Below 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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chickasha Nursing Center, Inc during CMS and state inspections, most recent first.
A resident with severely impaired cognition and total dependence for many ADLs was involved in a sexual abuse allegation that staff failed to handle per policy. A CNA reported seeing another CNA sexually abusing the resident, but the LPN and CNA did not intervene to remove the accused staff member, the allegation was not reported within the required timeframe, no immediate investigation was started, and the resident was not assessed at the time. The DON and administrator later stated the abuse process was not followed.
Failure to Report and Investigate Suspected Employee Drug Use: RN found a purse in an employee restroom containing suspected illegal drugs and drug paraphernalia, then questioned two CNAs, monitored them for impairment, and allowed them to keep working. The DON later identified the purse as belonging to one CNA, returned it, and transported the CNA home without contacting police, requesting a drug screen, or reporting the incident at the time. Staff later stated the facility did not have a criminal activity policy and that suspected criminal activity should have been reported and investigated.
Failure to complete required administrative oversight and reporting. The facility did not ensure the facility assessment was updated annually, PBJ reports were submitted quarterly, criminal activity was investigated and reported to the OSDH and other required entities, monthly in-service training was completed, or quarterly QAPI meetings were held. The administrator stated an incident involving suspected drug use was not thoroughly investigated or reported, and that suspected illicit drug and criminal activity should have been reported to the police, the OSDH, and the nurse aide registry. The administrator also stated the PBJ reports were not completed as required and that a quarterly QAPI meeting should have occurred.
The facility failed to have a licensed administrator and could not produce a governing body policy. Record review showed the prior administrator left and the current administrator was not hired until more than a year later, leaving the facility without an administrator for over 365 days. The DON identified 25 residents in the facility, and the administrator was unable to locate the governing body policy during the survey.
Unsanitary Ice Machine in Dining Room: Surveyors observed a black slimy substance inside the ice dispenser area and on a makeshift wooden ice grate, and the contamination remained visible on a later observation. The dietary manager said 25 residents used the ice machine daily, and the facility’s cleaning schedule showed the ice machine was only wiped down on Saturdays. The ADM agreed the ice dispenser was unsanitary.
The facility did not submit PBJ data to CMS for the second quarter of 2024 due to technical issues, as confirmed by the DOO. The DON identified that 29 residents were in the facility during this period.
A facility failed to provide appropriate dialysis care for a resident with end-stage renal disease. The facility lacked a current contract with a dialysis provider and did not ensure ongoing communication or conduct routine assessments before and after dialysis treatments. The resident had diagnoses of dependence on renal dialysis and chronic kidney disease, but there was no documentation of a physician's order for dialysis services. An LPN confirmed the absence of routine communication with the dialysis provider.
The facility did not perform required annual competency reviews for two CNAs, hired in 2018 and 2016, respectively. The DON confirmed the absence of these reviews, indicating non-compliance with staff evaluation regulations.
The facility failed to maintain cleanliness and repair in the kitchen and dining areas, affecting services for 29 residents. Observations included water marks on ceiling tiles, residue on floors and walls, rust on equipment, unsecured FRP board, missing baseboard, torn cooler gaskets, leaking pipes, and peeling materials. The DM manager noted daily cleaning and a maintenance log, but these issues indicated a lack of proper upkeep.
The facility failed to clean mechanical lifts before or after each resident use, as required by its policy. A CNA was observed transferring a resident without cleaning the lift, and later stated that lifts were cleaned weekly by maintenance, not by CNAs. The DON confirmed that lifts should be cleaned after each use. Additionally, the facility lacked a water management program to prevent Legionella, as confirmed by the administrator and the DON.
A facility failed to develop a baseline care plan within 48 hours for a resident admitted with COPD, Alzheimer's, dementia, anxiety, depression, chronic pain syndrome, and hypotension. The DON confirmed the oversight, acknowledging the requirement for timely care plan development.
A resident with COPD was observed receiving O2 therapy at 2 1/2 LPM without a physician order. An LPN confirmed that there were only orders to monitor O2 saturation, not for the O2 therapy itself.
A facility failed to assess and monitor a resident for bed rail use, despite policy requirements and observations of staff raising bed rails during transfers and while the resident was sleeping. The resident, with severe decision-making impairment and dependency on ADLs, was not documented to use bed rails in their quarterly assessment. Staff indicated the bed rails were used due to the resident's occasional confusion and attempts to get out of bed without assistance. The DON confirmed that an assessment should have been completed but was not available.
