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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Capitol Hill Skilled Nursing And Therapy during CMS and state inspections, most recent first.
A resident with chronic respiratory failure and moderate cognitive impairment was found without access to their call light, which was placed out of reach while they were in a wheelchair. The resident was unable to call for help and needed ice water. A CNA confirmed the facility's policy to keep call lights within reach and rectified the situation by pinning the call light to the resident's blanket.
A facility failed to accurately code the MDS for a resident with end-stage renal disease who received dialysis three times a week. The resident's care plan documented the dialysis treatment, but the quarterly MDS assessment did not reflect this. The MDS Coordinator later confirmed the oversight, acknowledging the inaccuracy.
A facility failed to remove expired medication from circulation, as observed in the medication storage room. A card of Zoloft 100 mg, labeled for a resident with recurrent depressive disorders, was found expired despite procedures for rotating stock and removing outdated medications. The DON and ADON confirmed the oversight.
A facility failed to follow enhanced barrier precautions for a resident at risk of infection due to a PEG tube and MDRO. An LPN performed PEG tube care without wearing a gown, despite the presence of an EBP sign and available gowns. The LPN misunderstood the requirements, believing only handwashing was necessary. The DON confirmed that both gown and gloves were required, highlighting a lapse in the facility's infection control program.
A facility failed to ensure a clean environment for a resident, as moderate dust buildup was observed on the ceiling vent in the resident's room. Despite a housekeeping policy requiring regular cleaning of ceiling vents, the vent had not been cleaned, and a housekeeper admitted to neglecting this task.
A resident with dementia and personal care needs did not have a scheduled care plan meeting due to the departure of the responsible social worker. The facility failed to inform the resident's family about the missed meeting or reschedule it. The last care plan meeting was held months earlier, and the lack of communication contributed to the deficiency.
A resident with dementia and a UTI experienced a delay in urinalysis specimen collection due to a failure in sending the initial sample to the lab. The specimen, collected for lab tests ordered by a physician, remained in the ice box until a family inquiry prompted a new collection. The DON confirmed the need for timely specimen handling.
A facility failed to report an abnormal urinalysis result to the provider in a timely manner for a resident with dementia and a UTI. The urine specimen was collected and reported positive, but there was no documentation of provider notification on the report date. The delay in notification was confirmed by staff interviews, and the facility lacked a lab policy for notifying providers of abnormal results.
A resident with chronic obstructive pulmonary disease required a new upper denture plate, but the facility failed to follow up on a physician's order for a dental referral. Despite the resident reporting the loss of their dentures and a physician issuing an order, the resident had not seen a dentist. The LPN passed the order to the social services worker, but no appointment was made. The activities director, who helped with social services, was unaware of the need for a dental visit as the previous social service worker did not act on the order.
A resident with diabetes and intact cognition was observed without a privacy curtain in their room, which they expressed a desire for. An LPN confirmed that privacy curtains should be used but acknowledged the absence of one in the resident's room.
Call Light Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that a call light was within reach for a resident, leading to a deficiency. Resident #20, who has chronic respiratory failure with hypercapnia and moderate cognitive impairment, was observed without access to their call light. The resident's care plan, revised on 10/17/24, specified that the call light should be within reach and encouraged its use. On 11/06/24, the resident called out to a surveyor for assistance because the call light was placed on a recliner, out of reach, while the resident was seated in a wheelchair. The resident expressed that they could not call for help and needed ice water. CNA #4 confirmed that the facility's policy required the call light to be within reach and acknowledged that it was not in reach upon observation. CNA #4 then pinned the call light to the resident's blanket and provided the requested ice water.
Inaccurate MDS Coding for Dialysis Treatment
Penalty
Summary
The facility failed to ensure an accurate Minimum Data Set (MDS) assessment for a resident diagnosed with end-stage renal disease. The resident's care plan, dated July 11, 2024, indicated that they received dialysis at a local facility three times a week. However, during a quarterly assessment conducted on October 1, 2024, the MDS did not reflect that the resident was receiving dialysis. On November 7, 2024, the MDS Coordinator confirmed that the MDS should have been coded to indicate the resident's dialysis treatment, acknowledging the inaccuracy in the assessment.
Expired Medication Not Removed from Circulation
Penalty
Summary
The facility failed to ensure that expired medications were removed from circulation in the medication storage room, as observed during a survey. The facility's policy required that medications and biologicals be stored safely and securely, following the manufacturer's recommendations, and that outdated medications be immediately removed from inventory. However, during an observation with the Director of Nursing (DON) present, a card of pill-packed Zoloft 100 mg, labeled for a resident with recurrent depressive disorders, was found to be expired. The fill date and expiration date indicated that the medication was no longer valid for use. The DON and Assistant Director of Nursing (ADON) acknowledged that the medication aides were responsible for rotating the medication stock using a first-in, first-out process. They also stated that expired medications should be pulled and placed with discontinued medications. Despite these procedures, the expired Zoloft was still present in the medication storage room, indicating a lapse in the facility's medication management practices.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to enhanced barrier precautions for a resident who was on such precautions due to a risk of infection related to a PEG tube and an in-house MDRO. The resident's care plan, revised in September 2024, documented the need for enhanced barrier precautions, including the use of gowns and gloves during high-contact activities such as PEG tube care. However, during an observation in November 2024, an LPN was seen performing PEG tube care for the resident without wearing a gown, despite the presence of an EBP sign on the door and gowns available in the room. The LPN, upon being questioned, stated that they believed the EBP sign indicated the need for handwashing only and did not notice the gowns in the room. They also expressed the belief that wearing a gown was not necessary during PEG tube care. The Director of Nursing later confirmed that enhanced barrier precautions required the use of both a gown and gloves during such care, indicating a lapse in adherence to the facility's infection prevention and control program.
