Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Golden Age Nursing Home Of Guthrie, Llc during CMS and state inspections, most recent first.
Two residents received respiratory care that did not comply with physician orders: one was given oxygen without a physician's order despite ongoing use, and another received oxygen at a higher flow rate than prescribed for COPD. Staff interviews and documentation confirmed these deviations from required respiratory care practices.
A resident who self-propels in a wheelchair and is prescribed an anticoagulant was observed with multiple bruises on both hands, attributed to bumping into objects while ambulating. Staff did not assess or document the injuries, nor did they implement or update interventions to prevent further incidents, despite facility policy requiring investigation and reporting of such events.
A resident with a history of right femur fracture and ongoing pain did not receive ordered tramadol in a timely manner after requesting it for severe pain. The resident waited over an hour between requesting pain medication and receiving it, despite staff being informed of the request. Both the CMA and DON acknowledged the delay was unacceptable.
A resident prescribed an anticoagulant was observed with bruising on both hands, but staff did not document this bruising or monitor for side effects as required by facility policy. Interviews with the resident, an LPN, and the DON confirmed that the bruising was not recorded in the Treatment Administration Record or during skin inspections, despite the known risk of adverse effects from anticoagulant use.
Two residents with impaired ROM and incontinence were not provided with timely incontinent care as per facility policy. They were left unattended for extended periods, resulting in one resident having a grossly saturated brief with a bowel movement and the other with a moderately saturated brief and redness on the skin. The DON acknowledged the lapse in following the care policy.
The facility failed to protect residents from abuse and neglect when staff took compromising photos and videos during personal care, violating the facility's policies. This involved five residents with dementia, and the inappropriate actions were discovered when the media was posted on social media. The incident led to a past noncompliance finding by the Oklahoma State Department of Health.
Failure to Ensure Physician Orders and Correct Administration of Oxygen
Penalty
Summary
The facility failed to ensure safe and appropriate respiratory care for two residents by not following physician orders and lacking required documentation. One resident with a history of congestive heart failure and dementia was observed using oxygen without a physician's order. Documentation and staff interviews confirmed that the resident had been using oxygen intermittently for at least a week, including nightly use, without an order in place. The facility's policy allows for emergency administration of oxygen in cases of respiratory distress, but requires that a physician's order be obtained as soon as practicable, which was not done for this resident. Another resident with chronic obstructive pulmonary disease (COPD) and an order for continuous oxygen at three liters per minute was observed receiving oxygen at five liters per minute on multiple occasions. Staff confirmed the oxygen was set above the ordered rate and acknowledged the discrepancy. These findings demonstrate that the facility did not ensure oxygen was administered as ordered by the physician and failed to obtain necessary orders for oxygen administration when initiated.
Failure to Prevent and Address Recurrent Hand Injuries in Resident on Anticoagulant
Penalty
Summary
A deficiency was identified when a resident who ambulated independently in a wheelchair was observed with bruising on both hands, specifically on the knuckles and backs of the hands. The resident reported that the bruising occurred from bumping their hands while self-propelling the wheelchair and noted that they bruise easily due to being prescribed an anticoagulant (Xarelto). The resident's care plan included monitoring for signs and symptoms of bleeding due to anticoagulant use, but there was no documentation of the bruising or any assessment following the incident. Additionally, the facility's policy required that all accidents or incidents be investigated and reported, and that trends be reviewed for safety hazards, but this was not followed in this case. Interviews with staff revealed that no interventions had been implemented to prevent further injury to the resident's hands, and the bruising was neither documented in the treatment administration record nor reported through an incident report. The ADON acknowledged that the only intervention had been resident education conducted at the time of admission, and the DON confirmed that the resident was not assessed after reporting the injuries. There were no interventions in place to address the recurring bruising related to the resident's use of a wheelchair or walker.
