Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Choctaw Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple diagnoses fell and sustained fractures due to a CNA not following the ADL care plan, which required a two-person assist for bed mobility. The CNA was alone with the resident during incontinent care, leading to the incident. The facility's investigation confirmed the care plan was not adhered to, resulting in the fall.
A resident with severe cognitive impairment and multiple medical conditions fell and sustained fractures due to a CNA's failure to follow the care plan requiring a two-person assist for bed mobility. The facility's policy mandates safe handling practices, but the CNA was alone during incontinence care, leading to the resident rolling off the bed.
The facility failed to address repeated grievances from residents regarding missing silverware and condiments on meal trays. Despite ongoing complaints over several months, the issue persisted due to inadequate follow-up and communication among staff.
The facility failed to notify the physician when a resident with a PEG tube developed drainage around the insertion site. Despite the presence of drainage, the staff did not notify the physician, resulting in a lack of necessary care and documentation for the PEG tube site. The resident was cognitively intact and had diagnoses including pneumonitis and dysphagia.
The facility failed to implement comprehensive care plans for two residents, resulting in long, jagged fingernails with a brown substance underneath. Both the DON and MDS nurse confirmed that the required weekly and as-needed nail care was not performed.
The facility failed to provide adequate nail care for two residents, both observed with long, jagged fingernails and a brown substance underneath. The DON and staff confirmed that nail care had not been performed recently, despite the facility's policy requiring weekly nail care.
The facility failed to ensure a resident with a catheter had a securing device, resulting in the catheter being pulled tight with tension from the bedside drainage bag. The DON revealed that the facility did not use securing devices as part of their routine care.
A resident with a PEG tube did not receive appropriate care due to the absence of documented orders. The LPN and RN were uncertain about the required care, and the DON confirmed that no routine monitoring or care orders were in place, leading to potential complications such as infection or skin irritation.
The facility failed to submit accurate information into the PBJ system, leading to a one-star staffing rating for a quarter. Errors included hours for staff working with both the hospital and nursing home and hours for a former Director of Nursing. The facility has since corrected the issues.
A CNA improperly discarded soiled bath towels on the floor during catheter care for a resident with Alzheimer's disease and a urinary tract infection. The facility's policy requires soiled linen to be placed in a bag immediately to prevent the spread of infection, which was confirmed by the DON.
Failure to Follow ADL Care Plan Results in Resident Fall
Penalty
Summary
The facility failed to adhere to the Activity of Daily Living (ADL) care plan for a resident, resulting in a fall and multiple fractures. The care plan specified that the resident required limited assistance by two staff members for bed mobility and transfers. However, on the morning of the incident, a Certified Nursing Assistant (CNA) was alone with the resident during incontinent care, which led to the resident rolling off the bed and sustaining injuries. The CNA admitted to not following the care plan, which was confirmed by the Director of Nursing and the Licensed Practical Nurse responsible for the care plan. The resident involved had a history of severe cognitive impairment, as indicated by a Brief Interview of Mental Status (BIMS) score of 7, and was diagnosed with conditions including heart failure, dementia, and muscle weakness. Despite the care plan's clear instructions for a two-person assist, the CNA believed the resident was capable of following commands and standing with assistance, which contributed to the incident. The facility's investigation documented that the fall was due to the CNA's failure to follow the established care plan for bed mobility and transfers.
Failure to Ensure Resident Safety During Bed Mobility
Penalty
Summary
The facility failed to ensure the safety of a resident during bed mobility, resulting in a fall and multiple fractures. The incident occurred when a Certified Nursing Assistant (CNA) did not follow the care plan, which required a two-person assist for bed mobility and transfers. During incontinence care, the resident rolled off the bed and fell to the floor, sustaining fractures to both legs. The CNA was alone in the room with the resident, contrary to the care plan's requirements. The facility's policy on Safe Resident Handling/Transfers mandates that residents be handled and transferred safely to prevent injuries. The policy requires staff to be educated on safe handling practices, including the use of mechanical lift devices. Despite this, the CNA did not adhere to the policy, leading to the resident's fall. The Director of Nursing (DON) confirmed that the CNA was aware of the two-person assist requirement but failed to follow it. The resident involved was a large-framed, obese female with severe cognitive impairment and multiple medical diagnoses, including heart failure, dementia, and muscle weakness. At the time of the incident, the resident was assessed as requiring limited assistance by two staff members for bed mobility and transfers. The fall resulted in significant injuries, including comminuted fractures of the distal femur in both legs, necessitating hospital transfer and surgery.
