Average — CMS composite of the measures below.
The next survey window likely opens around February 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 Claremore Skilled Nursing And Therapy during CMS and state inspections, most recent first.
The facility failed to ensure resident council concerns were addressed in writing by responsible departments and administration. Resident council forms documented concerns about slow call light response, dietary issues such as lack of fresh fruit and menu variety, housekeeping issues including clothing labels and unclean rooms, and administrative issues involving unsecured exterior doors. Although the SSD recorded these concerns and forwarded them to the DON, dietary manager, housekeeping supervisor, and administrator with specified response deadlines, the forms showed no written responses. Staff interviews confirmed that department heads did not always provide written responses, and one supervisor acknowledged signing and returning a form without documenting a response, affecting all residents in the facility.
The facility failed to provide adequate staffing to ensure scheduled showers were completed for three cognitively intact residents who required staff assistance with bathing. One resident, with significant medical conditions and dependent on staff for shower transfers, received only one documented shower over an extended period despite being scheduled for twice-weekly showers and reported not having bathed in over a week. Two other residents, each scheduled for two showers per week, received only three showers in a month, missing multiple scheduled opportunities and reporting that showers were not provided as often as expected. Several CNAs reported they could not complete all assigned showers due to short staffing and lack of time, one noting they were assigned six showers but completed only two, while an LPN stated the charge nurse was responsible for ensuring showers were done and the DON acknowledged ongoing staffing issues.
Surveyors found multiple food service and sanitation deficiencies, including a dietary staff member with an uncovered beard and no hair restraint while working at the stove, a deep fryer with dark grease and accumulated food particles that was reportedly cleaned several days earlier without a documented cleaning schedule, and a pan of sausage kept in the refrigerator beyond the facility’s 24-hour leftover policy. Grease buildup was observed around oven wheels and on the stove exterior, along with food debris under the stove from a prior meal, and the cook reported the area had not been cleaned for about a month and was unaware of a current cleaning schedule. Meals prepared under these conditions were served to numerous residents.
The facility failed to provide scheduled showers according to the care plans for three cognitively intact residents who required staff assistance with bathing. One resident, dependent on staff for shower transfers and scheduled for twice-weekly showers, received only one documented shower during a month and reported going more than a week without a bath. Two other residents, each scheduled for two showers per week, received only three showers each over the month and reported that showers were not being given as often as expected. Multiple CNAs stated that residents were supposed to receive two showers weekly but that showers were often missed due to short staffing and lack of time, while an LPN and the DON acknowledged that charge nurses were responsible for ensuring showers were completed and that residents should be receiving two showers per week.
A resident with intact cognitive function had only one documented comprehensive care plan meeting following admission, with no evidence of required quarterly care plan meetings thereafter. The resident did not recall attending any care plan meetings. The MDS Coordinator, responsible for care plan meetings for LTC residents, reported not knowing that quarterly meetings with residents or their representatives were required. The DON stated there was no formal care planning policy and that they relied on CMS guidelines, while a corporate nurse consultant was identified as the MDS Coordinator’s supervisor and trainer for tracking care-plan meetings.
Two residents with severe cognitive impairment and dependent on staff for transfers suffered injuries when mechanical lift transfers were not properly supervised or equipment failed. In one case, a sling detached with only one staff member present, resulting in a rib fracture. In another, a sling strap broke, causing fractures to the resident's arm and hip.
Two residents who required assistance with bathing did not consistently receive the scheduled number of showers, as documented in care records and confirmed by staff and resident interviews. Both residents were supposed to receive showers twice weekly, but records showed multiple missed opportunities over several months.
A resident with multiple mental health diagnoses was allegedly forcefully pushed in their wheelchair by a CNA, resulting in contact with a wall. The facility did not obtain statements from those involved, could not confirm witness accounts or timing, and lacked documentation to show a thorough investigation or QAPI committee monitoring of the abuse allegation.
The facility failed to involve two residents in the care planning process. A resident with anxiety was unaware of care plan meetings, and the MDS Coordinator did not document invitations or attendance. Another resident with hypertension, depression, and an over-active bladder also did not participate in care plan meetings, with no documentation of notification or participation.
