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 Cross Timbers Nursing And Rehabilitation during CMS and state inspections, most recent first.
A facility failed to complete and submit a resident's Discharge Assessment to CMS within the required timeframe. The assessment, with a reference date in mid-October, was completed late, and the DON confirmed it was not submitted on time.
The facility did not follow the planned lunch menu, serving fried chicken patties, peas, scalloped potatoes, dinner rolls, and mixed fruit instead of the posted menu of baked chicken, buttered noodles, peas and mushrooms, a roll, and apricot parfait. The change was made because the chicken could not be located in time to thaw, and the administrator was consulted. Mushrooms were not served, and the menu board was not updated.
The facility failed to date and label prepared food and remove moldy food from storage. During a kitchen observation, surveyors found four bowls with an unknown substance that appeared moldy, which were not labeled or dated as required by the facility's policy. Cook #1 and the dietary supervisor confirmed the presence of mold and the need for the bowls to be discarded. This affected meals for 47 residents.
A facility failed to report an abuse allegation involving a resident with severe cognitive impairment to all required agencies. A CNA took a photo of the resident, which was posted on social media. The incident was reported to some agencies, but not to Adult Protective Services, as required by the facility's policy.
The facility failed to document an investigation into an alleged violation involving a resident with Parkinson's and schizoaffective disorder, bipolar type. A CNA photographed the resident, and the image was posted on social media. The Administrator admitted that staff interviews were not documented, as notes were discarded after the investigation, contrary to the facility's policy.
The facility did not consistently employ an RN for at least eight consecutive hours a day, seven days a week, during the first quarter of 2024. A review of staffing data revealed multiple days with no RN hours recorded. The nursing service coordinator cited challenges in securing weekend RN coverage, affecting the facility's ability to meet staffing requirements for its 66 residents.
The facility inaccurately coded MDS assessments for two residents. One resident, with heart disease and schizoaffective disorder, was wrongly documented as receiving an anticoagulant due to a coding error involving Plavix. Another resident, with diabetes and schizophrenia, was incorrectly recorded as receiving a diuretic, which they did not receive. The MDS coordinator acknowledged both errors.
The facility did not complete or accurately document PASRR Level I assessments for two residents with serious mental illnesses. One resident with paranoid schizophrenia lacked a PASRR Level I assessment, and another with bipolar disorder had an assessment that failed to document the mental illness. The SSD acknowledged these deficiencies and the need for proper notification to the OHCA.
A facility failed to administer oxygen as ordered for a resident with shortness of breath. The physician's order specified 2 LPM via nasal cannula, but the resident was observed with the O2 concentrator set at 5 LPM. An LPN confirmed the discrepancy after reviewing the order in the EHR.
A facility failed to monitor side effects for a resident prescribed Zoloft for major depressive disorder. Despite a physician's order, there was no documentation of side effect monitoring during August. The DON confirmed the oversight, stating that monitoring should have occurred.
The facility failed to document the discharge information for three residents, including where they were discharged to and whether the facility could meet their needs. Interviews confirmed the lack of documentation in the clinical records.
The facility failed to provide thirty-day notices of involuntary discharge for three residents who were discharged and did not return. Interviews with staff and external parties revealed that the facility did not document or issue the required notices, and the residents were not accepted back after being sent to the hospital.
The facility failed to complete discharge summaries for three discharged residents. One resident with multiple diagnoses was sent to the hospital without a discharge summary, and another resident with an unplanned discharge had no documentation of their discharge location or return to the facility.
A resident with multiple sclerosis and severely impaired cognition fell from the bed during a bed bath when one CNA left the room to get supplies, leaving the resident unattended. The care plan required two-person assistance, but not all necessary supplies were prepared beforehand, leading to the incident.
Failure to Timely Complete and Submit Resident Assessment
Penalty
Summary
The facility failed to ensure that resident assessments were completed and submitted to the Centers for Medicare & Medicaid Services in a timely manner. Specifically, for one resident, the Discharge Assessment had an assessment reference date of October 16, 2024, but was not completed until November 1, 2024, exceeding the 14-day period allowed for completion. Additionally, the director of nursing confirmed that the assessment was not submitted on time.
