented Foley catheter 18 F/30 CC, place for isolation: ESBL. A physician's order, dated 02/06/24, documented clean foley catheter every shift with soap and water. A 5-day assessment, dated 02/26/24, documented the resident was cognitively impaired and required total assistance with all ADLs. The assessment also documented…

    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 · D2024-03-11 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to ensure the physician documented a rationale on a consultant pharmacist recommendation, for one (#42) of five residents whose's medications were reviewed. Also the MRR policy did not contain timeframes for the steps in the MRR process. The DON identified 13 residents who resided in the facility who receive psychotropic medication. Findings: An undated PHARMACY SERVICES POLICYread in part, .DRUG REGIMEN REVIEW, REPORT IRREGULAR, ACT ON .The attending physicain will document in the resident's medical record irregularity has been reviewed and what, if any, action has been taken to adress it. If there is to be no change in the medication, the attending physician will document his or her rationale in the resident's medical record . Res #42 had diagnoses which included CHF, Alzheimer's Disease, anxiety disorder, and insomnia. On 01/18/24 a MRR requested a reduction in the following medications. Ativan 2mg every four as needed, Buspirone 15mg TID, Seroquel…

    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 · D2024-03-11 · 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 did not receive psychotropic medication, unless for a specific diagnosed condition, for one (#48) of five residents reviewed for unnecessary medication. The DON identified 13 residents who resided in the facility who receive psychotropic medication. Findings: An undated PHARMACY SERVICES POLICYread in part, .DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS .An unnecessary drug is any drug when used: .without adequate monitoring .FREE FROM UNNECESSARY PSYCHOTROPIC MEDS/PRN USE .Residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat specific condition as diagnoses and documented in the clinical record; . Res #42 had diagnoses which included CHF, Alzheimer's Disease, anxiety disorder, and insomnia. A physician order, dated 06/05/22, documented Seroquel 25mg administer two times a day related to Alzheimer's Disease. On 01/18/24 a MRR requested an appropriate diagnoses for the use of Seroquel 25mg BID. The physician marked the diagnosis of mood disorder.…

    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 · D2024-03-11 · tag F0801 — isolated
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to provide consistent services from a registered dietitian for one (#10) of two residents reviewed for nutrition. The DON reported 53 residents resided in the facility. Findings: Res #10 had diagnoses of diabetes mellitus type 2 without complications, abdominal hernia without obstruction, and major depressive disorder. On 04/15/23, a registered dietitian recommended snack be given to res #10 three times a day. A physician's order dated, 04/15/23, documented snacks three times a day for nutritional supplements On 04/16/23, a registered dietitian recommended health shakes with meals for weight management. A physician's order dated, 04/16/23, documented health shakes for weight management. On 06/18/23, a registered dietitian recommended house supplements be administered every day. On 06/27/23, a registered dietitian recommended protein powder be administered with meals to res #10 for weight loss of 6.9 pounds. A quarterly assessment, dated 12/29/23, documented the resident was cognitively impaired and required moderate to…

    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 · D2024-03-11 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to develop and implement a QAPI plan to identify problems in the facility. The DON reported 53 residents resided in the facility. Findings: The facilty did not have a policy and procedure for QAPI. On 03/11/24, record review was conduct of the QAPI meetings, these meeting were sporadic and the last meeting was held in September 2023. On 03/11/24 at 04:28 p.m., the DON stated QAPI meeting were not implemented regularly. They also stated there was not a policy and procedure to follow for QAPI. The DON stated when there was a problem that needed to be address then the administrator, DON, ADON, MDS coordinator, and the Infection Preventionalist would have a meeting to correct the problems in question. The DON also stated they will probably have a QAIP meeting after this month related to the COVID outbreak in the facility for the month of February .

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-11 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure the QAA committee met at least quarterly. The DON reported 53 residents resided in the facility. Findings: The QAA committee meetings were reviewed. The last QAA meeting was in September of 2023. There was no documentation the QAA committee met in October, November, and December of 2023. There was no documentation the QAA committee met in January or February 2024. On 03/11/24 at 04:28 p.m., the DON stated QAIP/QAA meeting were not implemented regularly. They stated when there was a problem that needed to be address then the administrator, DON, ADON, MDS coordinator, and the Infection Preventionalist would have a meeting to correct the problems in question. The DON also stated they will probably have a QAIP/QAA meeting after this month related to the COVID outbreak in the facility for the month of February .

