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 Baptist Village Of Enid during CMS and state inspections, most recent first.
A resident with heart failure, HTN, severely impaired cognition (BIMS 06), weakness, and knee buckling was identified as high risk for falls based on a fall risk score of 11. Facility policy and the DON’s stated process required fall risk evaluations at admission, quarterly, annually, on re-admission, and with significant change in condition, but no fall risk evaluation was documented for this resident for several months after the initial high-risk score. During this time, the resident’s care plan identified fall risk related to weakness, knee buckling, and HTN, and the resident experienced a fall during transfer. Leadership later acknowledged that a quarterly fall risk evaluation should have been completed but was not.
A resident receiving Dilantin for seizure prevention had physician orders for specific morning and evening doses. A nursing note documented an elevated Dilantin level and that the PCP was notified, with an order to hold the medication and redraw labs on a specified day. Review of laboratory records showed no documentation that the ordered follow-up lab was obtained. In interviews, an LPN and the DON both acknowledged the lab should have been drawn, but there was no record it was completed.
A resident with hypertension received blood pressure medications despite their blood pressure readings being below the specified parameters. The facility's staff failed to adhere to the medication administration policy, as confirmed by interviews with a CMA and an LPN. This resulted in the resident receiving metoprolol succinate ER and lisinopril when their blood pressure was too low.
The facility failed to properly label a medication on one of the medication carts. A box of ipratropium bromide and albuterol sulfate inhalation solution was found with only a handwritten nickname, lacking essential labeling information. An LPN identified the medication as belonging to a resident but admitted it had been improperly labeled since August. A CMA stated that medications without labels should not be administered, highlighting a failure to adhere to the facility's medication labeling policy.
The facility did not maintain a water management program to prevent Legionella growth in its water system. Although a policy existed, it lacked a system for testing waterborne pathogens. The administrator confirmed the absence of such a system, impacting 63 residents.
The facility failed to notify a physician about a resident's changes in urine condition, despite multiple instances of blood in the urine and a physician order for Eliquis. Additionally, the facility did not inform the family of another resident with Alzheimer's and dysphagia about a change in condition, including a chest x-ray indicating congestive heart failure and a drop in oxygen saturation. The DON confirmed the lack of notification in both cases.
The facility failed to provide a means for residents to file grievances anonymously and did not post information about the grievance official. Observations and interviews revealed a lack of signage and awareness among staff and residents' families about the grievance process, with no anonymous grievance box available and unclear identification of the grievance officer.
A resident reported missing clothing items, but the facility failed to report the misappropriation to the OSDH or conduct a thorough investigation as per their policy. The administrator acknowledged the oversight, admitting that no documentation or state report was filed.
A resident with renal insufficiency and diabetes mellitus exhibited milky thick urine with a foul odor. The facility failed to document monitoring for worsening symptoms, which was confirmed as necessary by the DON.
Failure to Complete Required Quarterly Fall Risk Evaluation for High-Risk Resident
Penalty
Summary
The facility failed to complete required quarterly fall risk evaluations for one resident identified as high risk for falls. The facility’s Fall Prevention Policy, revised 02/2014, required a fall risk evaluation to be completed quarterly, annually, on re-admission, and with significant change in condition. A fall risk evaluation for Resident #3 dated 08/22/24 showed a fall risk score of 11, indicating a high risk for falls, but there was no documentation that any additional fall risk evaluation was completed for this resident between September 2024 and February 2025, despite the facility’s process, as described by the DON, to evaluate residents at admission, quarterly, and upon significant change. During this period, a quarterly resident assessment dated 02/11/25 documented that the resident had heart failure, hypertension, and severely impaired cognition with a BIMS score of 06, and the care plan revised 02/12/25 identified the resident as at risk for falls related to weakness, knee buckling, and hypertension. A Fall Investigation Form dated 02/12/25 showed the resident experienced a fall during transfer. In interview, the ADON confirmed that a quarterly fall risk evaluation had been completed on 08/22/24 and the vice president stated the next evaluation should have been completed in 11/2024, but it was not documented as done.
Failure to Obtain Ordered Follow-Up Dilantin Level
Penalty
Summary
The facility failed to provide timely, ordered laboratory services for a resident receiving Dilantin for seizure prevention. The resident had physician orders dated 09/01/25 for Dilantin 100 mg, one capsule in the morning and two capsules in the evening. A nursing note dated 11/24/25 documented a Dilantin level of 44.4 and that the primary care provider was notified, with a new order to hold Dilantin and redraw labs on Wednesday. Review of the resident’s November 2025 laboratory results showed no documentation that the ordered follow-up lab was obtained. During interviews on 03/04/26, an LPN stated the lab should have been obtained on 11/26/25 and confirmed there was no record it was done, and the DON also stated the lab should have been obtained on that date. This deficiency occurred in the context of a survey sample of five residents reviewed for falls, with the ADON identifying that 70 residents resided in the facility at the time of the survey.