Failure to Follow Planned Menu
Penalty
Summary
The facility failed to adhere to the planned lunch menu for one meal service observed, affecting 47 residents who received meals from the kitchen. On the specified date, the posted menu in the dining room indicated that residents would be served baked chicken, buttered noodles, peas and mushrooms, a roll, and apricot parfait. However, cook #1 served fried chicken patties, peas, scalloped potatoes, dinner rolls, and mixed fruit instead. The cook stated that the menu was changed because the chicken could not be located in time to thaw, although it was later found. The cook consulted with the administrator before making the changes, and the administrator was supervising in the absence of the certified dietary manager. Additionally, mushrooms were not served as per the menu, which the administrator acknowledged as an oversight. The dining room menu board was not updated to reflect the changes.
Failure to Properly Label and Discard Moldy Food
Penalty
Summary
The facility failed to ensure that prepared food was properly dated and labeled, and that food unfit for consumption was removed from storage. During a kitchen observation, surveyors found four white bowls containing an unknown beige substance with a greenish/gray center and white edges, which appeared to be moldy. These bowls were not dated or labeled, contrary to the facility's Food Receiving and Storage policy, which mandates that all foods stored in the refrigerator or freezer be covered, labeled, and dated. Cook #1 acknowledged the presence of mold and admitted to not knowing the date for the bowls, while the dietary supervisor confirmed the mold and stated that the bowls should have been discarded. This deficiency affected the meals provided to 47 residents who received their meals from the kitchen.
Failure to Report Abuse to All Required Agencies
Penalty
Summary
The facility failed to report an allegation of abuse to all required agencies, as per their policy. The policy, revised in September 2022, mandates that all reports of resident abuse, neglect, exploitation, or theft/misappropriation of resident property must be reported to local, state, and federal agencies and thoroughly investigated by facility management. The policy specifies that the state licensing/certification agency, local/state ombudsman, resident's representative, adult protective services, law enforcement officials, the resident's attending physician, and the facility medical director should be notified immediately. However, in the case of a resident with severe cognitive impairment due to Parkinson's and schizoaffective disorder, the facility failed to notify Adult Protective Services after a certified nursing assistant (CNA) took a photograph of the resident, which was later posted on social media by the CNA's significant other. The incident was reported to the state licensing agency, local law enforcement, and the Nurse Aide Registry, but there was no documentation of notification to Adult Protective Services. The administrator confirmed that the investigation documentation was complete, indicating a lapse in following the facility's policy for reporting such incidents. This oversight in reporting to all required agencies constitutes a deficiency in the facility's adherence to its own policies and regulatory requirements.
Failure to Document Investigation of Alleged Violation
Penalty
Summary
The facility failed to maintain documentation that an alleged violation was thoroughly investigated. The facility's policy on Abuse, Neglect, Exploitation, or Misappropriation, revised in September 2022, requires that all reports of resident abuse, neglect, exploitation, or theft/misappropriation of resident property be thoroughly investigated by facility management, with findings documented and reported. However, in the case of a resident with Parkinson's and schizoaffective disorder, bipolar type, there was no documentation of any staff interviews conducted by the facility following an incident where a CNA photographed the resident and the image was later posted on social media by the CNA's significant other. The Administrator admitted that there was no documentation of staff interviews, stating that notes were taken during the investigation but were discarded after the investigation was completed. This lack of documentation indicates a failure to adhere to the facility's policy of thoroughly documenting investigations into alleged violations.
Inconsistent RN Staffing Coverage
Penalty
Summary
The facility failed to consistently employ a registered nurse (RN) for at least eight consecutive hours a day, seven days a week, during the months of January, February, and March 2024. This deficiency was identified through a review of the PBJ Staffing Data Report, which documented multiple days within this period where no RN hours were recorded. Specifically, there were no RN hours on several dates across these three months. The nursing service coordinator acknowledged the challenge of finding weekend RN coverage, which contributed to the inconsistency in meeting the staffing requirement. At the time of the deficiency, 66 residents were residing in the facility.
