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 Bellevue Health & Rehabilitation Center during CMS and state inspections, most recent first.
Eighteen dietary contract staff members did not receive required abuse prevention and reporting training prior to working, due to an oversight by the dietary contractor and unclear contract terms. The DON and facility leadership confirmed the omission, which affected all dietary contract staff while 141 residents were present.
The facility did not ensure that all dietary contractor staff received required training on abuse prevention and reporting, as mandated by facility policy. Eighteen dietary staff members began working without this training due to an oversight in the contractor's orientation process, leaving 141 residents without the protection of fully trained staff.
Two residents who required substantial assistance for transfers did not have specific transfer interventions documented in their care plans, despite staff consistently using devices such as a slider board and sit-to-stand lift. Assessments and therapy plans indicated the need for these supports, but the care plans lacked this information, as confirmed by staff and administrative review.
The facility failed to administer oxygen according to physician orders and did not label O2 tubing for two residents. One resident with SOB had unlabeled O2 tubing, and another was receiving O2 at 1.5 LPM instead of the ordered 2 LPM, with unlabeled tubing. An LPN confirmed the discrepancies in O2 administration and labeling.
A facility failed to conduct required pre and post-dialysis assessments for a resident with end-stage renal disease, as mandated by their policy. Despite physician orders for monitoring and progress notes, documentation was missing for several dates, indicating non-compliance with the assessment requirements. The DON confirmed the assessments were not completed as required.
The facility failed to follow infection control protocols for residents on transmission-based and enhanced barrier precautions. Staff did not wear required PPE or sanitize equipment for a resident with MRSA, and two CNAs did not use PPE for a resident with a gastrostomy. Additionally, a CNA did not change gloves during incontinent care, compromising infection control.
A facility failed to provide a resident with double portions as ordered by a physician. The resident, with a history of Type 2 Diabetes Mellitus and hemiplegia, was observed receiving a meal tray with single portions instead of the prescribed double portions. A CNA confirmed the absence of double portions and admitted not noticing the requirement on the meal ticket.
A facility failed to label an enteral tube feeding bottle for a resident with dysphagia and gastrostomy status. The resident's feeding and H2O bags were not marked with staff initials, date, or time, contrary to facility policy. An LPN confirmed the oversight during an observation.
A resident with respiratory care needs did not receive medications as ordered by the physician. The resident was prescribed loratadine and guaifenesin, but the MARs showed incomplete administration of guaifenesin and no documentation of loratadine administration. The resident reported a respiratory infection and sinus drainage, and the facility's DON and ADON were informed of the medication discrepancies. Guaifenesin was a house stock medication, while loratadine was delayed in delivery, with poor communication among nursing staff about its status.
Failure to Provide Abuse Training to Dietary Contract Staff
Penalty
Summary
The facility failed to ensure that all 18 dietary contract employees received required training on abuse prevention, identification, and reporting prior to working. According to the facility's Abuse Prevention Program policy, mandated staff training on abuse is required for all staff, including contract employees. However, record review and interviews revealed that the dietary contractor was responsible for providing this training but did not include the necessary abuse training in their orientation or supplemental materials for dietary staff. The DON confirmed that the dietary staff had not been trained on identifying and reporting abuse before starting their duties. Interviews with human resources, the regional director of operations, and the administrator indicated that there was confusion regarding the responsibility for abuse training. The facility expected the dietary contractor to provide the training, but the contractor omitted the abuse training supplement. The contract between the facility and the dietary contractor did not clearly specify the requirement for abuse training, leading to the oversight. At the time of the survey, 141 residents resided in the facility, and none of the 18 dietary contract staff had received the mandated abuse training.
Failure to Train Dietary Contractor Staff on Abuse Prevention and Reporting
Penalty
Summary
The facility failed to implement its abuse prevention policy by not ensuring that all dietary contractor staff received training on identifying and reporting abuse. According to the facility's Abuse Prevention Program policy, all staff are required to undergo mandated training on abuse prevention, identification, and reporting. However, record review and interviews revealed that none of the 18 dietary contractor staff members had received this training prior to working in the facility. The dietary contractor was responsible for providing this training, as outlined in the Management Service Agreement, but the abuse training was omitted from the orientation process for these staff members. Interviews with facility leadership, including the DON, human resources, regional director of operations, and the administrator, confirmed that the dietary contractor was expected to provide abuse training to their employees, but this requirement was either overlooked or not included in the contract. As a result, 141 residents resided in the facility without assurance that all staff interacting with them were trained to identify and report abuse, neglect, or mistreatment, as required by facility policy.
Failure to Document Transfer Interventions in Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive care plan interventions for transfers for two residents who were dependent on staff assistance for mobility. Both residents had documented needs for substantial to maximal assistance with transfers, as indicated by their assessments and physical therapy evaluations. Despite this, their care plans did not include specific interventions for transferring, such as the use of a slider board, gait belt, or sit-to-stand lift, even though these methods were observed being used by staff during transfers. Staff interviews confirmed that these transfer methods were consistently used, but not documented in the residents' care plans. The deficiency was identified through observations, record reviews, and staff and resident interviews. The MDS coordinator and DON both acknowledged that interventions for transfers should have been documented in the care plans, but were not. The residents involved had significant physical limitations, including one with an acquired absence of the right leg below the knee and another with Parkinson's disease and schizophrenia, both requiring assistance for safe transfers. The lack of documented interventions in the care plans was contrary to facility policy and regulatory requirements for comprehensive, person-centered care planning.