The facility failed to provide adequate showering services for four residents, leading to infrequent or missed showers. One resident resorted to sink baths due to scheduling issues, while another under hospice care did not receive preferred showers. A third resident, dependent on others for bathing, found the shower chair inadequate, and a fourth resident requiring male staff assistance did not receive a bath in 30 days. Staffing and coordination challenges contributed to these deficiencies.
The facility failed to complete ordered lab work for two residents. One resident with diabetes and hypertension did not have a lipid level collected as ordered, and it was delayed until June. Another resident with atrial fibrillation and a coagulation defect had a critical low potassium level, but the required redraw was not performed, and a complete blood count was ordered by mistake. The facility lacked a system to monitor lab orders for inaccuracies.
A facility failed to ensure the accuracy of an MDS assessment for a resident with acute respiratory failure and hypoxia. The assessment inaccurately indicated the resident required invasive mechanical ventilation while at the facility, despite no orders for a ventilator and the facility's policy of not accepting ventilator-dependent residents. The MDS coordinator noted the coding was based on the resident's pre-admission ventilator requirement.
A facility failed to provide a baseline care plan summary to a resident with kidney failure and sleep apnea and their representative. The MDS coordinator was unaware of the requirement, and the DON confirmed that summaries should be given to all residents and their representatives.
The facility failed to ensure proper communication with the dialysis provider for a resident requiring dialysis. The policy required scheduling and coordinating care, but a review showed that a Dialysis Communication Form had not been completed for over a month. Interviews with staff revealed a lack of awareness and responsibility for completing and sending the form with the resident to the dialysis center, as well as entering the information into the computer upon the resident's return.
The facility did not conduct a thorough investigation into an alleged abuse incident involving a resident and a CNA. The DON failed to interview residents or the nurse on duty during the incident, relying instead on their familiarity with the CNA. The DON later admitted that the investigation could have been more comprehensive.
Failure to Provide Written Responses to Resident Council Concerns
Penalty
Summary
The facility failed to honor residents' rights to have their resident council concerns and recommendations addressed by not obtaining written responses from responsible department heads and administration. A Resident Council Response Form dated 01/08/26 documented council concerns about the nursing department, including slow call light response, with a directive for the DON to respond in writing by 01/22/26; however, no written response from the DON was recorded on the form. The same form also documented concerns about the dietary department, including requests for fresh fruit and a more varied menu, and concerns about the housekeeping department, including the need for clothing labels, with written responses due from those departments by the same date; no written responses from dietary or housekeeping were documented on the form. A subsequent Resident Council Response Form dated 02/05/26 showed additional council concerns regarding administration, specifically that exterior doors could be opened from the outside without a code, and concerns about housekeeping related to resident rooms not being cleaned, with written responses due from the administrator and housekeeping supervisor by 02/17/26; no written responses were documented from either. The SSD reported being responsible for taking resident council minutes, recording concerns on the response form, and providing the form to the appropriate department heads, and stated that department heads did not always respond to the council’s concerns. The housekeeping supervisor stated they signed and returned the response form but did not document a response, and the dietary manager stated they did not always respond to the council in writing. The administrator identified 87 residents residing in the facility at the time of the survey.
Insufficient Staffing Resulting in Missed Scheduled Showers
Penalty
Summary
The deficiency involves the facility’s failure to provide sufficient nursing staff to meet residents’ activities of daily living (ADL) needs, specifically bathing, for three cognitively intact residents who required staff assistance. One resident with respiratory failure and chronic kidney disease required substantial/maximal assistance with bathing and was dependent on staff for transfers to the shower, with showers scheduled twice weekly. Electronic health record (EHR) documentation showed only one shower provided over a period of more than a month, and the resident reported not having had a bath in over a week. A certified nursing assistant (CNA) confirmed they were responsible for the resident’s bath on a specific day but did not complete it due to lack of time during the shift. A second resident, who required partial/moderate assistance with bathing and was scheduled for twice-weekly showers, received only three showers out of seven scheduled opportunities in one month and reported usually receiving only one shower per week. A third resident, who required substantial/maximal assistance with bathing and was also scheduled for twice-weekly showers, received only three showers out of eight scheduled opportunities in the same month and reported that showers were not being given as often as they should be. Multiple CNAs stated that residents were supposed to receive two showers per week but that showers were often not completed because the facility was short staffed or there was not enough time in their shifts to complete all assigned showers. One CNA reported being assigned six showers on a shift but completing only two. An LPN stated the charge nurse was responsible for ensuring showers were given and that incomplete showers should be passed to the night shift, and the DON acknowledged there had been staffing issues, though they stated residents should be getting two showers per week.