Failure to Address Resident Grievances on Missing Silverware and Condiments
Penalty
Summary
The facility failed to follow up on grievances from Resident Council meetings related to missing silverware and condiments for four of six residents. Despite repeated complaints over several months, the issue persisted. Interviews with residents and staff revealed that the problem was acknowledged but not effectively resolved. The Activity Director confirmed that the concerns were communicated to the Dietary Manager, who admitted to being aware of the issue but did not conduct a thorough investigation or take disciplinary action. The Administrator was unaware of the ongoing problem, indicating a breakdown in communication and follow-up procedures. Record reviews of Resident Council minutes from October 2023 to March 2024 consistently documented the residents' complaints about missing silverware and condiments. The residents involved were cognitively intact, as indicated by their Brief Interview for Mental Status (BIMS) scores of 15. Despite the residents' repeated grievances and some minor improvements, the issue remained unresolved, highlighting a failure in the facility's grievance resolution process as outlined in their policy.
Failure to Notify Physician of PEG Tube Complications
Penalty
Summary
The facility failed to notify the physician when a resident receiving enteral nutrition via a PEG tube developed drainage around the insertion site. The facility's policy required examination of the insertion site and notification of the physician if complications arose. However, during an observation, a registered nurse found a tan/brown substance around the PEG tube insertion site and confirmed that the physician had not been notified, and no orders for PEG tube care were in place. The Director of Nursing confirmed that the resident did not have an order for PEG tube care or monitoring, and the physician had instructed to notify only if there was redness or drainage. Despite the presence of drainage, the staff did not notify the physician, resulting in a lack of necessary care and documentation for the PEG tube site. The resident involved was admitted to the facility with diagnoses including pneumonitis due to inhalation of food and vomit, gastrostomy status, and dysphagia. The resident was cognitively intact, as indicated by a BIMS score of 15. The Director of Nursing confirmed that routine monitoring, care, and documentation for the PEG tube site were needed to prevent complications. The failure to notify the physician and obtain orders for care when drainage was observed led to a deficiency in the resident's care, as the staff did not know what care was needed to be done.
Failure to Implement Comprehensive Care Plans for Nail Care
Penalty
Summary
The facility failed to implement comprehensive care plans for two residents, Resident #18 and Resident #36, as required by their policy. Resident #18's care plan indicated the need for weekly and as-needed nail care. However, observations revealed that Resident #18's fingernails were approximately three-fourths of an inch long, jagged, and had a brown substance underneath them. Both the resident and the Director of Nurses (DON) confirmed that the nails needed to be cut and cleaned. The Licensed Practical Nurse (LPN) also acknowledged that the nail care had not been performed as required by the care plan. Similarly, Resident #36's care plan also required weekly and as-needed nail care. Observations showed that Resident #36's fingernails were about one-half inch long, jagged, and had a brown substance underneath them. The DON confirmed that the nails needed cleaning and stated that she would address the issue. The Minimum Data Set (MDS) nurse, responsible for developing the comprehensive care plans, confirmed that the care plans for both residents were not followed. The DON also confirmed that the Certified Nursing Assistants (CNAs) were aware of the ADL care requirements but failed to perform the necessary nail care for these residents.
Failure to Provide Adequate Nail Care
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) care, specifically nail care, for two residents. Resident #18 was observed on multiple occasions with fingernails approximately three-fourths of an inch long, jagged, and with a brown substance underneath. The resident expressed a desire to have her nails cut, and both the Director of Nurses (DON) and a Licensed Practical Nurse (LPN) confirmed the poor condition of her nails, noting that nail care is supposed to be done weekly but had not been performed recently. Resident #18 has medical diagnoses including unspecified dementia and mood disorder. Similarly, Resident #36 was observed with fingernails approximately one-half inch long, jagged, and with a brown substance underneath. A family member also noted the poor condition of the resident's nails and expressed the need to cut and clean them. The Certified Nurse Aide (CNA) assigned to Resident #36 admitted that she had not performed nail care recently and was unsure when it was last done. The DON confirmed the need for nail care for Resident #36, who has medical diagnoses including sepsis and nutritional deficiency.
Failure to Use Catheter Securing Device
Penalty
Summary
The facility failed to ensure a resident with a catheter had a catheter securing device. During an observation of catheter care, it was noted that the resident's catheter was pulled tight with tension from the bedside drainage bag, which was attached to the lower bed. A CNA confirmed the absence of a catheter securing device. The Infection Preventionist stated that a securing device should be in place to prevent injury and dislodgement. The Director of Nursing revealed that the facility did not use catheter securing devices as part of their routine care and had not identified a need for them. The resident involved had been admitted with diagnoses including Alzheimer's disease and a urinary tract infection.