Failure to Administer Oxygen According to Orders and Label Tubing
Penalty
Summary
The facility failed to administer oxygen (O2) according to physician orders and did not label O2 tubing for two residents reviewed for respiratory care. One resident had a diagnosis of shortness of breath (SOB) and a physician order for oxygen at 2 liters per minute (LPM) via nasal cannula as needed to maintain O2 saturations. An O2 concentrator was observed in the resident's room, but the O2 tubing was not labeled. A Licensed Practical Nurse (LPN) confirmed that the O2 tubing should be changed weekly and labeled, but it was not. Another resident, also diagnosed with SOB, had a physician order to administer O2 at 2 LPM via nasal cannula every shift and to change the O2 tubing weekly on Wednesdays with a date label. The resident was observed receiving O2 at 1.5 LPM instead of the ordered 2 LPM, and the O2 tubing was not labeled. The LPN verified the incorrect O2 setting and acknowledged that there was no indication of when the O2 tubing was last changed, stating it should have been labeled.
Failure to Conduct Required Dialysis Assessments
Penalty
Summary
The facility failed to complete ongoing assessments for a resident requiring dialysis services, as outlined in their Dialysis Care/Arterial-Venous Fistula policy. This policy mandates that all residents receiving dialysis must be monitored before and after their treatment to ensure stability, with evaluations conducted by the Charge Nurse. The resident in question was admitted with diagnoses including dependence on renal dialysis and end-stage renal disease, with physician orders specifying monitoring for complications and completion of pre and post-dialysis progress notes. However, documentation was missing for several dates in May 2024, indicating that pre-dialysis assessments were not conducted on five occasions, and post-dialysis assessments were not conducted on two occasions. The Director of Nursing confirmed that these assessments were required but not completed on the specified dates.
Infection Control Deficiencies in PPE Usage and Sanitization
Penalty
Summary
The facility failed to adhere to infection prevention and control protocols for residents on transmission-based and enhanced barrier precautions. Resident #93, diagnosed with MRSA bacteremia and osteomyelitis, was under contact precautions. However, staff members, including an LPN and a CMA, were observed entering the resident's room without wearing the required personal protective equipment (PPE) such as gowns and gloves. Additionally, the CMA did not sanitize the blood pressure cuff after use, nor did they wash or sanitize their hands, despite clear signage indicating the need for such precautions. Resident #56, who had a gastrostomy and was on enhanced barrier precautions, also did not receive care in accordance with the facility's policies. Two CNAs provided care without wearing the necessary PPE, such as gowns and gloves, even though they were aware of the resident's precautionary status. Furthermore, during incontinent care for Resident #52, a CNA failed to change gloves after providing care and before touching other items in the resident's environment, such as a cup and a light cord, which compromised infection control practices.
Failure to Provide Ordered Double Portions for Resident
Penalty
Summary
The facility failed to provide double portions as ordered for a resident during meal service. The resident, who was admitted with diagnoses including Type 2 Diabetes Mellitus, hemiplegia, and hemiparesis following a cerebral infarction affecting the right dominant side, had a physician's order dated 10/13/23 for a low concentrated sweets (LCS) diet with mechanical soft texture, regular consistency, and double portions for heart health. On 06/02/24 at 12:07 p.m., the resident was observed receiving a meal tray with single portions instead of the ordered double portions. A Certified Nursing Assistant (CNA) confirmed at 12:12 p.m. that the tray did not contain double portions and stated they had not noticed the double portion requirement on the meal ticket.
Failure to Label Enteral Tube Feeding Bottles
Penalty
Summary
The facility failed to ensure proper labeling of an enteral tube feeding bottle for a resident with dysphagia and oropharyngeal phase gastrostomy status. The resident had a physician order for Vital AF 1.2 Cal to be administered at 55 ml/hr via PEG-tube every shift, along with an order for enteral H2O to auto flush the PEG-tube with 23 cc of H2O every hour. During an observation, it was noted that the resident was receiving 55 ml/hr of Vital AF 1.5 Cal via PEG-tube, but the formula bottle and H2O bag were not labeled with staff initials, date, or time as required by the facility's policy. An LPN confirmed that the protocol was not followed, as the tube feeding was not labeled.
Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to ensure medications were administered as ordered by the physician for a resident with respiratory care needs. The resident had diagnoses including congestion and allergic rhinitis, and was prescribed loratadine and guaifenesin. The physician ordered loratadine to be given as needed and guaifenesin to be administered every 12 hours for seven days. However, the Medication Administration Records (MARs) showed that guaifenesin was administered only 12 out of 14 times. Additionally, there was no documentation that loratadine had been administered to the resident. The resident reported having a respiratory infection and sinus drainage over a holiday weekend, during which they were unable to take their prescribed medication. The facility's Director of Nursing (DON) and Assistant Director of Nursing (ADON) were made aware of the discrepancies in medication administration. It was revealed that guaifenesin was a house stock medication and should have been available, while loratadine was delayed in delivery from the pharmacy. The ADON confirmed that loratadine was delivered late at night, and there was a lack of communication among nursing staff regarding the medication's status during shift changes.
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Illustrative
What surveyors actually found near you
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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 Oklahoma City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ignite Medical Resort Okc, Llc | 0.1 mi | ★★★★★ | 9 | 0 |
| Northwest Nursing Center | 1.2 mi | ★★★★★ | 20 | 0 |
| The Lodge At Brookline | 1.3 mi | ★★★★★ | 0 | 0 |
| North Winds Living Center | 2 mi | ★★★★★ | 0 | 0 |
| Warr Acres Nursing Center | 2 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.