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 Enid Senior Care during CMS and state inspections, most recent first.
A resident with a history of smoking and chronic obstructive pulmonary disease caused a fire in their room by improperly disposing of a cigarette while wearing oxygen. The facility failed to update the resident's care plan to reflect their smoking habits, despite previous incidents. Staff were not adequately monitoring the resident to prevent them from having smoking materials in their room, leading to an Immediate Jeopardy situation.
A resident with chronic obstructive pulmonary disease and nicotine dependence continued to smoke in their room despite the facility's smoking policy. The care plan, initiated in October, did not address the resident's smoking behavior, even after a behavior note in December documented the issue. The MDS coordinator confirmed that the care plan was not updated, contrary to the facility's policy requiring updates for significant changes.
The facility failed to update care plans for three residents following comprehensive assessments. One resident with bipolar disorder, heart failure, and osteomyelitis had no updates after an annual assessment. Another resident with COPD, epilepsy, and a history of falls had no updates for fall interventions despite a recent fall. A third resident with COPD, vascular dementia, and cerebral infarction had a smoking evaluation but no care plan focus on smoking. Interviews confirmed the care plans were not updated as per policy.
A resident with chronic kidney disease began hemodialysis treatment, but the facility failed to complete a significant change MDS assessment. Despite a care plan noting the resident's new dialysis status, no assessment documented the decline in kidney function. Both the DON and MDS Coordinator acknowledged the oversight, confirming the necessity of such assessments for significant changes in condition.
A facility failed to complete a baseline care plan for a newly admitted resident with orthopedic aftercare and type 2 diabetes. The DON confirmed that the policy requires completion within 24 hours, but the ADON, who was the admitting nurse, did not follow this policy.
A facility failed to complete post-dialysis assessments for a resident with chronic kidney disease receiving hemodialysis. The DON stated that assessments were to be documented on a dialysis communication form, which was then scanned into the EHR. However, a review revealed that the post-dialysis assessment section was not completed on several occasions, and the DON acknowledged this oversight, indicating non-compliance with facility policy.
The facility did not complete the required annual competency review for a CNA, as mandated by their policy. The last documented review was in July 2023, and no subsequent review was conducted. This oversight was confirmed by both the HR director and the administrator.
A facility failed to follow its Enhanced Barrier Precautions policy when staff did not wear gowns while providing care to a resident with a stage 4 pressure ulcer. Although the policy required gowns and gloves for direct care, an RN and CNA only wore gloves, indicating a lack of adherence to infection control measures.
Resident Smoking Incident Leads to Immediate Jeopardy
Penalty
Summary
An Immediate Jeopardy situation was identified in a facility due to the failure to ensure the safety of a resident who smoked. The resident, who had diagnoses including anxiety, nicotine dependence, and chronic obstructive pulmonary disease, was involved in a fire incident in their room. The facility did not have a care plan reflecting the resident's smoking habits upon admission, and despite a behavior note indicating the resident continued to smoke in their room, the care plan was not updated to address this behavior. On the day of the incident, the resident lit a cigarette and disposed of it in the trash can in their room, which led to a fire. At the time, the resident was wearing oxygen, which increased the risk of the situation. Staff responded by extinguishing the fire and evacuating other residents safely. The resident was sent to the emergency room for evaluation of possible smoke inhalation. Interviews with facility staff revealed that the smoking policy required cigarettes and lighters to be kept in a locked box and that residents could only smoke outside in designated areas with supervision. However, the resident's care plan did not reflect these requirements, and staff were not adequately monitoring the resident to prevent them from having smoking materials in their room. This oversight contributed to the occurrence of the fire and the Immediate Jeopardy situation.
Failure to Update Care Plan for Resident with Smoking Issue
Penalty
Summary
The facility failed to update and revise the care plan for a resident who had a known issue with smoking. The resident, who was admitted with diagnoses including chronic obstructive pulmonary disease, nicotine dependence, and anxiety, had an ongoing issue with smoking at the time of admission. Despite the facility's smoking policy, which prohibits smoking inside the building and requires supervision, the resident continued to smoke in their room and bathroom. A behavior note dated December 26, 2023, documented this ongoing issue, yet the care plan initiated on October 25, 2023, did not include a focus on smoking. The facility's Care Plans Person-Centered policy requires the interdisciplinary team to review and update the care plan when there is a significant change or when the desired outcome is not met. However, the MDS coordinator confirmed that the care plan was not updated to reflect the behavior note regarding the resident's continued smoking. This oversight occurred despite the resident's intact cognition and awareness of the facility's smoking policy, as evidenced by their acknowledgment of the rules during an interview on February 20, 2025.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to ensure that care plans were revised and updated for three residents following their comprehensive assessments. Resident #5, diagnosed with bipolar disorder, heart failure, and osteomyelitis, had a care plan dated 11/12/24 that showed no updates or revisions after the annual assessment on 10/28/24. The last documented revisions were on 11/08/22 and 02/23/23, indicating a significant lapse in updating the care plan to reflect current needs. Resident #11, with chronic obstructive pulmonary disease, epilepsy, and a history of falls, had a care plan dated 08/22/24 that lacked updates for fall interventions despite a fall occurring on 11/08/24. A fall risk assessment on 11/12/24 identified the resident as a high fall risk, yet no care plan updates were made. Resident #63, diagnosed with chronic obstructive pulmonary disease, vascular dementia, and cerebral infarction, had a smoking evaluation on 06/07/24 indicating they were safe to smoke with supervision, but their care plan dated 09/25/24 did not include a focus on smoking. Interviews with the DON and MDS Coordinator confirmed the care plans were not updated as required by facility policy.