Failure to Protect and Report Sexual Abuse Allegation
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was deficient when staff failed to protect a resident after a sexual abuse allegation was reported, failed to report the allegation within two hours, failed to immediately investigate, and failed to complete resident assessments. The allegation involved a resident with severely impaired cognition, a BIMS score of 03, and diagnoses including encephalopathy with anoxic brain damage. The resident was also frequently incontinent of bladder, always incontinent of bowel, and dependent on staff for assistance with activities of daily living. According to staff statements and record review, CNA #1 reported observing CNA #2 sexually abusing the resident during incontinent care. CNA #1 stated they saw CNA #2 with fingers inside the resident’s vagina and pulling on pubic hair while the resident was squirming and saying no stop. CNA #1 reported the allegation to an LPN, but neither staff member intervened to remove CNA #2 from the resident. The LPN stated they observed CNA #2 cleaning the resident with a washcloth, did not assess the resident, and did not report the allegation to the state or law enforcement. The DON stated the allegation should have been reported within two hours, the resident should have been assessed, and the incident should have been investigated, but those actions were not completed at the time of the allegation. The administrator stated the abuse protocol and policy were not followed. The facility record showed the initial incident report was faxed to the state the next morning, and the resident’s medical record did not document information related to the allegation. The DON stated interviewable residents were questioned about abuse, but no skin assessments were done for residents unable to answer questions. The facility’s abuse policy stated suspected abuse was to be reported immediately, the resident protected from harm, the report sent to the state within two hours, and an internal investigation started immediately. The report also states the incident was determined to be an Immediate Jeopardy situation and that a plan of removal was later approved and verified as completed.
Failure to Report and Investigate Suspected Employee Drug Use
Penalty
Summary
The facility failed to report and investigate a reasonable suspicion of illegal drug use by an employee providing resident care while on shift. On 03/30/26 around 2:00 a.m., RN #1 found a purse in an employee restroom that contained suspected illegal drugs and drug paraphernalia, including a syringe with a red liquid substance, a tourniquet, and foil packets with a white powdery substance. RN #1 locked the items in the DON’s office, questioned CNA #3 and CNA #4 about the purse, watched both CNAs for signs of impairment, and allowed them to continue working. RN #1 did not immediately notify the DON, did not request a drug screen, and did not report the incident to police or OSDH at that time. RN #1 stated the incident was discussed with the DON around 5:00 a.m. when the DON arrived at the facility. The DON identified the purse and suspected drug paraphernalia as belonging to CNA #3, questioned CNA #3, and stated CNA #3 admitted the purse was theirs but would not admit what was inside it. The DON returned the purse to CNA #3 and transported CNA #3 home. The DON did not contact police or request a drug screen, and stated the incident was not reported because they were not sure what the substance was. The DON also stated the facility did not have a policy for illegal drug use or criminal activity at that time. The report also states CNA #4 described CNA #3 as spending a lot of time in the bathroom, then going to their vehicle, and appearing bloodshot-eyed, slurring words, and wearing long sleeves when they worked together. A dismissal report dated 03/30/26 showed CNA #3 was terminated for suspected drug use after leaving a syringe, tourniquet, and four items wrapped in aluminum foil in the employee restroom. The administrator later stated they or the DON were responsible for investigating suspected criminal activity, and RN #1 stated they were not aware the police should have been called.
Failure to Complete Required Administrative Oversight and Reporting
Penalty
Summary
The facility failed to have an administrator ensure that required administrative and compliance functions were completed, including updating the facility assessment annually, submitting PBJ reports quarterly, investigating and reporting criminal activity to the OSDH and other required entities, conducting monthly in-service training, and holding quarterly QAPI meetings. The DON identified that 25 residents resided in the facility. Survey findings referenced additional evidence in tags F607, F609, F838, F851, F868, F940, and F944. During interview, the administrator stated that an incident involving suspected drug use was not thoroughly investigated or reported to the OSDH, and that suspected illicit drug and criminal activity should have been reported to the police, the OSDH, and the nurse aide registry. The administrator also stated that in-services should have included an explanation summarizing the content of the meetings and that CNAs should receive two hours of training each month on various topics. The administrator further stated that a new medical director was hired to attend quarterly QAPI meetings, that a meeting should have occurred in May 2026, and that the PBJ reports were not completed as required.
