Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Grace Skilled And Nursing Therapy Norman during CMS and state inspections, most recent first.
A resident with intact cognition and diagnoses including osteomyelitis and MSSA infection was discharged to the hospital for a short-term stay and, during that time, the facility moved the resident’s belongings and reassigned the room to a resident of the opposite sex without providing prior notification. Facility records showed the resident was in one room at hospital discharge and a different room upon return, and there was no documentation that the resident had been informed of the room change. In interviews, the resident reported not being notified, an LPN confirmed the room was changed while the resident was hospitalized, and the ADON acknowledged that cognitively intact residents should be notified and that no such documentation existed for this room change.
A cognitively intact resident with osteomyelitis and a methicillin susceptible staphylococcus infection was discharged to a hospital for a short-term stay and reported not receiving information about the facility’s bed hold policy at the time of transfer. The facility’s written policy required that residents be given notice of the bed hold option whenever they were hospitalized or on other leave. Staff interviews revealed inconsistent understanding of who was responsible for providing the bed hold notice, with an LPN indicating it was the case manager’s role and another LPN stating it was the sending nurse’s responsibility. The ADON reported that provision of the bed hold policy should be documented in the nurse’s notes, but there was no documentation that the policy was given to this resident at the time of discharge.
The facility failed to maintain sanitary storage of clean dishes and utensils in the kitchen. Surveyors observed a stained crockpot with food and dust on a wire rack shelf and a dusty bowl with debris being used to store weighted silverware on another shelf. The DM acknowledged that the crockpot was a personal item that should not have been stored there and that the bowl was dusty because the weighted silverware was not in use, and also reported that required daily cleaning had not been performed for several days, despite the kitchen providing nutrition to about 100 residents.
The facility failed to complete a new PASARR Level I assessment for a resident who received a new diagnosis of psychosis. There was no documentation indicating that the OHCA had been contacted to determine if a Level II PASARR was required, as confirmed by the DON.
The facility failed to ensure proper nail care for two residents, leading to deficiencies in their personal hygiene. One resident with anxiety, depression, psychotic disorder, and dementia had long and discolored fingernails, while another resident with hypertension, stroke, and diabetes also had long fingernails. The DON confirmed that non-diabetic residents rely on CNAs or other staff for nail care.
A resident with a UTI continued to receive an ineffective antibiotic for three days due to delayed physician notification of final lab results indicating resistance. The issue was identified when an LPN noticed the oversight, leading to a change in medication.
Failure to Notify Cognitively Intact Resident of Room Change During Hospitalization
Penalty
Summary
The deficiency involves the facility’s failure to honor a cognitively intact resident’s right to receive notice before a room change. Facility policy titled “Oklahoma Resident Rights and Responsibilities,” dated 11/29/22, states that every resident has the right to receive notice before their room or roommate is changed and, if applicable, to be informed of any telephone charges incurred when moving. Record review showed that the census list documented the resident in one room on the date of discharge to the hospital and in a different room upon return. The admission assessment dated 12/02/25 documented that the resident was admitted with osteomyelitis and methicillin-susceptible staphylococcus infection and had intact cognition with a BIMS score of 14. A discharge assessment dated 12/15/25 showed the resident was discharged to the hospital for a short-term stay. During interview, the resident stated they were hospitalized and that their personal items were moved before they returned from the hospital, and they did not receive any notification that their room had been changed while they were away. An LPN confirmed that residents should be notified when their room is changed and stated that the resident’s room was changed during the hospitalization because the bed was needed for a resident of the opposite sex. The ADON stated that the facility followed resident rights regarding room changes and that all cognitively intact residents should have been notified before a room change, but acknowledged there was no documentation in the resident’s progress notes on the date of the room change showing the resident had been notified.
