Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Elmbrook Of Atoka during CMS and state inspections, most recent first.
The facility did not have a registered nurse designated as the Director of Nursing (DON) on a full-time basis. An LPN had been serving as the DON for two years, and the facility was not actively seeking a registered nurse for the position. Verification confirmed that the LPN did not hold a registered nurse license.
The facility failed to monitor side effects for anticoagulant medications in two residents. One resident with a pulmonary embolism had no documentation of side effect monitoring for Eliquis, despite the DON's acknowledgment of the requirement. Another resident with heart failure had a physician's order for daily monitoring, but the MAR and TAR lacked this documentation, indicating non-compliance with the monitoring protocol.
The facility failed to ensure behavior interventions and side effect monitoring for residents on psychotropic medications. Four residents were identified without documented interventions or monitoring. A resident with dementia and anxiety was on Zyprexa without interventions, another with mild dementia was on Risperdal without monitoring, and a third with anxiety was on lorazepam and Zoloft without side effect monitoring. Additionally, a resident with vascular dementia and depression was on multiple psychotropic medications without documented side effect monitoring, as acknowledged by the DON.
The facility failed to adhere to infection control protocols for two residents receiving oxygen therapy. Oxygen tubing was found on the floor and not changed as required. One resident with respiratory failure and another with hypoxemia had tubing that was either undated or not replaced within the seven-day policy. The DON confirmed the tubing should be off the floor and changed weekly.
A facility failed to accurately complete a PASARR Level I screening for a resident with major depressive disorder, PTSD, and anxiety disorders. The PASARR form did not document the resident's serious mental illness, despite the care plan indicating antidepressant use for depression. The social services director admitted to missing the diagnosis and acknowledged the need for a PASARR Level II referral.
A facility failed to ensure timely physician response and implementation of a GDR for a resident with mild dementia on Risperdal. A dose reduction was agreed upon in January, but the physician responded only in March, and the reduction was not implemented. The DON noted delays in receiving GDR responses from physicians.
Failure to Designate a Registered Nurse as Director of Nursing
Penalty
Summary
The facility failed to ensure that a registered nurse was designated to serve as the Director of Nursing (DON) on a full-time basis for the residents. The administrator in training revealed that an LPN had been serving as the facility's DON for two years. The facility was not actively seeking a registered nurse for the position. The facility assessment tool identified the LPN as the DON, and verification from the Oklahoma Board of Nursing confirmed that the LPN held an active LPN license but did not have a registered nurse license.
Failure to Monitor Anticoagulant Side Effects
Penalty
Summary
The facility failed to ensure proper side effect monitoring for anticoagulant medications for two residents. Resident #29, diagnosed with a pulmonary embolism, was prescribed Eliquis twice daily. However, there was no documentation of side effect monitoring in the resident's clinical record. The Director of Nursing (DON) acknowledged that side effect monitoring should be documented under physician's orders but was unable to locate such an order for Resident #29. Despite efforts to monitor side effects with the MDS coordinator and pharmacist, the necessary documentation was missing. Resident #8, with diagnoses including heart failure, acute posthemorrhagic anemia, and seizures, was also prescribed Eliquis. A physician's order required daily monitoring for specific side effects, but the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for July 2024 did not reflect this monitoring. The lack of documentation indicates a failure to adhere to the prescribed monitoring protocol for anticoagulant side effects, as outlined in the physician's orders.
Failure in Monitoring Psychotropic Medication Side Effects and Interventions
Penalty
Summary
The facility failed to ensure behavior interventions and side effect monitoring for residents receiving psychotropic medications. Specifically, four residents were identified as not having documented behavior interventions or side effect monitoring while on such medications. Resident #19, diagnosed with dementia and anxiety, was receiving Zyprexa without documented behavior interventions. Resident #29, with mild dementia, was on Risperdal without documented behavior interventions or side effect monitoring. Resident #35, diagnosed with anxiety, was on lorazepam and Zoloft without side effect monitoring. The Director of Nursing (DON) was unable to locate documentation for behavior and side effect monitoring for these residents. Additionally, Resident #26, with vascular dementia, major depressive disorder, and anxiety disorder, was prescribed multiple psychotropic medications, including Xanax, Risperdal, Cymbalta, and Remeron. Despite physician orders to monitor for side effects, the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for July 2024 did not document any side effect monitoring for the use of these medications. The DON acknowledged the lack of behavior and side effect monitoring for these residents, indicating a systemic issue in the facility's monitoring practices.
Infection Control Deficiency in Oxygen Therapy
Penalty
Summary
The facility failed to maintain proper infection control practices for residents receiving oxygen therapy. Specifically, the oxygen tubing for two residents was found lying on the floor and was not dated as required by the facility's infection prevention policy. Resident #8, who had diagnoses including acute and chronic respiratory failure with hypoxia, COPD, and pneumonia, was observed with oxygen tubing on the floor and undated. The resident was receiving oxygen therapy via nasal cannula at 2 liters to maintain oxygen saturation levels. Similarly, Resident #36, diagnosed with hypoxemia, was also observed with oxygen tubing lying on the floor. The tubing was dated but had not been changed within the seven-day requirement as per the facility's policy. The Director of Nursing confirmed that the oxygen tubing should be kept off the floor and changed every seven days during the night shift, indicating a lapse in adherence to the established infection control protocols.
Inaccurate PASARR Screening for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accuracy of a PASARR Level I screening for a resident with mental health diagnoses. The resident had documented diagnoses of major depressive disorder, post-traumatic stress disorder, and anxiety disorders. However, the PASARR Level I form, dated May 17, 2024, did not reflect the resident's diagnosis of a serious mental illness. Additionally, the care plan dated June 5, 2024, indicated the resident was receiving antidepressant medication for depression, yet the admission assessment dated May 29, 2024, stated the resident was not considered to have a serious mental illness by the state Level II PASARR process. During an interview on July 16, 2024, the social services director acknowledged the oversight in identifying the major depressive disorder diagnosis and stated that a PASARR Level II referral should have been made to the Oklahoma Health Care Authority.
Failure to Implement Timely GDR for Antipsychotic Medication
Penalty
Summary
The facility failed to ensure timely physician response and implementation of a Gradual Dose Reduction (GDR) for a resident with mild dementia and behavioral disturbances. The resident was prescribed Risperdal 1 mg at bedtime, and a Medication Regimen Review in January 2024 requested a dose reduction to 0.5 mg, which the physician agreed to. However, the physician did not respond to the request until March 2024, and the reduction was not implemented. The Director of Nursing (DON) acknowledged that some physicians do not return GDRs promptly, sometimes taking four to five weeks, and confirmed that the order for the resident had not been implemented.
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 citations issued around you in the last 12 months — including the 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 Atoka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ruth Wilson Hurley Manor | 12.4 mi | ★★★★★ | 0 | 0 |
| Four Seasons Rehabilitation & Care | 28.7 mi | ★★★★★ | 0 | 0 |
| Oakridge Nursing Center | 28.8 mi | ★★★★★ | 1 | 1 |
| The King's Daughters & Sons Nursing Home | 30 mi | ★★★★★ | 0 | 0 |
| Choctaw Nation Nursing Home | 30.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Elmbrook Of Atoka.
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.