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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Corn Heritage Village And Rehab during CMS and state inspections, most recent first.
A resident on long-term anticoagulant therapy experienced an unwitnessed fall with head injury, but staff failed to notify the physician of the resident's medication status and subsequent changes in condition. Despite developing significant bruising, low blood pressure, and mental status changes, the resident was not promptly assessed or sent to the hospital, resulting in delayed intervention. Staff interviews confirmed that established protocols for monitoring and physician notification were not followed.
Nursing staff did not effectively assess, monitor, or intervene for a resident on a blood thinner who sustained a head injury after a fall. Staff failed to notify the physician of the resident’s anticoagulant use and abnormal vital signs, resulting in delayed hospital transfer and diagnosis of an acute subdural hematoma. Interviews indicated staff were unaware of the need to report such changes, and annual competency checks had not been completed.
A resident on anticoagulation therapy experienced a fall with head injury, but the LPN did not inform the physician of the resident's blood thinner use or subsequent changes in condition, including abnormal vital signs and new injuries. The physician was only notified after the resident's neurological status declined significantly, resulting in hospital transfer and diagnosis of a subdural hematoma.
The facility did not report an allegation of resident-to-resident sexual abuse to OSDH within the required 24-hour period. Two residents with cognitive impairments were involved in the incident, and the DON later confirmed the reporting delay, which was not in accordance with facility policy.
A resident with anxiety disorder did not receive medications as per physician's orders due to a discrepancy between the drug label and the physician's order list. The order specified administration every four hours, but the medication was given four times a day. The inconsistency was noted, but no clarification was sought from the physician.
The facility failed to implement an antibiotic stewardship program for three residents who were prescribed antibiotics without completing the Mcgreer criteria checklist. The DON and infection preventionist acknowledged the oversight, citing staff changes as the reason for the lapse.
A facility failed to report new mental illness diagnoses for a resident to the OHCA as required by PASARR policy. The resident had new diagnoses of anxiety disorder, recurrent depressive disorder, hallucinations, and psychosis, but these were not reported for a level II review. The DON was unaware of the reporting requirement until recently, and a level II screen was not conducted until later, when it was deemed unnecessary.
A resident with congestive heart failure and chronic obstructive pulmonary disease was admitted to hospice care, but the facility failed to include hospice services in the resident's care plan. Despite a comprehensive assessment noting the resident's intact cognition and receipt of hospice services, the care plan did not reflect these services, contrary to the facility's policy requiring updates within seven days of changes in condition.
The facility failed to provide incontinent care every two hours to three dependent residents with impaired range of motion and incontinence. Observations revealed that these residents were left without care for several hours, resulting in grossly saturated briefs. A CNA and RN confirmed the facility's policy was not followed.
The facility failed to provide food handling training to eight out of nineteen dietary staff members, including cooks and dietary aides, which is crucial for preventing foodborne illness. The deficiency was identified during a review, with the Administrator unable to verify training for these staff members, affecting meal preparation for 61 residents.
Failure to Monitor and Intervene After Fall in Resident on Anticoagulant
Penalty
Summary
A deficiency occurred when the facility failed to ensure proper monitoring and intervention for a resident on long-term anticoagulant therapy following an unwitnessed fall. The resident, who had diagnoses including rheumatoid arthritis, atrial fibrillation, hypertension, and a history of transient ischemic attack, experienced a fall from a recliner, hitting their head and developing significant bruising. Despite the facility's policy requiring neurologic assessments and immediate physician notification for head injuries, there was no documentation that the physician was notified of the resident's change in condition after the fall. Subsequent nursing notes indicated the resident had increased bruising, low blood pressure, decreased oxygen saturation, and required more assistance, but these changes were not communicated to the physician. The LPN who reported the fall to the physician's nurse failed to mention that the resident was on a blood thinner, leading to a lack of appropriate medical response. The resident's condition further deteriorated, with pinpoint pupils and a mental status change observed two days after the fall, at which point the physician was finally notified and the resident was sent to the hospital. Interviews with staff confirmed that the resident should have been sent to the hospital immediately after the fall due to their anticoagulant use and head injury. The LPN acknowledged overlooking the resident's anticoagulant therapy and not reporting abnormal blood pressure readings or the development of two black eyes to the physician. The failure to follow established protocols for monitoring and physician notification after a significant change in condition resulted in a delay in appropriate medical intervention.