Food Service Sanitation and Leftover Handling Deficiencies
Penalty
Summary
Surveyors identified a deficiency in the facility’s food service and kitchen sanitation practices affecting meals prepared for 87 residents. During a kitchen observation, a dietary aide standing by the stove had a beard and was not wearing a hair restraint or beard guard, despite facility policy requiring hairnets or hair covers at all times and protective coverings for facial hair. The aide acknowledged they should have been wearing these items. Surveyors also observed a deep fryer with dark grease and food particles floating in the oil and piled on the outer edges; the cook reported the fryer was used daily and believed it was last cleaned about three days prior, but could not provide a cleaning schedule for the fryer. Additional observations showed a pan of sausage in the refrigerator labeled and dated several days earlier, beyond the 24-hour retention period specified in the facility’s leftovers policy. The cook confirmed leftovers were to be discarded after 24 hours and stated the sausage should have been thrown away. Surveyors also noted a thick black substance around the wheels of the oven, brown grease drips down the outside of the stove, and a tater tot under the stove from the previous night’s dinner meal. The cook identified the black and brown substances as grease and stated the floor area around the oven wheels had last been cleaned about a month earlier and that they were not aware of a cleaning schedule for the month in question.
Failure to Provide Scheduled Showers According to Residents’ Care Plans
Penalty
Summary
The deficiency involves the facility’s failure to provide bathing in accordance with residents’ plans of care and scheduled shower routines for three cognitively intact residents who required staff assistance with bathing. One resident with a BIMS score of 15 and assessed as needing substantial/maximal assistance with bathing was care planned to receive staff-assisted showers on Mondays and Thursdays and to be dependent on staff for transfers to the shower. Electronic health record (EHR) task documentation showed this resident received only one shower on 02/17/26 out of eight scheduled opportunities in February, with no documentation of showers on multiple other scheduled dates, and no additional shower documentation was produced upon request. The resident reported not receiving a bath the previous day and stated they had not had a bath in over a week. A CNA later confirmed they had been responsible for this resident’s bath on 03/02/26 but did not complete it due to lack of time during their shift. Two additional residents, both with BIMS scores of 14 and requiring partial/moderate or substantial/maximal assistance with bathing, were also not bathed according to their scheduled shower days. One resident, scheduled for showers on Tuesdays and Sundays, was documented as offered or receiving showers only three times during February, missing four other scheduled opportunities, and reported usually receiving only one shower per week. The other resident, scheduled for showers on Mondays and Fridays, was documented as receiving three showers out of eight scheduled opportunities in February and stated showers were not being given as often as they should be. Multiple CNAs reported that residents were supposed to receive two showers per week but that showers were often not completed due to short staffing and insufficient time during their shifts, with one CNA stating they were assigned six showers on a recent day but completed only two. An LPN stated the charge nurse was responsible for ensuring showers were given and that incomplete showers should be passed to night shift, and the DON acknowledged there had been staffing issues, while stating residents should be getting two showers a week.
Failure to Conduct Required Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to ensure quarterly care plan meetings were held for a sampled resident, as required following the comprehensive assessment. The resident was admitted on 07/03/25 and had a BIMS score of 13, indicating intact cognitive functioning. Record review showed that a comprehensive care plan meeting occurred on 07/11/25, but no additional care plan meeting notes were found in the resident’s EHR thereafter. During interview, the resident stated they did not recall attending any care plan meetings. The MDS Coordinator, who was responsible for conducting care plan meetings for LTC residents, stated they were not aware that quarterly care plan meetings were required with residents or their representatives and confirmed that the only care plan meeting documented for this resident occurred in July 2025. The DON reported that the facility did not have a policy and procedure for care planning and instead just followed CMS guidelines, and it was further identified that the MDS Coordinator was supervised by a corporate nurse consultant who had been involved in training and tracking care-plan meetings.