Missing Licensed Administrator and Governing Body Policy
Penalty
Summary
The facility failed to have a licensed administrator and also could not produce a governing body policy for the facility. Record review showed an Oklahoma Employment Security Commission Employee Response Statement with the previous administrator’s last date of employment listed as 04/17/25, while the facility staff list showed the current administrator was hired on 05/08/26, leaving the facility without an administrator for over 365 days. The DON identified 25 residents resided in the facility. On 06/10/26 at 3:30 p.m., the administrator was unable to locate a governing body policy for the facility.
Unsanitary Ice Machine in Dining Room
Penalty
Summary
The facility failed to maintain clean and sanitary equipment during 3 of 3 dining observations involving the ice machine in the dining room. On 06/01/26 at 9:45 a.m., surveyors observed a black slimy substance on the inside walls of the ice dispenser area and a rectangular damp piece of wood that had replaced the ice grate, with a black substance on the bottom side. On 06/02/26 at 11:45 a.m., the ice dispenser still had a visible black slimy substance. The dietary manager identified that 25 residents used the ice machine daily. The facility’s undated kitchen and dining room cleaning schedule stated the ice machine was wiped down on Saturdays, and the dietary manager stated on 06/01/26 at 10:00 a.m. that the outside of the ice machine had been wiped down on Saturday, 05/31/26. On 06/05/26 at 1:30 p.m., the administrator agreed the ice dispenser was unsanitary, and on 06/06/26 at 1:32 p.m., the maintenance director stated a new ice dispenser had been ordered.
Failure to Submit PBJ Data Due to Technical Issues
Penalty
Summary
The facility failed to submit Payroll-Based Journal (PBJ) data to the Centers for Medicare & Medicaid Services (CMS) for the second quarter of the fiscal year 2024, covering the period from January 1 to March 31. This deficiency was identified through record review and interview. The Director of Nursing (DON) confirmed that 29 residents were residing in the facility at the time. The Director of Operations (DOO) stated that the failure to submit the staffing data was due to technical issues.
Deficiency in Dialysis Care Management
Penalty
Summary
The facility failed to provide safe and appropriate dialysis care for a resident requiring such services. The facility did not have a current contract with a dialysis provider, which is essential for managing the resident's care effectively. Additionally, there was no ongoing communication with the dialysis provider, which is crucial for coordinating care and ensuring the resident's needs are met. The facility's policy on End-Stage Renal Disease care, dated September 2010, outlined the need for an agreement with a contracted ESRD facility to manage the resident's care, including care plan development and information exchange. However, the administrator confirmed that the dialysis contract was outdated. The resident in question had diagnoses of dependence on renal dialysis, end-stage renal disease, and chronic kidney disease. Despite having a care plan that required staff to encourage dialysis attendance and monitor for signs of infection and renal insufficiency, there was no documentation of a physician's order for dialysis services. Furthermore, routine assessments before and after dialysis treatments were not conducted, as confirmed by an LPN who stated there was no routine communication with the dialysis provider. This lack of documentation and communication indicates a significant oversight in the resident's dialysis care management.
Failure to Conduct Annual CNA Competency Reviews
Penalty
Summary
The facility failed to conduct annual competency reviews for two certified nurse aides (CNAs), specifically CNA #3 and CNA #4, as required. CNA #3 was hired on September 20, 2018, and there was no documentation of an annual competency review being completed for them in 2023. Similarly, CNA #4, who was hired on March 5, 2016, did not have documentation of an annual competency review completed in 2024. During an interview on September 5, 2024, the Director of Nursing (DON) confirmed the absence of these competency reviews for both CNAs, indicating a lapse in the facility's compliance with regulatory requirements for staff competency evaluations.
