Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Anadarko Nursing & Rehab during CMS and state inspections, most recent first.
A resident filed multiple written grievances against a nursing staff member, including one that lacked any attached investigation report, and reported never receiving a response from administration. The facility’s policy required the administrator to investigate and respond to written grievances within ten days, but staff interviews showed confusion about where grievances should be placed, with some believing they should go to the administrator and others thinking they belonged in the DON’s office. The ADON acknowledged that grievances were left in various locations, did not consistently reach administrative staff, and that staff had not been in-serviced on grievance procedures. An LPN reported assisting the resident with a grievance and sliding copies under the administrator’s and ADON’s office doors, yet leadership later stated they were unaware of that grievance due to a systemic failure in grievance review.
The facility failed to maintain required RN coverage for at least 8 consecutive hours per day, 7 days a week, despite a census of 76 residents and a written staffing policy requiring such coverage. PBJ staffing data showed multiple days in a quarter with no RN hours recorded. The business office manager and corporate HR officer confirmed the accuracy of the PBJ data and that there was no RN coverage on those days, and the DON acknowledged awareness of the missing RN hours.
The facility failed to follow its abuse reporting policy and regulatory requirements after a resident alleged that an LPN punched them in the shoulder, pushed their walker, and later verbally abused and cursed at them, causing fear, shaking, and prolonged crying. Grievances documented the physical and verbal allegations and the resident’s emotional response, but there was no timely response to the grievances. The DON acknowledged not reporting the abuse allegations to the state survey agency or local police within the required 2-hour timeframe and not notifying the state nursing board about the LPN, citing misunderstanding of the reporting timeframes and requirements.
Surveyors found multiple failures in food storage, sanitation, and hand hygiene in the kitchen. Undated and unlabeled leftover foods, including pasta, sliced ham, and a white liquid, were stored in the refrigerator, and opened gallon containers of mustard and Ranch dressing had dried spillage on the outside, with one lid not properly secured. Stacked cups and plates were observed with water droplets between them on two occasions, indicating dishes were not air dried. A dietary aide was seen tossing salad without gloves, and leadership reported that the dietitian had not visited for about a year and that no one was clearly responsible for kitchen audits, despite facility policy requiring proper food handling and dishwashing sanitation.
Surveyors identified that the facility did not ensure a clean, safe, and homelike environment for residents, noting makeshift window coverings using bed sheets, cluttered rooms with items on the floor, an unmade extra bed, a TV placed on the floor, and a urine odor in one room. Facility-wide issues included chipped and peeled paint on door facings and walls, as well as dirt and dust buildup on baseboards, a box fan, and bent, dirty air return vents in a TV room. A housekeeper reported there was no scheduled cleaning log or check sheet, and that cleaning of fans and baseboards occurred only when residents asked or when staff had time, reflecting the lack of a structured cleaning routine.
A resident’s quarterly MDS assessment failed to reflect an ordered therapeutic diet. Record review showed the resident had a low concentrate diet order, but the assessment stated no therapeutic diet was in place. The MDS Coordinator acknowledged the omission, and the DON stated MDS assessments were expected to accurately reflect residents’ condition and treatments at the time completed.
A resident with severe cognitive impairment, aphasia, and total ADL dependence was found with a lunch tray left in front of them without staff present to assist. The pureed meal measured 91 degrees, and an LPN later assisted the resident without reheating the food or requesting a new tray. The CDM stated food should be served at 140 degrees and trays below that temperature should be returned to the kitchen.
Enhanced barrier precautions were not followed during suprapubic catheter care for a resident with a suprapubic catheter, obstructed reflux uropathy, and MS. An LPN wore gloves but did not don a gown, did not change contaminated gloves during the task, and then adjusted the resident’s clothing and overbed table while still wearing the same gloves. The resident’s care plan required enhanced barrier precautions to prevent urinary infections, and the LPN later stated they forgot the gown and were unsure when gloves should be changed.
A resident was injured during transport when their wheelchair was not properly secured by a CNA, resulting in a fall that caused a cervical vertebrae fracture and a closed head injury. The resident, who required extensive assistance with ADLs, was not cognitively impaired and was being transported from the hospital when the incident occurred. The CNA admitted to not securing the wheelchair correctly, which led to the deficiency.
A resident with a history of mental health issues reported an incident of sexual abuse by a CNA, who exposed themselves and made explicit comments. The facility's abuse policy was not effectively implemented, leading to the CNA's suspension and investigation. The resident's care plan was updated to require two staff members for care, and the resident expressed feeling safe despite the incident.
A facility failed to refer a resident with newly diagnosed anxiety and schizoaffective disorders for a Level II PASARR evaluation. The resident's Level I PASARR screen was unavailable, and the ADON was unaware of the need to report the diagnoses to the OHCA, violating the facility's PASARR policy.