Failure to Provide Appropriate PEG Tube Care
Penalty
Summary
The facility failed to ensure a resident receiving enteral feedings via a PEG tube received appropriate care and services to prevent possible complications. The deficiency was identified for one resident who had a PEG tube but did not have any documented orders for PEG tube care. The Licensed Practical Nurse (LPN) was uncertain about the care required for the PEG site and had not observed or provided care for the PEG tube due to the absence of orders. The resident himself confirmed that he had a dressing on his feeding tube, and an observation revealed a tan/brown substance around the PEG tube insertion site, indicating a need for monitoring and care to prevent skin concerns and infection. The Registered Nurse (RN) also confirmed the presence of drainage and the necessity for care, but noted that no orders were available to guide the care process. The Director of Nursing (DON) confirmed that the resident did not have an order for PEG tube care or monitoring of the site. Upon admission from the hospital, the PEG feeding tube was new, and although a nurse had contacted the physician, the physician had only advised to observe the site for redness or drainage and notify if needed, without providing routine care orders. The DON acknowledged that basic skin care was necessary to keep the site clean and confirmed that routine monitoring, care, and documentation were required but were not in place. The absence of orders and proper care documentation could lead to complications such as infection or skin irritation, as the staff would not know the necessary care to be provided.
Inaccurate PBJ Submissions Lead to Lowered Staffing Rating
Penalty
Summary
The facility failed to submit accurate information into the Payroll Based Journal (PBJ) system as required by the Centers for Medicare and Medicaid Services (CMS). This deficiency was discovered through a CMS audit of the period between January 1, 2023, and March 31, 2023. The audit revealed that some staff who worked with both the hospital and the nursing home had their hours inaccurately submitted into the PBJ system. Additionally, hours for a previous Director of Nursing, who was no longer an employee, were also submitted. These inaccuracies led to the facility receiving a one-star staffing rating in the five-star Quality Rating System for the quarter of October 1, 2023, through December 31, 2023. The Director of Nursing and the Administrator confirmed the inaccuracies and stated that the facility had since corrected the issues to ensure accurate submissions moving forward. During interviews, the Director of Nursing and the Administrator acknowledged the errors in the PBJ submissions. The Director of Nursing stated that the final determination by CMS was made in October 2023, and all information submitted since that time was accurate. The Administrator explained that the inaccuracies included hours for staff who worked with both the hospital and the nursing home, as well as hours for a former Director of Nursing. The technology staff was able to repair the system immediately in June 2023 to ensure only accurate information on active employees was entered. Despite the facility usually being overstaffed, the inaccurate information submitted during the audited quarter resulted in a lowered star rating. The State Agency (SA) validated the facility's receipt and review of CMS correspondence regarding the audit findings. The SA also confirmed that the facility had corrected the errors and ensured accurate PBJ submissions for subsequent quarters. The facility held a Quality Assurance meeting to discuss the errors and resolutions, including ensuring only active employees were in the time system and adjusting the software to include only hours worked in the facility. The SA validated the facility's corrective actions, including inservicing the Administrator and Business Office Manager on PBJ reporting and holding a Quality Assurance meeting to address the issues.
Improper Disposal of Soiled Linen During Catheter Care
Penalty
Summary
The facility failed to discard soiled linen in a safe and sanitary manner, which was observed during catheter care for a resident. Certified Nurse Aide (CNA) #1 discarded two soiled bath towels on the floor after completing the necessary care for the resident. The CNA then picked up the towels and placed them into a trash bag before exiting the room. This action was confirmed by the CNA during an interview, where she acknowledged that she should have placed the soiled towels in a bag immediately to prevent the spread of germs. The Director of Nursing (DON) confirmed that the facility's policy requires soiled linen to be disposed of in a bag while care is being provided and not thrown on the floor. The resident involved had been admitted to the facility with medical diagnoses including Alzheimer's disease and a urinary tract infection. The facility's policy on handling soiled linen emphasizes the importance of preventing contamination and the spread of infection by ensuring that soiled linen is collected at the bedside and placed in a designated receptacle.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 28 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ackerman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Louisville Healthcare Llc | 14.9 mi | ★★★★★ | 0 | 0 |
| Winston County Nursing Home | 15.2 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Eupora | 16.1 mi | ★★★★★ | 10 | 0 |
| Webster Health Services Nursing Facilty | 16.2 mi | ★★★★★ | 3 | 0 |
| Carrington, Llc D/b/a The Carrington | 18.9 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Choctaw Nursing And Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.