Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bell Avenue Nursing Center during CMS and state inspections, most recent first.
Two residents did not receive comprehensive assessments within the required 14-day timeframe after admission. One resident with multiple diagnoses, including osteomyelitis and COPD, and another with diabetes mellitus, both had admission assessments that remained incomplete, as confirmed by the MDS coordinator who cited being out sick as a reason for the delay.
Two residents receiving antiplatelet medications for stroke-related conditions were inaccurately coded on their MDS assessments, with clopidogrel bisulfate documented as an anticoagulant instead of an antiplatelet. The MDS coordinator acknowledged this ongoing error and confirmed the facility lacked a policy for proper medication coding.
A resident with diabetes received insulin for elevated blood glucose, but staff failed to follow physician orders for rechecking FSBS and documenting follow-up actions. Despite clear protocols and orders requiring redosing and physician notification for persistent hyperglycemia, nursing staff did not consistently perform or record these steps.
Two residents with dementia were inaccurately assessed for wandering risk, leading to deficiencies in monitoring and managing their elopement risk. One resident was found outside the facility, and another was seen jumping a fence, yet their assessments documented no history of wandering. The facility's misunderstanding of wandering definitions contributed to these inaccuracies.
A resident with severely impaired cognition exhibited inappropriate sexual behavior towards two other residents, despite being on medication to reduce testosterone levels. Orders to increase the medication were not carried out, and the care plan was not updated. Staff were aware of the behavior but incidents continued, with the DON and physician unaware of the necessary medication adjustments.
A facility failed to document and report incidents of inappropriate sexual behavior by a resident towards female residents. Despite policy requirements, no incident reports were completed, and the incidents were not reported to the OSDH or other state agencies. The DON confirmed that internal reports should have been made, but was unsure if the incidents warranted external reporting.
Failure to Complete Timely Comprehensive Assessments for New Admissions
Penalty
Summary
The facility failed to conduct comprehensive assessments within 14 calendar days of admission for two of thirteen sampled residents. One resident, with diagnoses including acute osteomyelitis, right tibia and fibula fracture with nonunion, and chronic obstructive pulmonary disease, had an entry assessment completed but the required admission/5-day Medicare assessment was still in progress and not completed, as the MDS coordinator reported being out sick. Another resident, admitted with diabetes mellitus, also had an admission assessment that was still in progress and not completed within the required timeframe, as confirmed by the MDS coordinator. The facility's policy requires resident assessments to be conducted and submitted within current federal and state timeframes, which was not followed in these cases.
Inaccurate MDS Coding for Antiplatelet Therapy
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents who were receiving antiplatelet therapy. One resident with a history of cerebrovascular accident was prescribed clopidogrel bisulfate, an antiplatelet medication, but the MDS assessment incorrectly documented the use of an anticoagulant and did not record antiplatelet medication. Another resident with a history of stroke was prescribed both clopidogrel bisulfate and aspirin, both antiplatelet medications, but the MDS assessment documented the use of both anticoagulant and antiplatelet medications, despite no anticoagulant being ordered. The MDS coordinator reported consistently coding clopidogrel bisulfate as an anticoagulant rather than an antiplatelet and confirmed this was incorrect after reviewing CMS guidance. The facility did not have a policy for coding medications on MDS assessments.
Failure to Follow Physician Orders for Insulin Administration and Documentation
Penalty
Summary
The facility failed to follow physician orders regarding insulin administration for a resident with diabetes mellitus. On one occasion, an LPN was observed administering 10 units of Humalog insulin after obtaining a fingerstick blood sugar (FSBS) reading of 367 mg/dl, but did not document a follow-up for the high blood sugar reading as required. The resident's physician order specified a sliding scale for insulin, including instructions to redose every 60 minutes until the FSBS was less than 300 mg/dl and to notify the primary care physician if the FSBS remained above 400 mg/dl after three doses. The nurse did not recheck the FSBS or document the follow-up in the nurse's note, contrary to the physician's order and facility policy. Further review revealed additional instances where FSBS readings were high, but documentation of follow-up actions was lacking. Another LPN acknowledged awareness of the physician's orders to recheck FSBS every 60 minutes and notify the physician as needed, but admitted to not documenting these actions in the nurse's note. The facility's policies on obtaining fingerstick glucose levels and insulin administration both emphasized adherence to physician orders and proper documentation, which was not consistently followed in these cases.