A resident with major depressive and mood disorders was admitted without a Level I PASARR assessment, despite being on antipsychotic and antidepressant medications. The ADON reported that the assessment was missed, violating the facility's PASARR policy.
A facility failed to notify a resident's POA about scheduled doctor appointments, despite the resident having cardiac arrhythmia, hypertension, and moderately impaired cognition. Although social services and an LPN claimed the POA was informed, there was no documentation to support this, resulting in a deficiency.
Failure to Receive, Track, and Investigate Resident Grievances per Policy
Penalty
Summary
The facility failed to ensure grievances were received, tracked, and investigated by an identified grievance official in accordance with its grievance policy. Review of the grievance binder showed multiple grievances filed by Resident #23, including one dated 01/07/26 that had no investigation reports attached. The facility’s undated grievance policy stated that the administrator should inform the complainant of the findings of the investigation within ten days of receiving the written grievance report and outline actions to correct identified problems. Resident #23 reported having filed multiple grievances against a nursing staff member and stated they had not received any response from administrative staff regarding these grievances. Staff interviews revealed confusion and inconsistency regarding the handling and routing of grievance forms. CNA #1 stated that nursing staff were required to take written grievances directly to the administrator, while CNA #2 believed grievances were being placed in the DON’s office but was unsure. The ADON stated that grievances were being placed by staff in various locations throughout the facility and were not reaching administrative staff promptly, and acknowledged that staff had not received in-service training on grievances. The ADON, DON, and administrator reported they were unaware of the 01/07/26 grievance due to a systemic grievance review failure. LPN #1 stated they assisted Resident #23 with the 01/07/26 grievance, made two copies, and slid them under the office doors of the administrator and ADON, yet the grievance was still not received or acted upon by the designated administrative staff.
Failure to Maintain Required Daily RN Coverage
Penalty
Summary
The facility failed to ensure required RN coverage for eight consecutive hours per day, seven days per week, for a census of 76 residents. The facility’s staffing policy dated 10/2023 stated that an RN must be on duty 8 hours a day, 7 days a week. Review of the PBJ Staffing Data Report dated 03/20/26 showed there was no RN coverage on multiple dates in quarter 1 of 2026, specifically 10/05/25, 10/12/25, 10/18/25, 10/19/25, 11/09/25, 11/15/25, 11/29/25, 11/30/25, 12/06/25, 12/07/25, 12/13/25, 12/14/25, 12/20/25, 12/21/25, 12/27/25, and 12/28/25. During interviews, the business office manager stated that the corporate human resource officer was responsible for inputting PBJ data and confirmed that the missing RN coverage reflected in the PBJ report was accurate. The corporate human resource officer further confirmed that there was no RN coverage on the listed dates. The DON acknowledged awareness of the missing RN hours for quarter 1 of 2026. No additional resident-specific clinical details were documented in relation to these staffing gaps.
Failure to Timely Report Alleged Abuse to State, Police, and Nursing Board
Penalty
Summary
The facility failed to follow its abuse policy and federal/state reporting requirements for allegations of abuse involving one resident. The facility’s undated Abuse Policy Procedure required that all allegations of resident maltreatment, including abuse and injuries of unknown origin, be promptly reported to the administrator and investigated, and that the administrator immediately report the allegation to the Oklahoma State Department of Health (OSDH) and local police, with reporting within two hours when the allegation involves abuse or results in serious bodily injury. A grievance form dated 01/07/26 documented that a resident reported an LPN had "slugged" them in the shoulder and that the resident was "shaking like a leaf." A second grievance form dated 03/16/26 documented that the same resident reported the LPN told them to "get my ass back on my own hall," after which the resident began crying. An employee disciplinary action form dated 03/19/26 referenced several residents’ concerns about the LPN’s communication style and emphasized the need for empathy, active listening, and professionalism, but the form contained no signatures. During interview on 03/26/26, the resident stated the LPN punched them in the left shoulder on 01/07/26 and, when the resident did not fall, pushed their walker into them. The resident reported discovering a dime-sized bruise on the left shoulder later that day while showering, and stated they were fearful of the LPN and shook with fear and anger. The resident also stated that on 03/16/26 the LPN cursed at them and denied them access to a different hall, causing them to become upset and cry all night, and that no one responded to their grievances until 03/25/26. The DON stated on 03/26/26 that they were not aware of the 01/07/26 abuse allegation until 03/25/25 and had not reported the 01/07/26 or 03/16/26 allegations to OSDH or local police because they believed they had 48 hours after discovery to report. On 03/30/26, the DON further stated they had not notified the Oklahoma Board of Nursing regarding the LPN because they did not know they were required to report before completing the investigation. These actions and inactions resulted in the facility’s failure to timely report alleged abuse to OSDH within two hours of discovery, to immediately notify local law enforcement, and to report the allegation to the Oklahoma Board of Nursing as required.