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-03 · 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

    Based on observation, record review, and interview the facility failed to ensure a resident was free from accident hazards for one (#1) of one sampled resident reviewed for accidents. The facility's resident roster documented a census of 61 residents. Findings: Res #1 was admitted with diagnoses which included Alzheimer's disease, GERD, dysphagia and glaucoma. Res #1's comprehensive care plan, created on 06/04/22, read in part, .has impaired cognitive function/dementia or impaired thought processes r/t Alzheimer's .will develop skills to .maintain safety . A quarterly assessment, dated 09/09/23, documented Res #1 had moderate cognitive impairment and required extensive assistance with ADL's. A nurse note, dated 10/28/23 at 4:16 p.m., read in part, Activities staff came to nurse and stated that the resident had gotten a hold of nail polish remover and took a small swig. Resident not in any noted distress. Awake and alert, acetone on breath. Approximately 10ml out of bottle . The Final Investigation Notes, updated, read in part, .Instructed Activities staff to keep all chemicals .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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-01-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 record review, observation, and interview, the facility failed to maintain sanitary conditions in the kitchen. The DON identified 51 residents received meals from the kitchen. Findings: A Kitchen cleaning list/responsibilities policy, dated 12/19/17, read in parts .all carts in kitchen will be sprayed off at the end of the night and cleaned thoroughly weekly .Each oven will be cleaned .weekly .tables will be .wiped down .as needed throughout the day . On 01/10/23 at 9:50 a.m. to 10:30 a.m., a tour of the kitchen was conducted and the microwave oven was observed to have multiple areas of dried food inside. On 01/10/23 at 9:52 a.m. to 10:30 a.m., a rolling cart was observed to have dried food debris with clean dishes stored on top of the food debris. On 01/10/23 at 9:55 a.m., a food utensil drawer was observed to have dried food debris present and staff were observed to use utensils from the drawer. On 01/10/23 at 10:00 a.m., the back food preparation counter top was observed to have dried liquids and food debris. On 01/10/23 at 10:05 a.m., the convection oven was observed to…

    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 · Dcited before2023-01-13 · tag F0656 — failed to write and follow a full care plan — isolated
    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 record review, observation, and interview, the facility failed to develop a comprehensive person centered care plan on one (#2) of three residents. The Resident Census and Conditions of Residents, dated 01/10/23, documented a census of 52. Findings: A Care Plan policy and procedure, dated 01/14/11, read in part Each resident shall have a comprehensive care plan developed that includes measurable objectives and timetables to meet the resident's medical, nursing, dietary, mental and psychosocial needs that are identified in the comprehensive assessment. Res #2 was admitted to the facility with diagnoses which included non pressure chronic ulcer of buttock, dementia, depression, and hypertension. A physician's order, dated 08/17/22, read in part ADMIT to hospice . A quarterly assessment, dated 11/26/22, documented Res #2 was severely cognitively impaired and required extensive assistance with activities of daily living. On 01/10/23 at 10:32 a.m., Res #2 was observed in their room. Upon electronic health record review, Res #2's care plan did not include hospice care. On…

    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

“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

$14,069 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $14,069 — penalty dated 2025-03-27
  • Medicare payment denial — starting 2025-04-26 for 4 days

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 / managerTypeRoleSince
HENSLEY, CHRISTOPHERIndividualDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/1985
CAMPBELL, RICKIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/08/2015
CROCKETT, LUISIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/14/2025
DALE, ALICIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/11/2022
HOWELL, KAYLAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/11/2024
KELLEY, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/30/2003
WILSON, AMYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/14/2025
FARMER TRUST (1992)OrganizationADP OF THE SNFsince 01/31/1992
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLCOrganizationADP OF THE SNFsince 11/01/2015
POCOLA MANOR LLCOrganizationADP OF THE SNFsince 07/01/1985

CMS files one row per role, so the 14 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

$5.7M
Net patient revenuemost recent cost report
-5.1%
Operating marginrevenue minus expenses
$304K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 10%Other / private 24%

This home reported $304K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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 2024. 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

$289per resident / day
operating cost
$8,779per month
≈ monthly operating cost
$275per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 375188. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-30, 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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