Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Cimarron Pointe Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and documented wandering on MDS assessments was observed trying to exit a door and required redirection, but the care plan did not include a wandering focus until later. Another resident with hemiplegia, a contracted right hand, and a physician order for a palm protector was observed wearing a wrist brace, yet the brace and ROM-related device were not included in the care plan until later. Staff and the DON acknowledged the missing care plan interventions.
A resident with type II diabetes and cognitive impairment experienced significant weight loss, but the care plan was not updated to reflect new nutritional interventions. Despite physician orders and dietician recommendations for weekly weights, supplements, and an appetite stimulant, the care plan remained unchanged, as confirmed by the DON.
A facility failed to document meal consumption percentages and weights for a resident with significant weight loss and severe cognitive impairment. Despite orders for weekly weights and a care plan to monitor intake, there were gaps in documentation from January to June. A CNA noted the resident consumed most meals, but the DON admitted the monitoring was inadequate, compromising nutritional assurance.
The facility experienced an 8% medication error rate due to two incidents involving a resident with chronic pain and another with hypertension. A CMA failed to administer buprenorphine sublingually and did not hold lisinopril despite a low heart rate, contrary to physician orders. The CMA was new to medication administration.
The facility failed to remove expired supplies from the medication storage room, as observed during a tour with a corporate nurse. Expired items included NPWT Contour Med TR Kits, Covid-19 AG Cards, Entraflo H2O 1000ml Feeding/H2O bag pump sets, Kangaroo Epump Sets with flush bags, V.A.C. Freedom 300ml canisters with gel, and lubricating jelly packets. The corporate nurse confirmed these items should have been removed, indicating a deficiency in inventory management.
Care Plan Missing Wandering and ROM Interventions
Penalty
Summary
The facility failed to ensure that Resident #5, who was assessed as a wandering risk, was included in the comprehensive care plan. On 04/13/26, the resident was observed on the memory care unit getting up from a wheelchair, ambulating without assistance, and attempting to open an exterior door. A CNA placed a gait belt on the resident and redirected the resident back to the wheelchair, but the resident continued asking to exit and had to be redirected with a Velcro activity book. The resident’s annual assessment dated 12/31/25 and quarterly assessment dated 04/02/26 both showed severe cognitive impairment and identified the resident as a wandering risk one to three days during the look-back period. The record showed Resident #5 had diagnoses including Alzheimer’s disease, violent behavior, and senile degeneration of the brain. The care plan updated 04/17/26 added a focus for elopement risk with interventions such as administering medications as ordered, monitoring for side effects, assessing for fall risk, and monitoring for fatigue and weight loss. However, the care plan did not include a wandering focus prior to 04/17/26, despite staff statements that the resident wandered frequently and required redirection. The MDS coordinator and corporate nurse both stated that wandering identified on the assessments should have been care planned earlier. The facility also failed to include preventative devices for impaired range of motion in the comprehensive care plan for Resident #27. On 04/14/26, the resident was observed wearing a brace on the right wrist, and the right hand was contracted. The resident had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, cognitive communication deficit, and type 2 diabetes, and was assessed as having upper and lower extremity impairments on one side, being dependent for sit-to-lying, and bedfast. A physician order dated 08/05/24 directed the resident to wear a palm protector as tolerated, and staff stated the resident wore a splint or brace due to a contracture and limited range of motion. The care plan added a neurological focus and an intervention for a brace on 04/16/26, but the DON stated the brace should have been included in the care plan earlier.
Failure to Update Care Plan for Significant Weight Loss
Penalty
Summary
The facility failed to update the care plan for a resident who experienced significant weight loss. The resident, who had diagnoses including type II diabetes mellitus and senile degeneration of the brain, was initially assessed as severely cognitively impaired and required assistance with eating. Despite a physician's order for weekly weights and a care plan addressing potential nutritional problems related to diabetes, the care plan was not updated to reflect the resident's significant weight loss and new nutritional interventions. A quarterly assessment revealed the resident had lost 5% or more of their weight in one month or 10% or more in the last six months, without being on a prescribed weight-loss regimen. A dietician recommended weekly weights, a house supplement three times daily, and an appetite stimulant, which were ordered by the physician. However, the care plan was not revised to include these interventions, as confirmed by the Director of Nursing, indicating a lapse in updating the care plan to address the resident's current nutritional needs.
Failure to Document Meal Consumption and Weight Monitoring
Penalty
Summary
The facility failed to ensure proper documentation of meal consumption percentages and weights for a resident who experienced significant weight loss. The resident, who had diagnoses including type II diabetes mellitus and severe cognitive impairment, was on a regular diet with mechanical soft texture and required supervision with eating. Despite a care plan that included monitoring intake and recording every meal, there were significant gaps in documentation. The resident's weight was not recorded from early January to early April, and only one weight was documented from late May to mid-June, despite physician orders for weekly weights. Additionally, there was a lack of documentation for the resident's meal consumption on multiple occasions in May and June. A CNA reported that the resident had been eating independently and consuming 75-100% of most meals, receiving double portions and supplements daily. However, the Director of Nursing acknowledged that the resident's weight and meal percentages had not been monitored and documented appropriately, making it impossible to ensure that proper nutrition was maintained.
Medication Administration Errors Lead to 8% Error Rate
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in an observed error rate of 8%. During the survey, 25 medication administration opportunities were observed, with two errors identified. The first error involved a resident with diagnoses of diverticulosis, osteoarthritis, and muscle weakness, who was prescribed buprenorphine sublingual tablets for chronic pain. The medication was administered by CMA #1 without instructing the resident to place the tablet under the tongue, leading the resident to swallow the tablet whole instead of allowing it to dissolve sublingually as intended. The second error involved a resident with dementia and hypertension, who was prescribed lisinopril with specific parameters to hold the medication if the heart rate was below 60. CMA #1 administered the lisinopril despite the resident's heart rate being 58, failing to adhere to the physician's order to hold the medication and notify the nurse. CMA #1 later admitted to being unaware of the heart rate parameters and acknowledged the error. The corporate nurse consultant noted that CMA #1 was new to medication administration and would use this experience as a learning opportunity.
Expired Supplies Found in Medication Storage
Penalty
Summary
The facility failed to ensure that expired supplies were removed from the medication and supply storage room. During a tour conducted with a corporate nurse, several expired items were identified, including NPWT Contour Med TR Kits, Covid-19 AG Cards, Entraflo H2O 1000ml Feeding/H2O bag pump sets, Kangaroo Epump Sets with flush bags, V.A.C. Freedom 300ml canisters with gel, and a box of lubricating jelly packets. These items were found to have expiration dates that had already passed, indicating a lapse in the facility's inventory management and storage practices. The Director of Nursing (DON) reported that 34 residents resided in the facility at the time of the survey. The corporate nurse acknowledged that the expired supplies should have been removed, highlighting a deficiency in the facility's adherence to proper storage protocols for medical supplies.
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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 Mannford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cleveland Care And Rehab Center | 11.5 mi | ★★★★★ | 4 | 0 |
| Sand Springs Nursing And Rehabilitation | 15 mi | ★★★★★ | 5 | 2 |
| Drumright Nursing Home | 18 mi | ★★★★★ | 6 | 1 |
| Beacon Ridge | 18.4 mi | ★★★★★ | 0 | 0 |
| Arbor Village | 18.8 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.