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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Emerald Care Center Midwest during CMS and state inspections, most recent first.
Grievance Procedure Not Posted or Accessible: The facility failed to ensure residents had access to the grievance process and could file an anonymous grievance. No grievance information was posted during tour, and forms were found in an open copier-room cabinet and in a file cabinet at the nurse's station without clear identification. The DON, CNA, social services director, and administrator all confirmed the grievance procedure was not posted, and the social services director was unsure whether anonymous grievances were allowed.
A resident was readmitted after an unanticipated discharge with dx including UTI, malignant neoplasm of the duodenum, DM2, and COPD, but the facility only had a limited care plan covering nutrition and activities and did not develop a comprehensive person-centered plan addressing all needs. Staff also stated that a care planning meeting with the resident and/or representative had not been completed.
Failure to supervise a resident at risk for elopement: A resident with dementia and severe cognitive impairment was identified as an elopement risk, but was found by a visitor sitting in the south parking lot in a wheelchair after leaving the front lobby unsupervised. Staff brought the resident back inside, assessed the resident, and the DON stated the activity director had been away from the lobby for about 10-15 minutes when the resident disappeared.
A resident ordered IV ampicillin for cellulitis missed a scheduled dose because the medication was not alerted for administration after being transcribed between the MAR and TAR. An LPN stated the dose was not given because the system did not alert staff, and the DON acknowledged awareness of the missed medication.
Failure to obtain ordered laboratory tests. A resident with polycythemia vera and GI surgical aftercare had a physician order for weekly CBC and CMP draws on Sundays, but the EMR showed no results for two scheduled draws. An LPN could not find the lab results in the system, and the DON stated the nurse did not enter the orders, so the resident missed the ordered lab draws.
A resident admitted with a history of thrombectomy experienced a delay in receiving prescribed hydrocodone/APAP for pain management. Although the physician's order was dated, the electronic prescription was not sent to the pharmacy until the following day, resulting in a delay in delivery and administration. The DON acknowledged the delay in submitting the order.
The facility failed to provide complete and accurate documentation for two residents who experienced falls, and restricted access to incident reports for surveyors. One resident, with anemia and hypertension, had incomplete fall documentation, while another, with atrial fibrillation, had inconsistent records. The DON confirmed that incident reports were internal and not accessible to surveyors, contributing to the deficiency.
A resident with moderate cognitive impairment experienced a fall resulting in a bruise, but the facility failed to document notification of the resident's representative. The LPN left a message for the family but did not record this in the electronic record, only in the risk management system, which surveyors could not access.
A resident was discharged without a critical wheelchair due to the facility's failure to order and ensure its delivery in a timely manner. The Social Services Director did not document attempts to order the wheelchair and failed to follow up with the resident's family, leading to the deficiency in discharge planning.
The facility failed to administer scabies treatments in a timely manner for two residents. One resident's Ivermectin tablets were delivered but not given until nearly six days later, while another resident's Permethrin cream was applied over a day after delivery. The ADON confirmed these delays upon reviewing the records.
A facility failed to administer Permethrin Cream 5% as ordered for a resident with scabies. The treatment was prescribed to be applied for two days, but the resident reported it was only applied once, and they had not been showered as required. The resident continued to show symptoms, and the ADON confirmed the treatment was not completed as prescribed.
A resident with dementia and dermatitis experienced an untreated rash for several weeks due to the facility's failure to notify the physician. Initial treatment with Clobetasol cream ended, but the rash persisted without further action. The IPC nurse and DON were unaware of the lack of treatment, and a later dermatology visit identified the rash as likely scabies, leading to appropriate treatment.
The facility failed to implement its infection control policy for scabies surveillance among residents, leading to a deficiency. Despite symptoms consistent with scabies, there was no documentation of room cleaning or surveillance data collection. Staff interviews revealed a lack of awareness and training regarding the infection control policy and procedures. The DON admitted to not gathering surveillance data, and housekeepers were untrained in cleaning procedures for scabies. The IPC nurse was unaware of the surveillance plan, contributing to the deficiency.
The facility failed to implement its abuse policy for three residents, resulting in unreported and uninvestigated allegations of verbal and physical abuse. Despite residents having intact cognition and reporting incidents, the facility did not follow through with immediate reporting to state agencies or proper investigations.