Inaccurate Wandering Risk Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate wandering risk scale assessments for two residents, leading to deficiencies in monitoring and managing residents at risk for elopement or unsafe wandering. Resident #2, who was admitted with diagnoses including unspecified dementia, was noted to have attempted to leave the facility and was found outside in the parking lot. Despite these incidents, the resident's wandering risk assessments inaccurately documented no history of wandering. Similarly, Resident #3, with diagnoses including unspecified dementia with agitation, was found outside the facility on two occasions and was seen jumping a fence. However, the resident's wandering risk assessments also inaccurately documented no history of wandering. The facility's policy on Elopement and Wandering Residents required systematic monitoring and management of residents at risk, including accurate assessments. The administrator acknowledged that the assessments for both residents were inaccurate due to a misunderstanding of the definition of wandering, which led to the failure to identify and document the residents' wandering behaviors accurately. This oversight resulted in the facility not implementing appropriate interventions to reduce hazards and risks associated with wandering and elopement.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to provide an environment free from abuse for two residents, as evidenced by multiple incidents of inappropriate sexual behavior by another resident. Resident #6, who had severely impaired cognition and was on medication to reduce testosterone levels, exhibited inappropriate behavior towards female residents on several occasions. Despite orders to increase the medication dosage due to continued inappropriate behavior, there was no documentation that these orders were carried out. The care plan for Resident #6 was not updated to reflect these incidents or the need for increased medication. Resident #7, who had senile degeneration of the brain and dementia, and Resident #8, who had vascular dementia and aphasia, were both victims of inappropriate touching by Resident #6. Staff were aware of Resident #6's behavior and had been instructed to keep them away from female residents, particularly those who could not speak. However, incidents continued to occur, and the Director of Nursing (DON) and Physician #1 were not aware of the orders to increase medication, which were not forwarded for approval. This lack of communication and failure to implement prescribed interventions contributed to the ongoing abuse.
Failure to Report and Document Inappropriate Resident Behavior
Penalty
Summary
The facility failed to create incident reports for documented incidents of inappropriate sexual behavior by a resident. The facility's policy on 'Resident-to-Resident Altercations' requires staff to complete a 'Report of Incident/Accident' form and document the incident, findings, and any corrective measures in the resident's medical record. However, for multiple incidents involving a resident's inappropriate sexual behavior towards unnamed female residents, no incident reports were completed. These incidents included the resident being observed with his penis exposed, attempting to kiss another resident, and leaving inappropriate notes in female residents' rooms. Additionally, the facility did not report these incidents to the Oklahoma State Department of Health (OSDH) or any other state agency, as required by their policy. The Director of Nursing (DON) confirmed that an internal report should have been completed and, if warranted, a report should be submitted to OSDH within two hours. However, the DON was unsure if the incidents warranted reporting to state agencies, and no internal incident reports were completed for the incidents listed.
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 6 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 Elk City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elk City Nursing And Rehabilitation Center | 0.4 mi | ★★★★★ | 6 | 0 |
| Hensley Nursing & Rehab | 14.3 mi | ★★★★★ | 0 | 0 |
| River Valley Skilled Nursing And Therapy | 25.6 mi | ★★★★★ | 3 | 0 |
| Cordell Nursing And Rehabilitation | 26.1 mi | ★★★★★ | 18 | 0 |
| Clinton Therapy & Living Center | 26.5 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 June 2026) and official state health department websites.