Removal Plan
- Staff will identify residents on anticoagulants at shift change by notifying oncoming staff at shift change of all residents on anticoagulants.
- Administration will post a roster in the medication room of all residents on anticoagulants.
- Administration will post a roster in the medication room of all anticoagulant medications.
- Will adjust EHR resident dashboard to indicate the use of anticoagulant medication.
- Immediate In-Service Education of medication management with a focus on high-risk drugs like anticoagulants for nursing staff and CMAs.
- Competency assessments will be completed by nursing administration including demonstrations of skills, med-administration, side effects and monitoring requirements.
- All residents were reassessed for changes in condition and care plans were updated for discrepancies.
- Nursing staff were educated on monitoring residents through routine assessments, ongoing observation, and documentation. This includes checking vital signs, evaluating physical and mental status, and noting any changes in behavior, appearance, or function.
- Staff are now trained to recognize both subtle and obvious changes in residents' health, such as increased confusion, changes in mobility, altered appetite, new or worsening pain, or unusual sleep patterns.
- Nursing Staff were educated on promptly notifying the physician whenever there is a significant change in the condition of a nursing home resident on anti-coagulants. This includes any acute medical events, substantial changes in physical or mental status, or any situation that may require a change in treatment or intervention. Notification should occur as soon as reasonably possible after the change has been identified by nursing staff, in accordance with regulatory guidelines and the facility's policies.
- Nursing home nursing staff will receive dedicated training focused on the indications for commonly used medications, with special emphasis on blood thinners. The training will cover: Overview of blood thinners: indications, expected outcomes, and common side effects. Recognizing signs and symptoms of adverse reactions or complications (e.g., bleeding, bruising, changes in mental status, or unexplained pain). Monitoring protocols for residents on blood thinners, including vital signs, laboratory values, and physical assessments. Documentation requirements and communication procedures for reporting changes in resident conditions. Emergency response procedures for suspected medication-related complications.
- The training will be delivered by the facility's Director of Nursing, in collaboration with the facility pharmacist consultant and CHV nurse consultant.
Failure to Ensure Nursing Staff Competency in Change of Condition for Resident on Anticoagulant
Penalty
Summary
Nursing staff failed to demonstrate appropriate competency in assessing, monitoring, and intervening for a resident who was on a routine blood thinner and sustained a fall with a head injury. The resident, who had a history of atrial fibrillation and heart failure and was prescribed Xarelto, experienced a fall resulting in a head injury and subsequent acute subdural hemorrhage. Despite facility policy requiring neurological assessments and immediate physician notification for head trauma, staff did not communicate the resident’s anticoagulant use to the physician and did not send the resident to the hospital immediately after the fall. Documentation showed that after the fall, the resident developed a large hematoma, bruising, and later two black eyes and additional bruising, with abnormal blood pressure readings noted. Staff continued to monitor the resident in the facility, performing neuro checks and documenting changes, but failed to recognize or report significant changes in condition, including abnormal vital signs and new injuries, to the physician in a timely manner. The resident’s condition deteriorated over the following days, culminating in confusion, pinpoint pupils, and slow responsiveness, at which point the resident was finally transferred to the hospital and diagnosed with an acute subdural hematoma. Interviews with staff revealed a lack of awareness regarding the importance of reporting anticoagulant use and abnormal vital signs after a fall. The LPN involved admitted to overlooking the resident’s blood thinner status and not communicating critical information to the physician. The DON and ADON acknowledged that the facility’s process for physician notification after a fall was not consistently followed, and that annual competency check-offs for nursing staff had not been completed.
Removal Plan
- All nursing staff complete Skills Competency proficiency of change of condition with a focus on high-risk drugs like anticoagulants.
- DON and ADON are in-serviced on training and completing nursing skills competency education for nursing staff.