Grievance Procedure Not Posted or Accessible
Penalty
Summary
The facility failed to ensure residents had access to the grievance procedure and the ability to file an anonymous grievance. During a tour of the facility, there was no information posted regarding the grievance procedure or the location of grievance forms. Grievance forms were later found in the copier room in an open cabinet on the wall by the DON's office and in a file cabinet at the nurse's station with other facility forms, with no information indicating the forms were located there. The DON stated the copier room was not locked and residents had access to the grievance forms, but also stated a resident in a wheelchair would not have access to the forms. The facility's Grievance Policy, dated 01/2024, stated residents would be informed orally and in writing of their right to make complaints and grievances and the process to do so during admission, readmission, and the care planning process. However, CNA #1 stated they had not seen any posted grievance process in the facility. The social services director, who stated they were responsible for grievances, could not locate the facility's grievance process or identify who the grievance official was in the admission agreement, and was not sure if a resident could file an anonymous grievance. The social services director also stated the grievance procedure was not posted, and the administrator was unable to locate a posted facility grievance procedure.
Incomplete care planning and lack of resident/family involvement after readmission
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for Resident #3 after the resident was readmitted following a discharge return not anticipated. A comprehensive care plan dated 02/20/26 was canceled on 04/09/26 due to discharge, and a minimum data set entry dated 04/13/26 showed the resident was readmitted with diagnoses including urinary tract infection, malignant neoplasm of duodenum, type 2 diabetes mellitus without complications, and chronic obstructive pulmonary disease. A care plan dated 04/15/26 included only two care planned areas, nutrition and activities, and did not address all aspects of the resident's care. The facility also failed to include the resident and/or representative in care planning for Resident #3. The facility policy stated every effort would be made to involve the resident and family or responsible party in the development, implementation, maintenance, and evaluation of the plan of care, and that when a resident returns after discharge not anticipated, the care plan must be rewritten and dates changed. On 06/11/26, the unit director stated Resident #3 should have had a comprehensive care plan after readmission but did not, and the social services director stated the comprehensive care plan had not been developed to address all needs and that a care planning meeting should have been completed after readmission but had not.
Failure to Supervise Resident at Risk for Elopement
Penalty
Summary
The facility failed to provide adequate supervision to prevent an elopement for one resident who was identified as an elopement risk. The resident’s care plan, dated 11/01/24, identified the resident as an elopement risk and listed interventions such as offering pleasant diversions, structured activities, food, conversation, television, or a book to distract the resident from wandering. A quarterly comprehensive assessment dated 06/17/25 showed the resident had dementia and a brief interview for mental status score of 1, indicating severe cognitive impairment. An incident report dated 07/01/25 stated the resident was observed by a visitor sitting in the facility’s south parking lot in a wheelchair, and staff brought the resident back inside after being alerted. A nurse’s note documented that the resident was found in the parking lot, assessed for injuries, and the PCP and daughter were contacted. During interview, the DON stated the resident was alert and oriented to self only when the elopement occurred and that the activity director had left the front lobby for approximately 10-15 minutes while the resident had been sitting there. When the activity director returned, the resident was no longer present, and a visitor later reported the resident outside in the wheelchair.
Missed IV Antibiotic Dose
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when the facility failed to administer intravenous medication as ordered for Resident #2. Resident #2 had a physician order dated 06/05/26 for ampicillin sodium injection, 2 grams intravenously every six hours for cellulitis for 10 days. The 06/2026 treatment administration record showed the 12:00 p.m. dose was not administered on 06/06/26, with the record directing staff to see nurse's notes. A nursing note dated 06/06/26 at 6:23 p.m. stated the ampicillin order was on the MAR and then switched to the TAR. On 06/10/26, an LPN stated the intravenous ampicillin was not administered because it did not alert the nurse at 12:00 p.m. and said it should have been transcribed under the treatment record so nurses would have been alerted to give it. The DON stated on 06/11/26 that medications were transcribed into the electronic health system and administered as ordered and acknowledged awareness of the missed medication for Resident #2.
Failure to Obtain Ordered Laboratory Tests
Penalty
Summary
The facility failed to provide laboratory services as ordered by a physician for Resident #1. A physician ordered weekly CBC and CMP blood draws on Sundays, but the resident’s electronic medical record did not show results for the scheduled draws on 05/31/26 or 06/07/26. The resident was admitted with diagnoses including polycythemia vera and surgical aftercare of the gastrointestinal system. During interview, an LPN stated nurses entered lab orders into the laboratory provider’s website and the provider obtained blood draws in the facility, but no CBC or CMP results could be found for the resident. The DON stated the resident was supposed to have weekly CBC and CMP testing on Sundays, did not see the results in the system, and later stated the facility nurse did not enter the orders, resulting in the missed laboratory draws.