Inaccurate MDS Assessment Coding for Two Residents
Penalty
Summary
The facility failed to ensure accurate coding of Minimum Data Set (MDS) assessments for two residents out of a sample of 17. One resident, diagnosed with atherosclerotic heart disease, hypertension, and schizoaffective disorder, was incorrectly documented as receiving an anticoagulant in their quarterly assessment. The MDS coordinator admitted to mistakenly coding Plavix as an anticoagulant. Another resident, with diagnoses including diabetes mellitus, schizophrenia, and hyperlipidemia, was inaccurately recorded as receiving a diuretic in their annual assessment. The MDS coordinator acknowledged the error, confirming that the resident did not receive a diuretic during the review period.
Failure to Complete Accurate PASRR Assessments for Residents with Mental Illness
Penalty
Summary
The facility failed to ensure that PASRR Level I assessments were completed and accurately documented for two residents with serious mental illnesses. Resident #13, diagnosed with paranoid schizophrenia, did not have a PASRR Level I assessment on file, and the Social Services Director (SSD) acknowledged the absence of this documentation. The SSD also noted that the Oklahoma Health Care Authority (OHCA) should have been notified of the diagnosis to determine if a Level II screening was necessary. Resident #54 was admitted with a diagnosis of bipolar disorder, but the PASRR Level I assessment incorrectly documented the primary diagnosis as cerebral infarction and secondary diagnosis as hemiplegia and hemiparesis, with no mention of a serious mental illness. The SSD confirmed that the PASRR Level I should have included the bipolar disorder diagnosis.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to administer oxygen (O2) as ordered by the physician for a resident diagnosed with shortness of breath (SOB). The physician's order, dated October 5, 2022, specified that the resident should receive O2 at 2 liters per minute (LPM) via nasal cannula (NC) to maintain saturation above 90%. However, on August 20, 2024, at 9:15 a.m., the resident was observed with the O2 concentrator set at 5 LPM, contrary to the physician's order. Later, at 9:51 a.m., a Licensed Practical Nurse (LPN) confirmed that the O2 was supposed to be set at 2 LPM after reviewing the order in the electronic health record (EHR) and verifying the concentrator setting.
Failure to Monitor Side Effects of Psychotropic Medication
Penalty
Summary
The facility failed to conduct side effect monitoring for a resident who was prescribed a psychotropic medication. The resident, diagnosed with major depressive disorder, had a physician's order for Zoloft, a depression medication, to be administered at bedtime. However, there was no documentation indicating that side effects were monitored throughout the month of August 2024. During an interview, the Director of Nursing (DON) confirmed that side effects were not monitored for the resident's use of Zoloft, acknowledging that they should have been.
Failure to Document Discharge Information for Residents
Penalty
Summary
The facility failed to ensure that the clinical records of discharged residents contained proper documentation of the discharge for three residents. Resident #4, who had diagnoses including dysphagia, cognitive communication deficit, depression, brief psychotic disorder, insomnia, and schizophrenia, was sent to the hospital due to low hemoglobin and hematocrit levels. However, there was no documentation in the clinical record indicating where the resident was discharged to or that the facility could not meet the resident's needs. Similarly, Resident #5, who had diagnoses of hyperlipidemia, depression, end-stage renal disease, and anxiety, was discharged to the hospital after expressing difficulty breathing. The clinical record lacked documentation indicating that the facility could not meet the resident's needs and that the discharge was involuntary. Resident #6, diagnosed with schizophrenia, depression, hypertension, and hyperlipidemia, also had an unplanned discharge with no documentation of where the resident was discharged to or the reasons leading to the discharge. Interviews with the MDS Coordinator and the Social Service Director confirmed that there was no documentation in the clinical records of Residents #4, #5, and #6 to indicate that the facility could not meet their needs. Additionally, there was no documentation of where Resident #6 was discharged to. This lack of documentation fails to comply with the requirement to provide adequate reasons and specific information when a resident is transferred or discharged.