- All residents are reassessed for changes in condition and care plans are updated for discrepancies.
- DON and ADON are educated on auditing nursing staff annual skills competency education.
- DON and ADON are educated on auditing nursing staff new hire skills competency education.
- Nursing staff complete testing regarding changes in condition, medication drug class identification, and recognizing vital signs.
- Nursing staff are educated on what constitutes a significant change in condition that requires reporting, including sudden onset of symptoms, significant changes in vital signs, new or worsening pain, changes in mobility, altered level of consciousness, signs of infection, unexplained weight loss or gain, and changes in skin integrity.
Failure to Notify Physician of Change in Condition After Fall with Head Trauma
Penalty
Summary
The facility failed to ensure timely and appropriate physician notification following a significant change in condition for a resident who experienced a fall with head trauma. The resident, who had a medical history including atrial fibrillation and was prescribed Xarelto (a blood thinner), sustained a head injury after an unwitnessed fall. Facility policy required immediate physician notification and neurological assessment for any head trauma, especially for residents on anticoagulants. However, documentation and interviews revealed that the physician was not informed that the resident was on a blood thinner at the time of the initial notification, and critical details such as abnormal blood pressure readings and the development of new injuries (including two black eyes and additional bruising) were not promptly communicated. Nursing notes indicated that the resident developed worsening symptoms over the following days, including increased bruising, new injuries, and abnormal vital signs. Despite these changes, there was no evidence that the physician was updated about the resident's deteriorating condition or the significance of the blood thinner therapy. The resident continued to receive Xarelto, and neuro checks were performed, but the escalation of symptoms and abnormal findings were not reported as required by facility policy. It was only after a significant decline in neurological status, including confusion and pinpoint pupils, that the physician was notified and the resident was transferred to the hospital, where a diagnosis of acute subdural hematoma was made. Interviews with facility staff, including the LPN and ADON, confirmed that the physician should have been notified immediately after the fall due to the resident's anticoagulant use and that subsequent changes in condition warranted further communication, which did not occur.
Failure to Timely Report Alleged Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure that allegations of abuse were reported to the Oklahoma State Department of Health (OSDH) within 24 hours as required by policy and state law. Specifically, an incident involving two residents, where one resident was observed placing another resident's hands in their groin area over clothing, was not reported to OSDH within the mandated timeframe. The facility's policy requires immediate reporting of any alleged abuse to the administrator and DON, who are then responsible for notifying authorities. However, the initial report to OSDH was made after the 24-hour window had passed. Resident records indicated that one resident involved had moderate cognitive impairment and a history of sexually inappropriate behavior, while the other had severe cognitive impairment and required significant assistance with activities of daily living. During interviews, one resident denied being approached by another resident, and the DON confirmed that the incident should have been reported within 24 hours. The failure to report the allegation in a timely manner constituted a deficiency in the facility's abuse reporting procedures.
Medication Administration Discrepancy for Resident with Anxiety Disorder
Penalty
Summary
The facility failed to administer physician-ordered medications correctly for a resident diagnosed with senile degeneration of the brain, anxiety disorder, and polyarthritis. The physician's order, dated November 6, 2024, instructed the administration of 0.5 mg PLO gel every four hours. However, the drug label and the physician's order list documented conflicting instructions, with the label indicating application every four hours and the order list specifying four times a day. This discrepancy was not clarified with the physician, leading to a medication error. The Controlled Narcotic Administration Record showed an accurate count of 53 pre-filled syringes of 0.5 ml medication, but it documented administration four times a day instead of every four hours as ordered. A Medication Error Report noted the inconsistency between the prescription label and the chart order, yet no clarification was sought. The Director of Nursing acknowledged the discrepancy and the need to contact the physician for clarification, but this action was not taken at the time of the report.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to implement an antibiotic stewardship program for three residents who were sampled for medication review. Resident #17, diagnosed with chronic systolic congestive heart failure, permanent A-Fib, and recurrent depressive disorders, was prescribed Macrobid for a urinary tract infection without the completion of the Mcgreer criteria checklist. Similarly, Resident #39, with chronic obstructive pulmonary disease and acute kidney disease, was prescribed Cephalexin for a urinary tract infection, but the Mcgreer criteria checklist was not completed. Resident #44, who had congestive heart failure and atrial fibrillation, was given Piperacillin-Tazobactam for a severe liver infection, yet again, the Mcgreer criteria checklist was not utilized. The Director of Nursing (DON) and the infection preventionist acknowledged the oversight, citing a change in staff as the reason for the lapse in completing the Mcgreer criteria for residents prescribed antibiotics. The infection preventionist was unaware that the Mcgreer criteria checklist should have been completed for residents receiving antibiotics. This lack of adherence to the antibiotic stewardship program was identified during interviews with the DON and the Assistant Director of Nursing (ADON), highlighting a significant gap in the facility's infection control program.