Food Storage, Sanitation, and Hand Hygiene Deficiencies in Kitchen
Penalty
Summary
Surveyors identified a deficiency in the facility’s food service and kitchen sanitation practices affecting 76 residents served from the kitchen. During a kitchen tour, surveyors observed multiple improperly stored and unlabeled food items, including an undated, unlabeled bag of leftover pasta, an open undated half package of sliced ham, and an undated, unlabeled pitcher of white liquid in the refrigerator. They also observed undated opened gallon containers of mustard and Ranch dressing with dried spillage down the sides onto the labels, and in the case of the Ranch dressing, the lid was not secured properly. The facility’s policy required that food be stored, handled, prepared, and served to minimize the risk of foodborne illness, and that dishwashing machines be operated using specified sanitation methods. Additional observations showed that stacked cups and plates had water droplets between them on two separate days, indicating dishes were not air dried as required. A dietary aide was seen tossing salad in a large bowl without wearing gloves, and the CDM acknowledged the aide should have washed hands and donned gloves before touching food. The CDM also reported that the dietitian had not visited in approximately a year, resulting in no kitchen audits being available, and the administrator stated they did not know who was responsible for kitchen audits since the dietitian was not coming to the building. These observations demonstrated failures in labeling, dating, cleanliness of condiment containers, dishwashing and drying practices, and hand hygiene, contrary to the facility’s kitchen sanitation policy and professional standards.
Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Surveyors found that the facility failed to maintain a safe, clean, comfortable, and homelike environment for its 76 residents, as evidenced by multiple environmental deficiencies observed during facility tours. In several resident rooms, folded bed sheets were tacked over windows instead of appropriate window coverings, and one room was noted to be cluttered with items on the floor. Another room contained clutter on shelves and in corners, an unmade extra bed without linens, a television placed on the floor, and a noticeable urine odor. Throughout the facility, door facings and walls had chipped and peeled paint. Additional observations in the TV room included baseboard ledges with visible dirt and dust buildup, a box fan with dust and dirt collected on one side of the guard, and air return vent covers that were dirty and bent. A housekeeper reported there was no scheduled cleaning log or check sheet in place, and that fans were cleaned only when residents requested it and baseboards were cleaned when staff were able, indicating a lack of structured cleaning practices contributing to the unclean and non-homelike environment.
Inaccurate MDS Assessment Omitted Therapeutic Diet
Penalty
Summary
The facility failed to ensure an accurate quarterly MDS assessment for Resident #39 by omitting the resident’s therapeutic diet. Record review showed the resident had a diet order dated 05/06/25 for a low concentrate diet, but the quarterly assessment dated 02/11/26 stated the resident did not have a therapeutic diet as a nutritional approach. During interview on 03/27/26, the MDS Coordinator stated the therapeutic diet should have been indicated in the quarterly assessment, and the DON stated it was the expectation that all MDS assessments accurately reflect residents’ condition and treatments at the time they are completed.
Food Served Below Safe Temperature for Dependent Resident
Penalty
Summary
The facility failed to ensure food was served at a safe temperature for 1 of 6 sampled residents receiving pureed diets. Resident #38 had a quarterly MDS showing severely impaired cognitive skills, diagnoses including profound intellectual disabilities and aphasia, and dependence on staff for all ADLs; the care plan updated 01/02/26 stated the resident required assistance with meals. On 03/26/26 at 12:26 p.m., the resident’s lunch tray was observed sitting in front of them without anyone available to assist, and the pureed chicken noodles were measured at 91 degrees. At 12:31 p.m., an LPN was observed assisting the resident with eating without rewarming the food or requesting a new tray. The LPN stated they were not supposed to leave the tray in front of dependent residents until a staff member was sitting and waiting to help them eat and did not know if reheating residents’ food was an option. The CDM later stated food should be served at 140 degrees, and if the temperature falls below 140 degrees the tray should be sent back to the kitchen and a new tray served; the CDM also stated meal trays should not be placed in front of residents who require assistance until a CNA is present to help.
Enhanced Barrier Precautions Not Followed During Suprapubic Catheter Care
Penalty
Summary
Provide and implement an infection prevention and control program was not ensured when enhanced barrier precautions were not used during suprapubic catheter care for Resident #6. On 03/25/26 at 2:46 p.m., an LPN was observed performing suprapubic catheter care and donned gloves but did not don a gown, which was required for enhanced barrier precautions. The LPN also performed the entire catheter care task without changing contaminated gloves and was observed adjusting the resident’s clothes and replacing the overbed table while still wearing the same gloves. The resident’s quarterly MDS showed admission to the facility, a BIMS score of 15 indicating intact cognition, and diagnoses including obstructed reflux uropathy and multiple sclerosis. The resident’s care plan, updated 03/19/26, stated that enhanced barrier precautions were required to prevent urinary infections. On 03/26/26 at 10:45 a.m., the LPN stated they forgot to put on a gown for enhanced barrier precautions and were not sure how many times or when gloves should be changed.