Failure to Provide Adequate Supervision and Equipment Safety During Lift Transfers
Penalty
Summary
The facility failed to ensure adequate supervision and safe practices during resident transfers using mechanical lifts, resulting in falls and injuries to two residents. In one incident, a resident with severe cognitive impairment and dependent on staff for transfers fell when the sling detached from the lift during a transfer, with only one staff member present instead of the required two. The resident suffered a rib fracture as a result of the fall. Documentation and interviews confirmed that the lift was not properly hooked and that only one staff member was assisting at the time. In a separate incident, another resident with severe cognitive impairment and also dependent on a lift for transfers sustained a fracture to the left arm and hip when a sling strap broke during a transfer. The resident reported feeling safe until the strap broke, which they described as a freak accident. Both incidents involved residents who required full assistance for transfers and had significant cognitive impairments, highlighting lapses in supervision and equipment safety during lift transfers.
Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide adequate bathing assistance to two residents who required help with activities of daily living, specifically showers. One resident, with a BIMS score of 7 indicating moderate cognitive impairment, was assessed as dependent for showers and was scheduled to receive showers twice weekly. However, documentation showed that in April, only one shower was provided out of nine opportunities, in May four showers out of nine, and in June, no showers had been given as of the 10th. The resident confirmed receiving only one shower per week. Another resident, with intact cognition and moderate dependence for showers, was also scheduled for twice-weekly showers. In April, this resident received four out of nine scheduled showers, in May three out of nine, and in June only one shower as of the 10th. Both the regional nurse consultant and the administrator confirmed that residents should have the opportunity for two showers per week, but records and resident interviews indicated this standard was not met.
Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving one resident with diagnoses including major depressive disorder, chronic pain, anxiety disorder, and persistent mood disorders. An incident report documented an allegation that a CNA forcefully pushed the resident in their wheelchair away from the nurse station and hit the wall. The facility was unable to provide statements from either the resident or the CNA involved regarding the incident, nor could they confirm if there were any witnesses or the specific time the incident occurred. Additionally, the facility's quality assurance committee report did not show that abuse was monitored for compliance following the incident. The administrator confirmed that there was no documentation or investigation available to demonstrate that a thorough investigation had been completed, and review of QAPI committee documentation did not indicate that abuse had been identified or addressed after the incident.
Failure to Involve Residents in Care Planning Process
Penalty
Summary
The facility failed to ensure that two residents, identified as #58 and #7, were involved in the care planning process. Resident #58, who was admitted with anxiety, stated they were unaware of when care plan meetings were held. The MDS Coordinator confirmed that while invitations were extended, they were not documented, and there was no evidence that the representative for Resident #58 attended the meeting. Similarly, Resident #7, admitted with hypertension, depression, and an over-active bladder, reported not participating in a care plan meeting. The care plan for Resident #7, last updated on 06/21/24, lacked documentation of the resident's or their representative's participation. The MDS Coordinator admitted that notifications and participation were not documented.
Deficiency in Showering Services for Residents
Penalty
Summary
The facility failed to provide adequate showering services for four residents, as observed and documented in the report. Resident #7, who required partial to moderate assistance with bathing, reported not receiving showers as scheduled and resorted to bathing themselves in the sink. The clinical record showed infrequent assistance with bathing, and the CNA responsible for showers indicated that the workload often led to incomplete shower assignments, leaving some residents without showers. Resident #21, who was under hospice care, expressed dissatisfaction with the lack of showers, having not received one in six weeks despite a preference for weekly showers. The hospice records indicated that only bed baths were provided, and the facility's DON acknowledged the responsibility to coordinate care and respect residents' bathing preferences. Similarly, Resident #33, who was totally dependent on others for bathing, had not received a shower in two weeks. The resident found the shower chair uncomfortable and inadequate for proper cleaning, and the CNA confirmed that the resident's need for multiple staff assistance often resulted in missed showers. Resident #37, who required partial to moderate assistance and preferred male staff for showers, had not received a bath in the last 30 days, with no documentation of refusals. The facility's DON stated that male staff were assigned to assist this resident, but availability issues contributed to the lack of showers. Overall, the facility's staffing and coordination challenges led to significant deficiencies in providing necessary bathing care to these residents.
