Above 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 Cottonwood Creek Skilled Nursing & Therapy during CMS and state inspections, most recent first.
The facility failed to ensure resident privacy when an LPN entered the rooms of two residents without knocking, despite the facility's policy requiring staff to knock before entering. One resident had chronic obstructive pulmonary disease and diabetes, requiring significant assistance with ADLs, while the other had congestive heart failure and diabetes, also needing assistance. The LPN admitted to not adhering to the privacy policy.
The facility failed to follow its insulin administration policy for two residents with diabetes. An LPN prepared insulin doses and handed them to another LPN for administration, contrary to the policy requiring the same person to prepare and administer the dose. Both LPNs and the DON acknowledged the policy breach.
The facility failed to notify the OHCA of a new mental health diagnosis for a resident who was diagnosed with delusional disorders. The resident's record did not contain documentation of this notification, and the ADON confirmed that the state was not informed.
A facility failed to ensure accurate resident assessments for a resident with end-stage renal disease. Despite having a physician's order and nurse's note confirming dialysis on specific days, the admission assessment inaccurately documented that the resident was not on dialysis. The MDS coordinator and DON acknowledged the discrepancy.
A resident with chronic obstructive pulmonary disease and congestive heart failure did not receive oxygen as ordered. The resident's oxygen tank was set to 2.5 liters per nasal cannula, but the tubing was not on the resident. An aide was unaware of the oxygen order, and an LPN later placed the oxygen on the resident, noting an oxygen saturation of 93%. The LPN mentioned the resident had been in a wheelchair earlier, and the staff likely forgot to switch the oxygen.
A resident with a history of anxiety, a past femur fracture, and mild cognitive impairment was prescribed Eliquis without a current appropriate diagnosis. The ADON and DON acknowledged that the diagnosis related to the 2023 fracture was not suitable for the continued use of the anticoagulant, indicating a failure in ensuring the drug regimen was free from unnecessary medications.
Failure to Ensure Resident Privacy
Penalty
Summary
The facility failed to ensure residents' right to privacy in their rooms, as observed in two cases. Resident #39, who has chronic obstructive pulmonary disease and type two diabetes mellitus with diabetic neuropathy, required partial to total assistance with activities of daily living (ADLs). On a specific date, an LPN entered Resident #39's room without knocking to obtain a fingerstick blood sugar (FSBS) reading. Similarly, Resident #27, diagnosed with chronic congestive heart failure and type two diabetes mellitus with diabetic neuropathy, required one to two-person assistance with ADLs. The same LPN entered Resident #27's room without knocking to perform an FSBS. The LPN later acknowledged the facility's policy of knocking before entering a resident's room to ensure privacy and dignity but admitted to not following this protocol.
Failure to Follow Insulin Administration Policy
Penalty
Summary
The facility failed to adhere to its Medication Administration-General Guidelines policy regarding insulin administration for two residents. The policy, dated January 2022, specifies that the person who prepares the dose for administration must also be the one to administer it. However, this protocol was not followed for two residents with diabetes. Resident #39, who has chronic obstructive pulmonary disease and type two diabetes mellitus with diabetic neuropathy, required partial to total assistance with activities of daily living. During an observation, LPN #2 prepared insulin doses and handed them to LPN #1, who then administered the insulin to Resident #39, contrary to the facility's policy. Similarly, Resident #27, diagnosed with chronic congestive heart failure and type two diabetes mellitus with diabetic neuropathy, required one to two-person assistance with activities of daily living. LPN #2 prepared the insulin doses and handed them to LPN #1 for administration, again violating the policy. Both LPNs acknowledged the breach of protocol during interviews, and the Director of Nursing confirmed that the policy was not followed after reviewing the incident.
Failure to Notify OHCA of New Mental Health Diagnosis
Penalty
Summary
The facility failed to notify the Oklahoma Health Care Authority (OHCA) of a new mental health diagnosis for a resident sampled for preadmission screening and resident review. The resident was admitted to the facility and later received a diagnosis of delusional disorders. However, the resident's record lacked documentation indicating that the OHCA was informed of this new diagnosis. During an interview, the Assistant Director of Nursing (ADON) confirmed that the state was not notified of the mental health diagnosis.
Inaccurate Resident Assessment for Dialysis
Penalty
Summary
The facility failed to ensure the accuracy of resident assessments, specifically for one resident diagnosed with end-stage renal disease. This resident had a physician's order for dialysis scheduled on Monday, Wednesday, and Friday, which was confirmed by a nurse's progress note. However, the admission assessment inaccurately documented that the resident was not going to dialysis, despite the resident having been on dialysis since their arrival at the facility. The MDS coordinator acknowledged the discrepancy, and the Director of Nursing expressed the expectation that the MDS should accurately reflect the resident's condition.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to ensure that oxygen was administered as ordered for Resident #30, who had diagnoses of chronic obstructive pulmonary disease and congestive heart failure. A physician's order dated December 3, 2024, specified that the resident was to receive oxygen at 2 liters per nasal cannula every day and night shift due to chronic obstructive pulmonary disease with acute exacerbation. However, on February 3, 2025, at 1:36 p.m., the resident was observed with their oxygen tank set to 2.5 liters per nasal cannula, and the oxygen tubing was not on the resident but in the bag attached to the oxygen concentrator. An advanced certified medication aide was unaware if the resident was supposed to wear their oxygen all the time and intended to check with the nurse. Subsequently, an LPN acknowledged that the oxygen was supposed to be on the resident and then placed it on them, noting an oxygen saturation of 93%. The LPN mentioned that the resident had been up in their wheelchair earlier, and the staff must have forgotten to switch the oxygen over.
Inappropriate Use of Anticoagulant Medication
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary medications. Specifically, a resident with a history of anxiety, a displaced closed fracture of the left femur from 2023, and mild cognitive impairment was prescribed Eliquis, an anticoagulant, without an appropriate current diagnosis. The physician's order, initiated on 09/27/23, indicated the use of Eliquis for the fracture, which was not updated or deemed appropriate by the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) during interviews conducted on 02/05/25. Both the ADON and DON acknowledged that the diagnosis related to the fracture from 2023 was not suitable for the continued administration of Eliquis, highlighting a lapse in the accuracy of diagnoses for medication administration.
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 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
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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) |
|---|---|---|---|---|
| Glenhaven Retirement Village | 0 mi | ★★★★★ | 0 | 0 |
| Shanoan Springs Nursing And Rehabilitation | 1.7 mi | ★★★★★ | 1 | 1 |
| Chickasha Nursing Center, Inc | 2 mi | ★★★★★ | 0 | 0 |
| Anadarko Nursing & Rehab | 16.1 mi | ★★★★★ | 9 | 0 |
| Senior Village Healthcare | 18.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.