Failure to Adhere to Blood Pressure Medication Parameters
Penalty
Summary
The facility failed to ensure medications were administered as ordered for a resident with hypertension. The resident had specific medication orders for metoprolol succinate ER and lisinopril, with parameters to hold the medication if the systolic blood pressure was less than 100 and diastolic blood pressure was less than 50. On two occasions, the resident received these medications despite their blood pressure readings being below the specified parameters. On September 27, 2024, the resident's morning diastolic blood pressure was 49, yet they received both metoprolol succinate ER 50 mg and lisinopril 10 mg. Similarly, on November 10, 2024, the resident's evening systolic blood pressure was 81, but they were administered metoprolol succinate ER 100 mg. Interviews with facility staff revealed a lack of adherence to the medication administration policy. CMA #2 acknowledged that blood pressure medications typically have parameters indicating when not to administer them and stated that they would not have given the medications under the circumstances presented. LPN #3 also confirmed that the medications should not have been administered given the resident's blood pressure readings. This indicates a failure in following the established protocol for medication administration, leading to the deficiency.
Improper Medication Labeling on Medication Cart
Penalty
Summary
The facility failed to ensure proper labeling of medications on one of the two medication carts observed. During an observation, a box of ipratropium bromide and albuterol sulfate inhalation solution was found on a medication cart with only a handwritten nickname on the top, lacking a proper label with essential information such as the resident's name, medication name, strength, directions for use, fill date, quantity dispensed, prescriber name, or expiration date. LPN #1 identified the medication as belonging to a specific resident but acknowledged that the medication had been there since August 2024 without a proper label. CMA #1 stated that medications should not be administered if they do not have a label, indicating a discrepancy in the facility's adherence to its medication labeling policy.
Failure to Implement Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to maintain a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The deficiency was identified during a review of the facility's Legionella policy, dated August 20, 2024, which stated a commitment to the prevention, detection, and control of water-borne contaminants, including Legionella. However, the policy did not specify a system to prevent or detect these contaminants. During an interview on December 4, 2024, at 10:30 a.m., the administrator confirmed that while there was a policy in place, there was no system for testing waterborne pathogens such as Legionella in the facility's water system. This deficiency affected the 63 residents residing in the facility.
Failure to Notify Physician and Family of Resident Condition Changes
Penalty
Summary
The facility failed to notify the physician for a resident with renal insufficiency and diabetes mellitus who was experiencing changes in their condition. The resident had a physician order for Eliquis, and there were multiple instances of blood in the urine and changes in urine appearance that were not reported to the physician. Despite documentation of these changes in nursing notes, there was no evidence that the physician was informed, which was confirmed by the Director of Nursing (DON). Additionally, the facility did not notify the family of another resident with Alzheimer's and dysphagia about a change in the resident's condition. The resident had a chest x-ray indicating congestive heart failure and was experiencing a drop in oxygen saturation and a cough. Despite these changes and the involvement of hospice care, the family was not informed, as confirmed by the DON. The family member reported not being notified of changes in the resident's health, which was corroborated by the lack of documentation of family notification.
Failure to Ensure Anonymous Grievance Filing and Identification of Grievance Official
Penalty
Summary
The facility failed to ensure that residents and their representatives could file grievances anonymously and did not post information regarding the name of the grievance official. The grievance procedure, revised in March 2018, indicated that grievances could be filed anonymously in a designated box, but no such box was available. Additionally, there was no signage indicating the person to contact for filing a grievance. Observations revealed that the ombudsman contact name, resident rights, and OSDH complaint poster were displayed in a box with a glass cover near the front entrance, but lacked information on how to file a grievance. Interviews with residents' family members and staff highlighted a lack of awareness and clarity regarding the grievance process. A family member of one resident did not know how to file a grievance, while another thought it might be with the social services director. Staff members, including CNAs and an RN, were unsure of the grievance process and who the grievance official was, often directing residents to other staff members without clear guidance. The Administrator confirmed that there was no anonymous grievance box available and that the social services director was involved in care plan meetings, but did not provide a clear identification of the grievance officer.
Failure to Report Misappropriation of Resident Property
Penalty
Summary
The facility failed to report an allegation of misappropriation of property to the Oklahoma State Department of Health (OSDH) for one of the residents reviewed. The facility's grievance procedure, revised in March 2018, mandates that any allegation of misappropriation of property should be reported to the OSDH and the Department of Human Services, and an investigation should be conducted. This investigation should include interviews with witnesses, a search of the resident's room, and a root cause analysis. However, in this case, there was no documentation that such a report was filed or that a thorough investigation was conducted. The incident involved a resident who reported missing clothing items, including slacks, capris, a turtleneck, a sweatshirt, and nightgowns. The resident's complaint was documented in a grievance form, but there was no evidence that the facility followed its policy to report the incident or conduct a comprehensive investigation. The administrator acknowledged that the items were not found after searching the resident's room and laundry but admitted that they did not document the investigation or file a report with the state.
Failure to Monitor Resident's Change in Condition
Penalty
Summary
The facility failed to assess and monitor a resident for a change in condition. The resident, who had diagnoses including renal insufficiency and diabetes mellitus, was noted to have milky thick urine with a foul odor. Despite this observation, there was no documentation indicating that the resident was monitored for any worsening of symptoms. The Director of Nursing confirmed that the resident should have been monitored for worsening symptoms.
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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 Enid
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Garland Road Nursing & Rehab Center | 3.1 mi | ★★★★★ | 9 | 2 |
| The Commons | 3.9 mi | ★★★★★ | 0 | 0 |
| The Living Center | 4.9 mi | ★★★★★ | 0 | 0 |
| Greenbrier Village Health And Rehabilitation | 5.5 mi | ★★★★★ | 0 | 0 |
| Enid Senior Care | 6 mi | ★★★★★ | 0 | 0 |
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