Failure to Provide Timely Pain Medication
Penalty
Summary
A deficiency occurred when a resident with a history of a displaced intertrochanteric fracture of the right femur and ongoing pain did not receive pain medication in a timely manner as ordered. The resident had a physician's order for tramadol 50 mg by mouth every four hours as needed for pain. On the day in question, the resident received tramadol at 9:06 a.m. and again at 2:09 p.m. However, at 1:03 p.m., the resident requested pain medication from a CNA, reporting severe pain rated as 10 out of 10 at 1:10 p.m. after self-ambulating from the dining room. The resident stated it took a long time to receive the pain medication after making the request. Interviews with staff revealed that the CNA informed an LPN, who then informed a CMA of the resident's request. The CMA stated the medication was not due at that time, and the resident did not receive pain medication between 1:00 p.m. and 2:00 p.m. The CMA later administered the medication at 2:09 p.m., more than an hour after the resident's initial request. Both the CMA and the DON acknowledged that it was not acceptable for the resident to wait an hour for pain medication if it was available per the physician's order.
Failure to Document Anticoagulant Side Effect Monitoring
Penalty
Summary
The facility failed to document side effect monitoring for a resident prescribed an anticoagulant medication. The resident, who had diagnoses including edema, muscle weakness, and hyperlipidemia, was observed with bruising on both hands while ambulating in a wheelchair. The resident's care plan and facility policy required monitoring for adverse consequences of anticoagulant use, such as signs and symptoms of bleeding, and documentation of these findings. However, the Treatment Administration Record (TAR) from February through May did not include documentation of the observed bruising or any related side effect monitoring for anticoagulant use, nor was the bruising noted in the skin inspections. Interviews with the resident, an LPN, and the DON confirmed that the bruising was not documented in the TAR or skin inspections, despite the resident's report of easy bruising due to anticoagulant therapy and the staff's awareness of the bruising. The facility's policy specifically identified the need for staff to monitor and document adverse effects of high-risk medications like anticoagulants, but this was not followed in the case of this resident.
Failure to Provide Timely Incontinent Care
Penalty
Summary
The facility failed to provide incontinent care to two dependent residents at least every two hours, as required by their policy. Resident #4 and Resident #5, both with impaired range of motion in their lower extremities and incontinent of bowel and bladder, were observed in their rooms for extended periods without receiving necessary care. Resident #4 was left unattended from 12:30 p.m. to 3:14 p.m., and Resident #5 from 1:12 p.m. to 2:50 p.m., during which time no staff entered their rooms to provide care. Upon eventual intervention, Resident #5 was found with a grossly saturated brief containing a medium bowel movement, and Resident #4 had a moderately saturated brief with blanchable redness on the buttocks and sacral area. The Director of Nursing confirmed that the facility's policy of checking and providing incontinent care every two hours was not followed for these residents.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
The facility failed to protect residents from abuse and neglect, as evidenced by staff members taking compromising photos and videos of residents during personal care. This incident involved five residents, all of whom had varying degrees of dementia, making them particularly vulnerable. The inappropriate actions were discovered when photos and videos were posted on social media, leading to an investigation by the Oklahoma State Department of Health. The facility's policies on abuse prohibition and the use of electronic devices were not adhered to by the staff involved. The abuse prohibition policy clearly states that residents have the right to be free from any form of abuse, while the electronic devices policy prohibits personal use of such devices in the facility. Despite these policies, three CNAs took photos and videos of residents during personal care, violating the residents' rights and the facility's policies. The incident was initially reported on April 5, 2024, and involved three CNAs who were subsequently separated from employment. The facility's failure to enforce its policies and protect residents from abuse and neglect resulted in a past noncompliance finding. The deficiency was further highlighted by the discovery of additional photos and videos of four more residents, indicating a broader issue of noncompliance with the facility's policies and procedures.
Removal Plan
- Staff was in-serviced on abuse, reporting abuse, the use of cell phones while caring for residents, and taking pictures and videos of residents and posting on social media.
- Management completed the in-service and training for all staff members at the facility.
- Cell phone random audits were conducted to ensure no cell phones were being used while on shift or in resident care areas.
- Reviewed abuse policy and procedures, neglect, cell phone policy, and video policy during the Quarterly QA Meeting.
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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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Nursing homes near Guthrie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Creek Health Care | 1.7 mi | ★★★★★ | 0 | 0 |
| Bradford Village Healthcare Center | 12.5 mi | ★★★★★ | 0 | 0 |
| The Timbers Skilled Nursing And Therapy | 17.4 mi | ★★★★★ | 6 | 2 |
| Edmond Health Care Center | 17.9 mi | ★★★★★ | 18 | 1 |
| Ignite Medical Resort Edmond, Llc | 19 mi | ★★★★★ | 20 | 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 June 2026) and official state health department websites.