Failure to Provide Thirty-Day Notices of Involuntary Discharge
Penalty
Summary
The facility failed to provide thirty-day notices of involuntary discharge for three residents who were discharged and did not return. Resident #4, diagnosed with dysphagia, cognitive communication deficit, depression, brief psychotic disorder, insomnia, and schizophrenia, was sent to the hospital due to low hemoglobin and hematocrit levels. There was no documentation of where the resident was discharged to, and no thirty-day notice of discharge was provided. Similarly, Resident #5, diagnosed with hyperlipidemia, depression, end-stage renal disease, and anxiety, was sent to the hospital after expressing difficulty breathing. The resident did not return to the facility, and no thirty-day notice of discharge was documented. Resident #6, diagnosed with schizophrenia, depression, hypertension, and hyperlipidemia, also had an unplanned discharge with no documentation of where the resident was discharged to and no thirty-day notice provided. Interviews with facility staff, including the Director of Nursing (DON), MDS Coordinator, Social Service Director, and Business Office Manager, revealed that the facility did not provide the required thirty-day notices of discharge for these residents. The DON stated that the facility decided not to accept Residents #4 and #5 back from the hospital, and there was no additional documentation on their discharges. The Business Office Manager confirmed that the residents were sent out without the intention of taking them back and that no thirty-day notices were issued. The Social Service Director and MDS Coordinator also confirmed the lack of documentation for the required notices. The hospital case manager and a licensed therapist further corroborated that the facility did not intend to take the residents back and did not provide the necessary discharge notices. The case manager mentioned that the DON had informed them that the facility had the prerogative not to accept the residents back. The licensed therapist stated that Resident #6 was brought to their facility without prior consultation and that the facility did not want to take the resident back. The administrator acknowledged that Resident #5 would be a liability if returned and admitted there was no documentation of the discharge or the thirty-day notice for any of the residents.
Failure to Complete Discharge Summaries
Penalty
Summary
The facility failed to ensure discharge summaries were completed for three discharged residents. Resident #4, diagnosed with dysphagia, cognitive communication deficit, depression, brief psychotic disorder, insomnia, and schizophrenia, was sent to the hospital due to low hemoglobin and hematocrit levels. There was no documentation of a discharge summary for this resident. Resident #6, diagnosed with schizophrenia, depression, hypertension, and hyperlipidemia, had an unplanned discharge with no documentation of where the resident was discharged to or if they returned to the facility. The MDS Coordinator confirmed that discharge summaries were not completed for these residents.
Failure to Provide Adequate Supervision During Bed Bath
Penalty
Summary
The facility failed to ensure that two staff members were present during a bed bath for a resident who required two-person assistance. The resident, diagnosed with multiple sclerosis and neurogenic bladder, had severely impaired cognition and was dependent on two or more staff for bathing and showering. During a bed bath, one CNA left the room to obtain a draw sheet, leaving the resident unattended. As a result, the resident fell from the bed onto the floor. The incident was documented in the facility's incident report and progress notes, and confirmed through interviews with the involved staff and the Director of Nursing (DON). The care plan for the resident, last revised on 01/27/23, indicated the need for two-person assistance with bed mobility and repositioning. Interviews with the LPN, CNAs, MDS Coordinator, and the DON consistently confirmed that the resident required two-person assistance at all times during bathing. The incident occurred because not all necessary supplies were brought into the room before the bed bath began, leading one CNA to leave the room, which resulted in the resident's fall. The resident's family was present at the time of the fall and confirmed the details of the incident.
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Illustrative
What surveyors actually found near you
We read the 238 citations issued within 25 miles in the last 12 months — including the 11 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 Midwest City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emerald Care Center Midwest | 1.7 mi | ★★★★★ | 0 | 0 |
| Midwest City Post Acute & Rehab | 2 mi | ★★★★★ | 2 | 0 |
| Mid-del Skilled Nursing And Therapy | 2.2 mi | ★★★★★ | 0 | 0 |
| Sienna Extended Care & Rehab | 2.8 mi | ★★★★★ | 0 | 0 |
| Park Place Healthcare And Rehab | 3.5 mi | — | 29 | 1 |
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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.