Above 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 Harrah Nursing Center during CMS and state inspections, most recent first.
Delay in Release of Medical Records: The facility failed to provide a resident's medical records to the resident's representative and legal representative within the required timeframe. A resident admitted with DVT had a signed ROI on file, but the records were not released promptly after requests from the family and a lawyer's office. The DON/administrator acknowledged records should be released within 24 to 48 hours, but documentation did not show when the records were picked up or when the first legal request was made.
A resident with severe cognitive impairment, dementia, and total dependence for ADLs had a family member listed as POA, responsible party, and primary emergency contact. A nurse practitioner prescribed sertraline 25 mg daily for mood, and nursing documentation showed the resident continued on the medication without adverse reactions. However, there was no documentation that the resident’s representative was notified of the new medication order, and the DON confirmed the nurse who received the order did not contact the representative.
A facility failed to notify a resident's representative about changes in medication, specifically the discontinuation of morphine and Ativan, for a resident with anxiety disorder and osteoarthritis. Despite the requirement to inform the representative, there was no documentation of such notification, and a family member confirmed they were not contacted. An LPN admitted the responsibility to notify but found no record of it being done.
A resident with muscle weakness and moderate cognitive impairment was left in a saturated brief overnight, despite needing assistance with ADLs. The resident reported that staff failed to return to change them as promised, resulting in wet clothing and bedding. The CNA confirmed the resident should have been changed earlier, and the DON stated staff were expected to check and change residents every two hours.
A resident with dementia and a high fall risk experienced multiple falls due to the facility's failure to implement its fall policy. Despite repeated incidents, effective interventions were not identified or documented, and the resident continued to suffer injuries. The DON admitted that the fall policy was not followed, leading to repeated falls.
Delay in Release of Medical Records
Penalty
Summary
The facility failed to ensure medical records were provided to a resident's representative and legal representative within 48 hours of request for 1 of 3 sampled residents reviewed for release of medical records. Resident #1 was admitted with a diagnosis of deep vein thrombosis and later discharged from the facility. The facility's Release of Information policy stated that a resident may obtain photocopies of records by providing at least 48 hours' advance notice, and that information in the medical record may only be released by written consent of the resident or legal representative. A release of confidential information form signed by the resident's representative was dated 12/19/25, and a copy of the resident's medical records showed they were printed on 12/29/25. Family member #1 reported that the resident's representative requested records on 12/19/25 and did not receive them until 01/02/26. A lawyer's office also requested the resident's records on 01/12/26, 02/02/26, and 03/31/26, and the facility sent the records on 03/31/26. The administrator stated medical records should be released 24 to 48 hours after the release of information is signed, but there was no documentation of when the records were picked up by the resident's representative or when the lawyer's office first requested the records.
Failure to Notify Resident Representative of New Psychotropic Medication
Penalty
Summary
The facility failed to notify a resident’s representative of a newly prescribed medication. An undated admission record for Resident #2 identified a family member as power of attorney, responsible party, and primary emergency contact. An annual assessment dated 10/18/25 documented that the resident had non-Alzheimer’s dementia and senile degeneration of the brain, was severely cognitively impaired, and was dependent on staff for all activities of daily living. A nurse practitioner’s progress note dated 11/20/25 showed that sertraline 25 mg once daily was prescribed for mood, and a nurse’s progress note dated 11/21/25 documented that the resident continued on sertraline with no adverse reactions. However, there was no documentation that the resident’s representative had been informed of the new medication order, and the DON stated that the nurse who took the order had not reached out to the representative, as it was not documented.
Failure to Notify Resident's Representative of Medication Changes
Penalty
Summary
The facility failed to notify a resident's representative of changes in medication for a resident diagnosed with anxiety disorder and osteoarthritis. The resident's morphine and Ativan were discontinued as documented on a Third Party Facility Communication Form. However, there was no documentation indicating that the resident's representative was informed of these changes. A family member confirmed that they were not contacted by the facility staff regarding the medication changes. An LPN acknowledged that it was their responsibility to notify the resident's representative upon receiving a third-party communication form, but they could not find any record of such notification having been made.
Failure to Provide Timely Incontinent Care
Penalty
Summary
The facility failed to provide adequate incontinent care for a resident who required assistance with activities of daily living (ADL). The resident, who had diagnoses including muscle weakness and moderate cognitive impairment, was dependent on staff for toileting and was frequently incontinent of urine. According to the care plan, the resident was to be checked every two hours and provided with incontinent care as needed. However, on the morning of January 28, 2025, the resident reported that a staff member had promised to return to change them at 1:30 a.m. but never did. This resulted in the resident being left in a saturated brief, with their shirt, bed pad, fitted sheet, pillowcase, and mattress all wet with urine. CNA #1, who provided care to the resident later that morning, confirmed that the resident should have been changed around 5:00 a.m. but had not been changed all night. The CNA noted that the resident was incontinent but could communicate when they needed to be changed. The Director of Nursing (DON) stated that staff were expected to check and change residents every two hours and as needed, indicating a failure to adhere to the facility's policy and the resident's care plan.
Failure to Implement Fall Policy for High-Risk Resident
Penalty
Summary
The facility failed to implement its fall policy for a resident with a history of dementia, anxiety, and concussion, who was at high risk for falls. Despite multiple fall incidents, the facility did not effectively identify or implement interventions to prevent further falls. The resident experienced several falls, including tripping over a mechanical lift and being found on the floor with injuries such as a skin tear and a head laceration. The facility's incident reports documented repeated interventions, such as removing equipment from the hallway, but these were not effective in preventing further falls. The Director of Nursing (DON) acknowledged that the fall policy was not followed, as the physician did not identify medical conditions affecting the resident's fall risk, and the staff did not identify possible causes of falls within 24 hours. Additionally, pertinent interventions were not identified or documented, and there was no monitoring of the resident's response to interventions. The DON admitted that the interventions were not effective and that the fall policy was not adhered to, leading to repeated fall incidents for the resident.
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 198 citations issued within 25 miles in the last 12 months — including the 7 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 Harrah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Wolfe Living Center At Summit Ridge | 3.2 mi | ★★★★★ | 0 | 0 |
| Mcloud Nursing Center | 6.7 mi | ★★★★★ | 0 | 0 |
| Oak Hills Living Center | 8 mi | ★★★★★ | 4 | 2 |
| Sienna Extended Care & Rehab | 11 mi | ★★★★★ | 0 | 0 |
| Midwest City Post Acute & Rehab | 11.7 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.