Failure to Complete Significant Change MDS Assessment for Resident on Hemodialysis
Penalty
Summary
The facility failed to complete a significant change Minimum Data Set (MDS) assessment for a resident who began hemodialysis treatment. The resident, diagnosed with chronic kidney disease, received a physician's order on 11/03/24 to start hemodialysis three times weekly. A care plan was documented on 11/04/24, noting the resident's new status of attending hemodialysis and the care required for their shunt/fistula. However, there was no significant change assessment in the clinical record to document the resident's decline in kidney function and the initiation of dialysis treatments. During interviews, both the Director of Nursing (DON) and the MDS Coordinator acknowledged that a significant change assessment should have been completed. The MDS Coordinator confirmed that such assessments are necessary when a resident experiences a change in condition that is not expected to resolve within 120 days, which was applicable to this resident's situation.
Failure to Complete Baseline Care Plan for New Admission
Penalty
Summary
The facility failed to ensure a baseline care plan was completed for a newly admitted resident, identified as Resident #117, who was part of a sample of sixteen residents reviewed for care plans. Resident #117 was admitted with diagnoses including orthopedic aftercare for a right artificial hip joint and type 2 diabetes. Upon review of the clinical record, it was found that a baseline care plan had not been completed. The Director of Nursing (DON) confirmed that the facility's policy requires a baseline care plan to be completed within the first 24 hours of admission by the admitting nurse or the nurse taking responsibility for the resident. However, the Assistant Director of Nursing (ADON), who was the admitting nurse for Resident #117, acknowledged that they had not completed the baseline care plan, thus not following the facility's policy.
Failure to Complete Post-Dialysis Assessments
Penalty
Summary
The facility failed to ensure that post-dialysis assessments were completed for a resident receiving hemodialysis. The resident, who had a diagnosis of chronic kidney disease, was ordered by a physician to receive hemodialysis three times weekly. The Director of Nursing (DON) stated that information was communicated between the facility and the dialysis center through a dialysis communication form, which the resident took to each visit and returned afterward. The DON confirmed that assessments were supposed to be conducted before and after dialysis visits and documented on these forms, which were then scanned into the electronic health record (EHR). However, a review of the resident's clinical record revealed that the 'Resident Specific Post-Dialysis Assessment' section of the forms was not completed on four specific dates. Upon review, the DON acknowledged that the post-dialysis assessments had not been completed on those dates, indicating a failure to follow facility policy.
Failure to Complete Annual Competency Review for CNA
Penalty
Summary
The facility failed to ensure that annual competency reviews were completed for one of the two sampled Certified Nursing Assistants (CNAs) reviewed for this requirement. The facility's policy, revised in October 2017, mandates that competency evaluations be conducted upon hire, annually, and as necessary based on the facility assessment. However, a review of CNA #1's employee file revealed that the last competency review was completed in July 2023, with no documentation of an annual review being conducted after that date. The HR director confirmed that the annual competency review for CNA #1 was not completed after July 2023, and the administrator acknowledged this oversight.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to evidence-based practices (EBP) for infection prevention and control while providing care to a resident with a stage 4 pressure ulcer. The facility's policy on Enhanced Barrier Precautions (EBP) required staff to perform hand hygiene and don personal protective equipment (PPE), including gowns and gloves, before entering a resident's room and to remove PPE and perform hand hygiene before exiting. However, during an observation, a registered nurse (RN) and a certified nursing assistant (CNA) entered the room of a resident with a stage 4 pressure ulcer without donning gowns, although they did wash their hands and wear gloves. The RN was unaware of the requirement to wear a gown during direct care, indicating a lack of adherence to the facility's EBP policy. Interviews with other staff members, including a licensed practical nurse (LPN) and another CNA, revealed that they understood the requirement to wear gowns and gloves when providing direct care to residents with wounds or other conditions requiring enhanced precautions. The Director of Nursing (DON) confirmed that the policy required staff to wear gowns and gloves for all direct care and that the EBP sign outside a resident's door indicated this requirement. Despite this understanding among some staff, the failure to follow the policy during the observed incident highlights a gap in consistent implementation of infection control measures.
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What surveyors actually found near you
We read the 18 citations issued within 25 miles in the last 12 months — including the 2 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Enid
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Living Center | 1.1 mi | ★★★★★ | 0 | 0 |
| Greenbrier Village Health And Rehabilitation | 1.6 mi | ★★★★★ | 0 | 0 |
| The Commons | 5 mi | ★★★★★ | 0 | 0 |
| Garland Road Nursing & Rehab Center | 6 mi | ★★★★★ | 9 | 2 |
| Baptist Village Of Enid | 6 mi | ★★★★★ | 2 | 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.