Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Cherokee County Nursing Center during CMS and state inspections, most recent first.
A deficiency occurred when an enteral feeding bag in use for a resident was not properly labeled. Observation showed a feeding pump infusing tan and clear liquids at a set rate, with the bag marked only with date, time, and staff initials. An LPN reported they could not identify the formula or the intended recipient because the bag lacked the resident’s name, the formula type, the infusion rate, and complete labeling information, creating the possibility that a resident could receive the wrong feeding formula.
An LPN drew up insulin for a resident and then locked the medication cart but left the prepared insulin syringe on top of the cart and walked away, leaving the medication unsecured. The facility had a policy, confirmed by both the LPN and the DON, requiring all medications not in active use to be locked in the medication cart to prevent access by residents, staff, or visitors.
A resident with dementia and Down syndrome had bruising on their face, which was not reported to the OSDH by the facility. The DON did not report the incident, believing the injuries occurred under others' care, and no formal investigation was conducted. An LPN observed the bruise but did not report it to administration, assuming they were already aware, and only informed the next shift.
A resident with dementia and Down syndrome was readmitted to the facility, and a family member later reported a bruise on the resident's face. The DON was informed but did not document inquiries or conduct a thorough investigation, failing to adhere to the facility's policy on investigating alleged maltreatment.
A CMA in an LTC facility failed to follow infection control practices during PEG tube care for a resident. The CMA did not change gloves after touching dirty items and used a fabric towel stored in open air. The resident had a gastrostomy and stomach fistula. The facility's policy required hand washing and glove changes, which were not adhered to.
Improper Labeling of Enteral Feeding Bag
Penalty
Summary
The deficiency involves the facility’s failure to ensure proper labeling of an enteral feeding bag for one resident receiving tube feeding. The DON identified two residents in the facility with enteral tube feedings. During observation on 07/02/25 at 9:01 a.m., a tube feeding bag containing tan liquid and a bag with clear liquid were seen infusing via feeding pump at 52 cc/hr, and the bag was observed to have only the date, time, and initials written on it. At 9:08 a.m., an LPN stated they could not determine what formula was in the feeding bag or which resident it was intended for because it was not labeled correctly. The LPN explained that the bag should have included the resident’s name, the date, the time it was hung, the type of formula, the infusion rate, and the initials of the person who hung the bag, and acknowledged that without this information a resident could receive the wrong feeding formula. This failure to properly label the enteral feeding bag constituted a deficiency for one of one residents reviewed for enteral feeding (Resident #60).
Unsecured Insulin Left on Top of Locked Medication Cart
Penalty
Summary
The deficiency involves the facility’s failure to ensure medications were secured on one of two medication/treatment carts on the South hall. On 07/02/25 at 10:50 a.m., an LPN was observed drawing up insulin to administer to a resident, then locking the medication cart but leaving the prepared insulin syringe on top of the cart and walking away. At that time, the facility had 99 residents in-house. At 10:52 a.m., the LPN stated that facility policy required any medications not being used to be locked in the medication cart to prevent residents, staff, or visitors from obtaining them. At 12:30 p.m., the DON confirmed that facility policy was to lock all medications in the medication cart when they were not being given. This conduct resulted in medications not being stored in locked compartments as required, despite the facility’s own policies specifying that all medications must be secured when not in active use.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for a resident with dementia and Down syndrome to the Oklahoma State Department of Health (OSDH). The Director of Nursing (DON) was informed by the administrator about a family member's report of bruising on the resident's face. However, the DON did not report the incident to OSDH or conduct a formal investigation, as they believed the injuries occurred while the resident was under the care of others. The facility's policy requires immediate reporting of suspected maltreatment, but this protocol was not followed. An LPN assessed the resident upon their return from the hospital but did not document any bruising at that time. A few days later, the LPN was informed of bruises on the resident's cheek, which they confirmed upon inspection. Despite observing the bruise, the LPN did not report it to the administration, assuming they were already aware, and only communicated it to the next shift. The lack of documentation and failure to report the incident to the appropriate authorities contributed to the deficiency in handling suspected abuse or neglect cases.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to investigate an injury of unknown origin for a resident with dementia and Down syndrome. The resident was readmitted to the facility from a hospital stay, and a nursing admission summary note was documented by an LPN. However, this note did not include any observations of a bruise on the resident. A family member reported observing a bruise on the resident's face during a visit, which they did not see during a prior hospital visit. The family member informed the facility administrator about the bruising via text, although they could not recall the exact date. The Director of Nursing (DON) was informed by the administrator about the family member's report of bruising on the resident. The DON attempted to gather information by asking various staff members if they were aware of the bruising but did not document these inquiries or responses. Additionally, the DON did not interview any residents or locate any investigative material regarding the bruising. This lack of documentation and investigation into the reported injury of unknown origin constitutes a failure to adhere to the facility's policy on investigating alleged resident maltreatment.
Infection Control Breach During PEG Tube Care
Penalty
Summary
The facility failed to adhere to proper infection control practices during the care of a resident with a PEG tube. During an observation, a CMA was seen administering medication to a resident without changing gloves after touching multiple items considered dirty. The CMA washed their hands in the resident's sink, dried them with a fabric towel stored in the open air, and then refolded and placed the used towel with clean ones. The CMA then put on gloves and a protective gown, handled stained bedding, and touched the PEG tubing without changing gloves. They also used water from the resident's sink to fill the PEG tube water container, contrary to the facility's policy requiring hand washing and glove changes between steps. The resident involved had diagnoses including attention to gastrostomy and a fistula of the stomach and duodenum. The CMA acknowledged they should have changed gloves after touching dirty items, and the DON confirmed that the CMA should not have used the fabric towel and should have changed gloves. The facility's policy on enteral feedings, dated 2016, required hand washing and glove changes, which were not followed during this incident.
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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 Tahlequah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| University Park Skilled Nursing And Therapy Memory | 0.9 mi | ★★★★★ | 0 | 0 |
| Sequoyah Pointe Skilled Nursing And Therapy | 1.2 mi | ★★★★★ | 0 | 0 |
| Fort Gibson Care & Rehab Center | 18.7 mi | ★★★★★ | 0 | 0 |
| Stilwell Nursing And Rehab | 20 mi | ★★★★★ | 0 | 0 |
| Eastgate Village Care & Rehab Center | 24.1 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.