Failure to Maintain Clean Environment for Resident
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for a resident, as evidenced by the presence of moderate dust buildup on the ceiling vent in the resident's room. The facility's housekeeping policy, revised in 2012, requires that resident rooms be cleaned from the ceiling down, with ceiling vents specifically mentioned as areas to be dry dusted. Despite this policy, observations on two separate occasions revealed that the ceiling vent in the room of a cognitively intact resident had not been cleaned. The resident confirmed that they had not cleaned the vent themselves. A housekeeper admitted to not paying attention to the ceiling vents during cleaning procedures and acknowledged the need for the vent to be cleaned upon observation.
Missed Care Plan Meeting Due to Staff Turnover
Penalty
Summary
The facility failed to hold a care plan meeting for a resident diagnosed with unspecified dementia and requiring assistance with personal care. The care plan meeting was initially scheduled but not conducted, and the resident's representative was not informed of the cancellation or rescheduling. The facility's administrator indicated that the social worker, who was responsible for organizing care plan meetings, had recently left their position, which contributed to the oversight. The last care plan meeting for the resident was held several months prior, and the facility did not communicate the missed meeting to the family or provide information on rescheduling.
Delayed Urinalysis Specimen Collection
Penalty
Summary
The facility failed to ensure a urinalysis specimen was obtained in a timely manner for a resident diagnosed with unspecified dementia and a UTI. A physician's telephone order on 10/15/24 requested several lab tests, including a urinalysis, due to the resident's generalized weakness. A urine specimen was collected on 10/16/24, but it was not sent to the lab and remained in the ice box. On 10/25/24, after the resident's family inquired about the urinalysis, an LPN discovered the oversight and obtained a new urine specimen, which was then sent to the lab. The DON confirmed that staff are responsible for notifying the lab to pick up specimens promptly and that specimens should be obtained as soon as possible.
Failure to Timely Report Abnormal Lab Results
Penalty
Summary
The facility failed to report an abnormal urinalysis result to the provider in a timely manner for a resident diagnosed with unspecified dementia and a urinary tract infection (UTI). A physician's telephone order was made for several lab tests, including a urinalysis, due to the resident's generalized weakness. The urine specimen was collected and reported positive for a UTI, but there was no documentation that the provider was notified of this abnormal result on the date it was reported. The delay in notification is evident as the physician order for an antibiotic was not documented until several days later. Interviews with facility staff, including an LPN and the Director of Nursing (DON), confirmed that the provider was not notified promptly. Additionally, the facility lacked a lab policy to guide staff on the notification process for abnormal lab results, as confirmed by a corporate nurse consultant.
Failure to Follow Up on Dental Referral
Penalty
Summary
The facility failed to follow up on a physician-ordered dental referral for a resident who required a new upper denture plate. The resident, who had chronic obstructive pulmonary disease and wore upper dentures, was documented to have broken or loosely fitting dentures. Despite a physician's order for a dental referral, the resident had not seen a dentist. The resident reported losing their dentures about a month prior and informed their physician, who issued an order for a dental referral. However, the order was not acted upon. Interviews revealed that the LPN was aware of the order and had passed it to the social services worker, but the resident had not been scheduled to see a dentist. The activities director, who assisted with social service duties, was unaware of the need for a dental appointment, as the previous social service worker had not acted on the order.
Lack of Privacy Curtain for Resident
Penalty
Summary
The facility failed to ensure privacy for a resident by not providing a privacy curtain in one of the sampled resident rooms. Resident #55, who has a diagnosis of diabetes mellitus type two and intact cognition, was observed sitting on their bed without a privacy curtain available to pull across the room. The resident expressed a desire for a privacy curtain to maintain privacy. An LPN confirmed that curtains should be closed to provide privacy but acknowledged that Resident #55's room lacked such a curtain, despite the resident's expressed need for one.
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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) |
|---|---|---|---|---|
| South Pointe Rehabilitation And Care Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Emerald Care Center Southwest Llc | 1.9 mi | ★★★★★ | 1 | 0 |
| Brookwood Skilled Nursing And Therapy | 2.4 mi | ★★★★★ | 8 | 0 |
| South Park East | 2.5 mi | ★★★★★ | 14 | 1 |
| Accel At Crystal Park | 2.6 mi | ★★★★★ | 10 | 1 |
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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.