Delay in Pain Medication Order Submission
Penalty
Summary
The facility failed to ensure that an order for pain medication was submitted to the pharmacy in a timely manner for one of the sampled residents. The resident was admitted with a history of thrombectomy of the right superficial femoral, profunda femoral, and popliteal arteries. A physician's order dated January 23, 2025, indicated that the resident was to receive hydrocodone/APAP for pain management. However, the resident reported that it took two days to receive medication stronger than Tylenol. The certified medication aide confirmed the delay, and the pharmacist noted that the electronic prescription was not sent until January 24, 2025, at 5:08 p.m. Consequently, the medication was not delivered until after 5:44 p.m. on the same day, and the first dose was administered at 8:59 p.m. The director of nursing acknowledged the delay in submitting the order to the pharmacy.
Incomplete Documentation and Restricted Access to Incident Reports
Penalty
Summary
The facility failed to ensure that incident reports involving residents were accessible to the State Agency (SA) and that resident records were complete and accurate. This deficiency was identified for two residents who experienced falls. The facility's policy required thorough investigation and documentation of accidents and incidents, including falls, within five working days. However, for Resident #1, there was no incident report provided for falls that occurred on two separate occasions. The documentation for these falls was incomplete, lacking signatures, and missing critical information such as fall risk evaluations and pain assessments. Resident #1, who had diagnoses including unspecified anemia, tremor, and hypertension, experienced a fall while on a shower chair. The incident was unwitnessed, and the documentation was incomplete, with missing signatures and unfilled forms. The Director of Nursing (DON) acknowledged the lack of a signed fall risk evaluation form and stated that the nurse responsible for completing it was no longer employed at the facility. Additionally, the DON stated that the incident report was not part of the resident's chart and was not accessible to surveyors, which hindered the investigation process. Similarly, for Resident #7, who had diagnoses including unspecified atrial fibrillation and cardiomyopathy, the facility failed to provide an incident report for a fall that resulted in a bruise. The documentation was inconsistent, with vital signs recorded from different dates and missing information regarding the notification of the resident's representative. The DON confirmed that surveyors did not have access to incident reports, as they were considered internal documents. This lack of access and incomplete documentation contributed to the deficiency identified by the surveyors.
Failure to Notify Resident's Representative After Fall
Penalty
Summary
The facility failed to provide evidence that a resident's representative was notified after the resident experienced a fall. This deficiency was identified for one of the three sampled residents reviewed for falls. The facility's policy requires that changes in a resident's condition or treatment be immediately shared with the resident and/or their representative. However, in the case of a resident with moderate cognitive impairment, there was no documentation that their representative was notified of a fall that resulted in a bruise to the resident's right rib. The incident occurred when the resident attempted to get out of bed and fell, as reported by a CNA. Although the nurse documented the fall and the minor injury in a Change in Condition Evaluation form, the section for notifying the resident's representative was left blank. The LPN involved stated that they left a message for the family to call back but did not document this notification in the electronic record, only in the risk management system, which surveyors did not have access to. This lack of documentation and communication with the resident's representative constitutes a deficiency in the facility's adherence to its notification policy.
Failure to Ensure Timely Provision of Post-Discharge Medical Equipment
Penalty
Summary
The facility failed to ensure that a resident's critical post-discharge medical equipment, specifically a wheelchair, was ordered and received in a timely manner. The resident, who was admitted with diagnoses including Parkinsonism, traumatic subdural hematoma, and depression, was discharged home with family without the necessary wheelchair. The Physician's Progress Note, which was crucial for the ordering of the wheelchair, was not signed or submitted to the DME company until several days after the resident's discharge. There was no documentation in the resident's clinical record indicating any attempts to order the wheelchair prior to discharge or to follow up with the resident or their family to ensure the equipment was received. The Social Services Director admitted to failing to document any attempts to order the wheelchair and had shredded all related documents. Furthermore, they did not follow up with the resident or their family after the DME company was supposed to deliver the wheelchair, as they went on vacation and did not consider the matter further. The resident's family reported not receiving the wheelchair and not receiving any callbacks from the Social Services Director despite leaving several messages. This lack of documentation and follow-up contributed to the deficiency in the discharge planning process.
Delayed Administration of Scabies Treatment
Penalty
Summary
The facility failed to administer medications and treatments in a timely manner for two residents diagnosed with scabies. For one resident, a physician's order for Ivermectin oral tablets was issued, and the medication was delivered to the facility but not administered until nearly six days later. Similarly, another resident had a physician's order for Permethrin cream, which was delivered but not applied until over a day later. These delays were confirmed by the Assistant Director of Nursing (ADON) upon reviewing the medication administration records and physician's orders, acknowledging the failure to administer the treatments promptly.