Failure to Secure Wheelchair During Transport
Penalty
Summary
The facility failed to ensure the safe transportation of a resident in a wheelchair, leading to a serious incident. The resident, who was not cognitively impaired and required extensive assistance with activities of daily living, was being transported back to the facility from the hospital. During the transport, the CNA responsible for the resident did not properly secure the wheelchair, resulting in the resident falling out of the wheelchair when the transport van accelerated. This incident caused the resident to suffer a nondisplaced fracture of the sixth cervical vertebrae and a closed head injury, necessitating further medical evaluation and treatment. The CNA involved admitted to not securing the resident's wheelchair correctly and initially reported the incident to the hospital. The resident experienced pain in the neck and shoulders and was observed wearing a cervical neck collar following the incident. The facility's policy required that any malfunctioning safety mechanisms be reported immediately and that transportation be suspended until repairs were made, but this protocol was not followed. The CNA's failure to secure the wheelchair properly and the subsequent handling of the incident were significant factors leading to the deficiency.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect a resident from sexual abuse, as evidenced by an incident involving a certified nursing assistant (CNA) and a resident. The resident, who had a history of schizophrenia, bipolar disorder, depression, rheumatoid arthritis, lupus, anxiety, and traumatic brain injury, was reported to be cognitively intact. The incident occurred when the CNA allegedly exposed their genitals and made sexually explicit comments to the resident, requesting sexual favors. This incident was reported by the resident to a dietary employee, leading to the CNA's immediate suspension and subsequent investigation. The facility's abuse policy, dated 07/23/21, emphasized the protection of residents from various forms of abuse, including sexual abuse. Despite this policy, the incident with the resident and the CNA was substantiated. The resident's care plan was updated to reflect behaviors such as attention-seeking and fabricating stories, and it was noted that two staff members would be required to provide care at all times. The administrator confirmed the incident and reported that the facility was in the process of submitting their final report to the state agency. The resident expressed feeling safe and not fearful of further abuse, despite the incident.
Failure to Refer for Level II PASARR Evaluation
Penalty
Summary
The facility failed to refer a resident with newly diagnosed mental illnesses for a Level II PASARR evaluation, as required by their policy. The resident, who was admitted to the facility, was diagnosed with anxiety disorder and schizoaffective disorder. A comprehensive assessment documented moderately impaired cognition and the use of antianxiety medication. However, the Level I PASARR screen completed on admission was unavailable in the resident's medical record. The Assistant Director of Nursing (ADON) reported being unable to locate the PASARR completed on admission and was unaware if the anxiety disorder diagnosis had been reported to the OHCA. Additionally, the diagnosis of schizoaffective disorder was not reported to the OHCA, indicating a failure to comply with the facility's PASARR policy.
Failure to Complete PASARR Assessment for Resident
Penalty
Summary
The facility failed to ensure a Level I PASARR assessment was completed before or on admission for a resident with mental health diagnoses. The resident was admitted with diagnoses including major depressive disorder and mood disorder, and was documented to have intact cognition. The resident's medication regimen included antipsychotic and antidepressant medications, indicating the need for a PASARR assessment. However, it was reported by the Assistant Director of Nursing (ADON) that the Level I PASARR was not completed for this resident, as it was missed. This oversight is a violation of the facility's PASARR policy, which mandates an independent evaluation of the Level I PASARR screen prior to admission.
Failure to Notify POA of Doctor Appointments
Penalty
Summary
The facility failed to notify a resident's power of attorney (POA) about scheduled doctor appointments, which is a requirement for ensuring proper communication and care coordination. The resident in question had diagnoses including cardiac arrhythmia and hypertension and was noted to have moderately impaired cognition. A progress note indicated that the resident attended a doctor's appointment and a follow-up was scheduled, but the notification to the POA was not documented. Despite claims from social services and an LPN that the POA was informed, there was no documentation to support these claims, leading to the deficiency.
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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.
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Nursing homes near Anadarko
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cottonwood Creek Skilled Nursing & Therapy | 16.1 mi | ★★★★★ | 0 | 0 |
| Glenhaven Retirement Village | 16.1 mi | ★★★★★ | 0 | 0 |
| Binger Nursing And Rehabilitation | 17.1 mi | ★★★★★ | 0 | 0 |
| Shanoan Springs Nursing And Rehabilitation | 17.3 mi | ★★★★★ | 1 | 1 |
| Chickasha Nursing Center, Inc | 17.5 mi | ★★★★★ | 0 | 0 |
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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.