Failure to Provide Bed Hold Policy Notice at Hospital Transfer
Penalty
Summary
The facility failed to provide a bed hold policy notice to a resident at the time of discharge to the hospital, as required by its own policy. The facility’s Bed Hold Policy, dated 01/23/08, stated that when a resident is temporarily absent for hospitalization or other leave, the resident may request a bed hold and must be given notice of this option at the time of hospitalization or other leave. Resident #29 was admitted with osteomyelitis and a methicillin susceptible staphylococcus infection, and an admission assessment dated 12/02/25 documented that the resident’s cognition was fully intact with a BIMS score of 14. A discharge assessment dated 12/15/25 showed the resident was discharged to a hospital for a short-term stay. During interview on 01/28/26, Resident #29 stated they were not made aware of the bed hold policy and did not receive a bed hold policy at the time of discharge. On 02/02/26, LPN #1 stated that when a resident was sent to the hospital, it was the case manager’s responsibility to ensure the resident received the bed hold policy, while LPN #2 stated that bed holds were handled by the nurses who sent the resident to the hospital. The ADON stated that when a bed hold policy was provided, it should be documented in the nurse’s notes and confirmed that Resident #29 went to the hospital on 12/15/25, with no documentation in the nurse’s notes showing a bed hold policy was given on that date. These findings demonstrated that the facility did not follow its policy to provide and document bed hold notice at the time of hospitalization for this resident.
Unsanitary Storage of Dishes and Utensils in Kitchen
Penalty
Summary
The facility failed to store clean and sanitized dishes and utensils in a clean and safe manner as required by its Dry Storage of Dishes and Utensils policy. During an observation of the kitchen, surveyors noted a crockpot on the second shelf of a wire rack that was stained with an off-white coloring and had food and dust on it. On the third shelf of the same rack, a bowl being used to store weighted silverware was found with dust and debris inside the bottom of the bowl. The Dietary Manager (DM) reported that the crockpot was a personal item that should not have been stored there and that the bowl was dusty because the weighted silverware was not currently in use. The DM also stated that cleaning was supposed to be done daily but had not been completed for the past three days. The DM identified that 100 residents received nutrition from the kitchen where these unsanitary storage practices were observed.
Failure to Complete New PASARR Level I Assessment
Penalty
Summary
The facility failed to complete a new PASARR Level I assessment when a new serious mental illness diagnosis was received for one of three sampled residents reviewed for PASARR assessments. Specifically, a Level I PASARR dated 05/26/17 documented that the resident did not have a serious mental illness. However, on 05/05/20, the resident received a new diagnosis of psychosis not due to a substance or known physiological condition. There was no documentation indicating that the OHCA had been contacted to determine if a Level II PASARR was required. The Director of Nursing confirmed that there was no documentation showing that the OHCA had been notified about the new diagnosis.
Failure to Ensure Proper Nail Care for Residents
Penalty
Summary
The facility failed to ensure proper nail care for two residents, leading to deficiencies in their personal hygiene. Resident #26, who has diagnoses of anxiety, depression, psychotic disorder, and dementia, was observed with long and discolored fingernails. The resident could not recall the last time his nails were cut, although he reported that a nurse had cut them the previous night. The Director of Nursing (DON) stated that for non-diabetic residents, nail care is the responsibility of CNAs or any staff. Resident #94, who has hypertension, stroke, and diabetes, was also observed with long fingernails. The resident reported that his daughter-in-law last trimmed his nails, and later mentioned that a nurse had cut them the previous day. The DON confirmed that diabetic residents receive monthly nail care from podiatry, while non-diabetic residents rely on CNAs or other staff for this care.
Delayed Physician Notification of Final Lab Results
Penalty
Summary
The facility failed to ensure timely notification of a physician regarding a final culture and sensitivity report for a resident diagnosed with a urinary tract infection (UTI). The resident was initially prescribed Augmentin based on preliminary urinalysis results. However, the final laboratory report, dated three days later, indicated that the resident was resistant to Augmentin. Despite this, the resident continued to receive Augmentin for six doses until the physician was notified on the third day after the final report was received. This delay in communication led to a change in the antibiotic prescription to Linezolid only after the physician was finally informed. Interviews with the LPN and DON revealed that the delay in notifying the physician was due to oversight, as the LPN noticed the final results only when they came to work three days later. The DON confirmed that the physician was notified in the afternoon, and the nurse practitioner made the necessary changes to the medication. The regional nurse acknowledged that the facility did not notify the physician in a timely manner, which was not in compliance with the required protocols for handling laboratory results and physician notifications.
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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 Norman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medical Park West Rehabilitation & Skilled Care | 0.8 mi | ★★★★★ | 1 | 0 |
| Ignite Medical Resort Norman, Llc | 1.3 mi | ★★★★★ | 0 | 0 |
| 24th Place | 1.9 mi | ★★★★★ | 13 | 1 |
| Holiday Heights Healthcare | 3.9 mi | ★★★★★ | 0 | 0 |
| Noble Health Care Center | 8 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.