Failure to Administer Scabies Treatment as Ordered
Penalty
Summary
The facility failed to administer treatment as ordered for a resident receiving medication for scabies. A physician's order dated June 11, 2024, prescribed Permethrin External Cream 5% to be applied to the resident's body from the neck down topically one time only for two days, with the cream to be left on for eight hours before showering. The June 2024 Medication Administration Record (MAR) documented that the cream was administered on June 13, 2024, at 1:38 a.m. However, on June 14, 2024, the resident reported that the cream had only been applied once and that they had not been showered that morning. The resident also showed several red, raised areas on their left arm and chest, indicating ongoing symptoms. A Certified Nursing Assistant (CNA) confirmed that the treatment was only done once, and the Assistant Director of Nursing (ADON) acknowledged that the treatment was not administered for two days as prescribed.
Failure to Notify Physician of Ongoing Rash
Penalty
Summary
The facility failed to notify the physician of a resident's ongoing rash, which was not treated for an extended period. The resident, who had diagnoses including dementia, high blood pressure, and dermatitis, was initially noted to have a rash on 01/02/24, and a new order for Clobetasol cream was prescribed. However, after the treatment period ended on 01/17/24, the rash persisted, as documented in weekly skin/wound observation notes from 01/18/24 through 03/07/24, without any further treatment or physician notification. Despite the ongoing rash, the February 2024 MAR and TAR did not document any treatment for the condition. The IPC nurse and the DON were unaware of why the resident was not treated or why the physician was not notified, even though the rash continued for several weeks. A dermatology visit on 03/07/24 suggested the rash was likely scabies, and treatment with oral Ivermectin and topical permethrin was initiated.
Failure to Implement Scabies Surveillance and Control
Penalty
Summary
The facility failed to implement its infection control policy for the surveillance of scabies among residents. The infection control policy, revised in January 2024, mandates ongoing surveillance for healthcare-associated infections, including scabies, which can have a substantial impact on resident outcomes. However, the facility did not adhere to this policy for four of the six sampled residents. These residents had various diagnoses, including congestive heart failure, sarcopenia, type two diabetes mellitus, acute kidney failure, muscle weakness, palsy, dementia, high blood pressure, and dermatitis. Despite the presence of symptoms consistent with scabies, such as rashes and itching, there was no documentation of room cleaning or surveillance data collection as required by the infection control plan. Interviews with facility staff revealed a lack of awareness and training regarding the infection control policy and procedures for scabies. The Director of Nursing (DON) admitted to not gathering surveillance data and was unaware of the policy details. Housekeepers were also untrained and unsure of the cleaning procedures for rooms of residents with scabies. The Infection Prevention and Control (IPC) nurse was unaware of the surveillance plan and believed another nurse was responsible for maintaining it, but no documentation was found. This lack of adherence to the infection control policy and inadequate staff training contributed to the deficiency in managing scabies outbreaks within the facility.
Failure to Implement Abuse Policy
Penalty
Summary
The facility failed to implement their abuse policy for three residents. Resident #4, who had an intact cognition and a diagnosis of anxiety disorder, reported verbal abuse by a housekeeping supervisor. Despite the report, the allegation was not immediately reported to state agencies, and the investigation was delayed. The DON admitted that the abuse coordinator should have been notified immediately, but the Administrator decided not to complete a state reportable. Additionally, a witness statement from a CNA indicated a delay in reporting the abuse allegation, further highlighting the facility's failure to follow its abuse policy. Resident #13, with a diagnosis of hypertension and intact cognition, reported that a therapy person was being rough. This allegation was neither reported to state agencies nor investigated. The ADON admitted to speaking with the director of therapy but was unsure of any further actions taken. Similarly, Resident #14, who had undergone joint replacement surgery and had intact cognition, reported rough handling by a CNA. This allegation was also not reported to state agencies, as the DON did not consider it abuse. These instances demonstrate the facility's consistent failure to adhere to its abuse policy, resulting in unreported and uninvestigated allegations of abuse.
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Illustrative
What surveyors actually found near you
We read the 197 citations issued within 25 miles in the last 12 months — including the 8 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 Midwest City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Midwest City Post Acute & Rehab | 0.3 mi | ★★★★★ | 1 | 0 |
| Cross Timbers Nursing And Rehabilitation | 1.7 mi | ★★★★★ | 0 | 0 |
| Sienna Extended Care & Rehab | 1.9 mi | ★★★★★ | 0 | 0 |
| Mid-del Skilled Nursing And Therapy | 3.5 mi | ★★★★★ | 0 | 0 |
| Park Place Healthcare And Rehab | 4.3 mi | — | 14 | 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 August 2026) and official state health department websites.