Failure to Complete Ordered Lab Work for Residents
Penalty
Summary
The facility failed to ensure that laboratory work was completed as ordered for two residents. Resident #39, who had diagnoses including diabetes mellitus and hypertension, had a physician's order to repeat a lipid level in April 2024. However, the lipid level was not collected in April, and it was only completed on June 27, 2024, after the issue was identified. The Assistant Director of Nursing (ADON) acknowledged the oversight and stated that the lab work had been addressed by the physician. Resident #33, with diagnoses including atrial fibrillation and an unspecified coagulation defect, had a critical low potassium level documented on January 25, 2024. A handwritten note instructed to administer potassium and redraw the lab on January 29, 2024, to check the potassium level. However, the redraw was not performed, and instead, a complete blood count was ordered by mistake, which does not measure potassium levels. The Director of Nursing (DON) confirmed the error and stated that the facility lacked a system to monitor laboratory orders for inaccuracies.
Inaccurate MDS Assessment for Ventilator Requirement
Penalty
Summary
The facility failed to ensure the accuracy of a Minimum Data Set (MDS) assessment for a resident who was reviewed for MDS accuracy. The resident had a diagnosis of acute respiratory failure with hypoxia. A Medicare five-day assessment indicated that the resident required invasive mechanical ventilation while at the facility. However, a review of the resident's orders did not document any orders for a ventilator at the facility. The Director of Nursing (DON) confirmed that the facility did not accept residents requiring ventilators. The MDS coordinator stated that the resident was coded as requiring a ventilator because they needed one before admission to the facility.
Failure to Provide Baseline Care Plan Summary
Penalty
Summary
The facility failed to provide a summary of the baseline care plan to a resident and their representative, which is a requirement. This deficiency was identified during a review of the clinical records and interviews with the staff and resident. Resident #7, who had diagnoses including kidney failure and sleep apnea, reported not receiving a summary of their baseline care plan. Upon reviewing the resident's clinical record, it was confirmed that there was no documentation of a baseline care plan. The MDS coordinator admitted to not providing the summary because they were unaware of the requirement. The Director of Nursing acknowledged that a summary should be given to all residents and their representatives.
Failure in Dialysis Communication for Resident
Penalty
Summary
The facility failed to ensure appropriate communication between the facility and the dialysis provider for a resident who required dialysis services. The facility's policy required scheduling visits to the dialysis center and coordinating care accordingly, with a specific intervention to schedule dialysis every Monday, Wednesday, and Friday. However, a review of the resident's medical record revealed that a Dialysis Communication Form had not been completed since late May. Interviews with staff, including LPNs and the DON, indicated a lack of awareness and responsibility regarding the completion and transmission of the communication form. The LPNs and the DON acknowledged that the form should accompany the resident to the dialysis center and be entered into the computer upon the resident's return, but this process was not being followed consistently.
Failure to Conduct Thorough Abuse Investigation
Penalty
Summary
The facility failed to conduct a thorough investigation into an alleged abuse incident involving a resident and a CNA. The facility's policy on Resident Abuse, Neglect, and Misappropriation of Property requires a comprehensive investigation, including interviews with residents and staff. However, the Director of Nursing (DON) could not recall interviewing any residents or the nurse on duty during the night of the alleged incident. Despite having worked with the CNA involved and feeling confident in their character, the DON unsubstantiated the allegation without conducting a complete investigation. The DON later acknowledged that they could have spoken with other residents in the area where the incident occurred, indicating that the investigation was not thorough.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 95 citations issued within 25 miles in the last 12 months — including the 4 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 Claremore
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emerald Care Center Claremore | 1.6 mi | ★★★★★ | 7 | 0 |
| Memory Care Center At Emerald | 1.6 mi | ★★★★★ | 0 | 0 |
| Lane Nursing & Ventilator Care | 12.5 mi | ★★★★★ | 0 | 0 |
| Rolling Hills Care Center | 12.7 mi | ★★★★★ | 2 | 0 |
| Baptist Village Of Owasso | 14 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Claremore Skilled Nursing And Therapy.
100% money-back within 48 hours.
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.