Facility Fails to Maintain Cleanliness and Repair in Kitchen and Dining Areas
Penalty
Summary
The facility failed to maintain cleanliness and proper repair in the kitchen and dining areas, affecting the services provided to 29 residents. During a tour, several issues were observed, including brown water marks on ceiling tiles, accumulation of black and brown residue on the floor and walls in the dish wash area, and brown residue and rust on equipment. Additionally, the FRP board was not secured to the wall below the three-compartment sink, and the baseboard was missing behind the cook line. There was also an accumulation of food and grease on the floor and wall behind the cook line, and torn gaskets on the True three-door reach-in cooler. Further observations included water leaking from a pipe below the two-compartment sink, with standing water in a container beneath it. Masking tape was found on a Formica counter near the sink, where the Formica was peeling off. The dry storage area had an accumulation of black and brown residue on the floor under equipment, and there was brown residue and trash behind the ice machine. The ice machine itself had peeling material, a missing catch drain, and an accumulation of black residue and trash inside. Additionally, the black material on the floor at the entryway into the dining room was not secure. The DM manager stated that cleaning was done daily with a deep cleaning schedule and maintenance issues were recorded in a log, but these observations indicated a failure to maintain the kitchen and dining areas properly.
Inadequate Cleaning of Mechanical Lifts and Lack of Legionella Prevention Plan
Penalty
Summary
The facility failed to adhere to its infection prevention and control program by not cleaning the mechanical lift before or after each resident use. An undated facility policy titled 'Lifting Machine, Using a Mechanical' documented the requirement to disinfect lift surfaces. However, on September 3, 2024, at 12:33 p.m., a CNA was observed transferring a resident to their bed using a mechanical lift without cleaning it before or after the transfer. On September 4, 2024, at 1:53 p.m., the CNA stated that lifts were cleaned weekly by maintenance and that CNAs did not clean the lifts. On September 5, 2024, at 8:41 a.m., the DON stated that lifts should be cleaned after each resident use. Additionally, the facility lacked a water management program to prevent Legionella. On September 5, 2024, at 3:02 p.m., both the administrator and the DON confirmed that there was no policy or plan in place for Legionella prevention.
Failure to Develop Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for one of the 14 sampled residents reviewed for care plans. The resident was admitted with multiple diagnoses, including COPD, Alzheimer's disease, unspecified dementia, anxiety, depression, chronic pain syndrome, and hypotension. Despite these complex medical conditions, there was no documentation indicating that a baseline care plan was created. The Director of Nursing (DON) confirmed that a baseline care plan was not completed for the resident upon admission, acknowledging that it should have been developed within the required 48-hour timeframe.
Lack of Physician Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident with a diagnosis of COPD had a physician order for oxygen (O2) therapy. On September 3, 2024, at 12:55 p.m., the resident was observed with O2 in place, with the O2 concentrator set at 2 1/2 liters per minute (LPM). However, there was no documentation indicating that the resident had a physician order for this O2 therapy. When questioned at 1:04 p.m., an LPN confirmed that the resident only had orders to monitor O2 saturation and was unaware of the need for a physician order for the O2 therapy being administered.
Failure to Assess and Monitor Bed Rail Use
Penalty
Summary
The facility failed to assess and monitor a resident for the use of bed rails, which is a violation of their policy that prohibits bed rail use unless specific criteria are met. The facility's policy requires maintenance staff to routinely inspect beds and related equipment for risks, including potential entrapment. However, there was no documentation of an assessment for the resident in question, who had diagnoses including bipolar disorder, chronic pain, and an acquired absence of the right leg above the knee. The resident was severely impaired in daily decision-making and dependent on most activities of daily living (ADLs), and the quarterly assessment did not document the use of bed rails. Observations revealed that staff raised the bed rails on both sides of the resident's bed during transfers and while the resident was sleeping. Staff members, including a CNA and a CMA, indicated that the bed rails were used because the resident sometimes used them to assist with turning in bed and due to occasional confusion, which led to attempts to get out of bed without assistance. Despite these observations, the Director of Nursing (DON) confirmed that an assessment should have been completed if bed rails were used, but was unable to provide such an assessment for the resident.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 14 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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 Chickasha
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shanoan Springs Nursing And Rehabilitation | 0.3 mi | ★★★★★ | 1 | 1 |
| Cottonwood Creek Skilled Nursing & Therapy | 2 mi | ★★★★★ | 0 | 0 |
| Glenhaven Retirement Village | 2 mi | ★★★★★ | 0 | 0 |
| Anadarko Nursing & Rehab | 17.5 mi | ★★★★★ | 9 | 0 |
| Senior Village Healthcare | 18.1 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 August 2026) and official state health department websites.