Failure to Report New Mental Illness Diagnoses
Penalty
Summary
The facility failed to report new mental illness diagnoses for a resident to the Oklahoma Health Care Authority (OHCA) as required by the Preadmission Screening and Annual Resident Review (PASARR) policy. The policy mandates that all residents with newly evident or possible serious mental disorders be referred for a level II review upon a significant change in status assessment. Resident #6, who was admitted with primary diagnoses of chronic obstructive pulmonary disease and acute on chronic systolic heart failure, had new diagnoses of anxiety disorder, recurrent depressive disorder, hallucinations, and psychosis documented on various dates. Despite these new mental health diagnoses, the Director of Nursing (DON) reported that they were not aware of the requirement to report these to the OHCA until recently, and a level II screen was not conducted until 11/18/24, when it was determined not to be required.
Failure to Include Hospice Services in Care Plan
Penalty
Summary
The facility failed to include hospice services in the care plan for a resident who was receiving hospice care. The resident had diagnoses of congestive heart failure and chronic obstructive pulmonary disease and was admitted to hospice with a diagnosis of hypertensive heart disease with heart failure. Despite a comprehensive assessment documenting the resident's intact cognition and receipt of hospice services, the care plan did not address or document these hospice services. The facility's policy required comprehensive care plans to be revised and updated within seven days of any new changes in a resident's condition, but this was not adhered to in this case.
Failure to Provide Timely Incontinent Care to Dependent Residents
Penalty
Summary
The facility failed to provide incontinent care to dependent residents at least every two hours, as required by their policy. Three residents, all of whom had impaired range of motion in both upper and lower extremities and were incontinent of bowel and bladder, were observed sitting in the common area and later escorted to the dining room and activity area without receiving incontinent care. These residents were dependent on staff for all activities of daily living (ADLs). During the observation period, the residents were not provided with incontinent care for several hours. When care was finally administered, the residents' briefs and padding were found to be grossly saturated, indicating a significant delay in care. A Certified Nursing Assistant (CNA) confirmed that the facility's policy was to check dependent residents every two hours, acknowledging that this policy was not followed for the observed residents. The Registered Nurse (RN) also confirmed the policy and acknowledged the failure to adhere to it.
Lack of Food Handling Training for Dietary Staff
Penalty
Summary
The facility failed to ensure that all dietary staff received training in safe food handling practices, which is essential for the prevention of foodborne illness. This deficiency was identified during a record review and interview process, revealing that eight out of nineteen dietary staff members, including four cooks and four dietary aides, had not received the required food handlers training. The Director of Nursing (DON) confirmed that 61 residents resided in the facility, all of whom received meals prepared by the dietary department. The deficiency was noted when the Administrator was unable to provide verification of food handlers training for these eight staff members, acknowledging the lapse in training compliance.
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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 Corn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Corn Heritage Village And Rehab Of Weatherford | 12.1 mi | ★★★★★ | 0 | 0 |
| Cordell Nursing And Rehabilitation | 12.4 mi | ★★★★★ | 18 | 0 |
| Clinton Therapy & Living Center | 14 mi | ★★★★★ | 0 | 0 |
| River Valley Skilled Nursing And Therapy | 14.7 mi | ★★★★★ | 3 | 0 |
| Maple Lawn Nursing And Rehabilitation | 16.9 mi | ★★★★★ | 6 | 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.