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 Heartway At Colonial Park Health And Rehab during CMS and state inspections, most recent first.
The facility failed to ensure infection control in linen transport, catheter care, and Legionella prevention. A laundry aide did not cover clean linens during transport, and an LPN reused a washcloth during catheter care, violating infection control policies. Additionally, the facility lacked a water management program to prevent Legionella growth, with the maintenance supervisor unaware of the requirements.
The facility failed to ensure accurate assessments for two residents receiving hospice services. One resident with renal cancer had assessments that did not reflect their terminal condition, despite hospice certification forms indicating a prognosis of six months or less. Another resident with Alzheimer's and dementia had inconsistent assessments regarding hospice status, with sections of the assessments contradicting each other. The MDS coordinator confirmed the inaccuracies.
A facility failed to include the use of assist bars/side rails in a comprehensive care plan for a resident with muscle weakness and severe cognitive impairment. Despite recommendations for assist bars to promote independence, the care plan did not reflect their use. The DON acknowledged the oversight, noting that the care plan only encouraged prescribed assistive devices, and the assist bars/side rails were not prescribed.
A facility failed to assess entrapment risks and obtain informed consent for a resident using assist bars/side rails. The resident, with muscle weakness and cognitive impairment, was observed with the rails up, but the facility did not document a physician's order or informed consent. Staff interviews revealed that assessments did not address entrapment risks or alternatives, and the care plan did not include the use of the rails.
The facility failed to monitor the temperature of a medication storage room and did not secure medications, as observed with unlocked treatment carts. Additionally, glucose test strips were found opened and undated, contrary to facility policy. The DON confirmed the lack of temperature logs and acknowledged the protocol to lock carts and date opened items.
A facility failed to conduct regular inspections of bed rails for a resident with muscle weakness and cognitive impairment, despite policy requirements. Observations showed the resident with assist bars in the up position, but maintenance staff did not routinely monitor or document inspections for safety. The administrator confirmed the lack of documentation for regular inspections.
Infection Control Deficiencies in Linen Transport, Catheter Care, and Legionella Prevention
Penalty
Summary
The facility failed to implement proper infection prevention and control measures in three key areas. Firstly, a laundry aide was observed delivering clean linens without covering them, which is against the facility's protocol. The aide admitted to not knowing the requirement to cover linens, and the administrator confirmed that linens should be covered during transport. Secondly, an LPN was observed providing catheter care to a resident with urinary retention using improper technique. The LPN reused the same washcloth to clean the genital area, which contradicts the facility's catheter care policy that mandates using a clean washcloth for each cleansing stroke. The LPN acknowledged that reusing the cloth did not adhere to clean technique and infection control standards. Additionally, the facility did not have an effective plan to prevent and monitor Legionella growth in its water systems. The Legionella Surveillance policy outlines the need for a water management program, including routine maintenance and temperature controls, but the facility failed to provide evidence of such a program. The maintenance supervisor was unaware of the water management requirements until the day of the survey, indicating a lack of implementation and oversight in this critical area.
Inaccurate Hospice Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments for two residents receiving hospice services. Resident #67, diagnosed with malignant neoplasm of the right kidney, was ordered hospice services due to renal cancer. Despite hospice certification forms indicating a prognosis of six months or less, quarterly and annual assessments repeatedly failed to reflect the resident's condition or chronic disease that could result in a life expectancy of less than six months. The interim MDS coordinator was unable to explain why the assessments did not accurately reflect the resident's condition. Resident #42, diagnosed with Alzheimer's disease and dementia, had discrepancies in their assessments regarding hospice status. Both the annual and quarterly assessments showed inconsistencies, with section J indicating the resident was not on hospice while section O indicated they were. The MDS coordinator confirmed that the resident was indeed on hospice, highlighting inaccuracies in the assessments.
Failure to Include Assist Bars/Side Rails in Care Plan
Penalty
Summary
The facility failed to ensure a comprehensive care plan for a resident included the use of assist bars/side rails. The resident, who had a diagnosis of muscle weakness and was severely impaired in cognition for daily decision making, was observed multiple times with bilateral assist bars/side rails in the up position. An Assist Bar Evaluation form recommended the use of an assist bar to promote independence, but the care plan, revised on 03/24/25, did not include the use of assist bars/side rails. The Director of Nursing (DON) acknowledged that the care plan indicated to encourage the use of prescribed assistive devices, but the assist bars/side rails were not prescribed, and a care plan for their use had not been completed.
Failure to Assess Entrapment Risks and Obtain Consent for Bed Rails
Penalty
Summary
The facility failed to ensure proper assessments for entrapment risks and obtain informed consent for the use of assist bars/side rails for a resident. The resident, who had a diagnosis of muscle weakness and was severely impaired in cognition for daily decision-making, was observed multiple times with bilateral assist bars/side rails in the up position. The facility's Bed Safety policy required consent and a thorough assessment, including consultation with a physician, to determine the necessity of assist bars/side rails. However, the Assist Bar Evaluation form completed for the resident did not assess the risk of entrapment, and there was no documentation of informed consent or a physician's order for the use of the assist bars/side rails. Interviews with facility staff, including the DON, ADON, and RN, revealed that the assessments conducted did not specifically address the risk of entrapment or explore alternatives to the use of assist bars/side rails. The DON acknowledged that the care plan did not include the use of assist bars/side rails as they were not prescribed, and there was no care plan specifically addressing their use. The ADON confirmed that informed consent was not obtained, despite the family's request for the assist bars/side rails to aid in the resident's bed mobility.
Medication Storage and Security Deficiencies
Penalty
Summary
The facility failed to monitor the temperature of one of its medication storage rooms, as there was no documentation of the temperature being recorded. During an observation, the CMA supervisor was unaware that monitoring the medication room temperature was required. The Director of Nursing (DON) later confirmed that there was no log for the temperature of the medication room, indicating a lack of adherence to the facility's policy, which mandates maintaining a temperature log in the storage area to record temperatures at least once a day. Additionally, the facility did not ensure that medications were secured, as two of the six medication/treatment carts observed were left unlocked and unattended. RN #1 was observed leaving the North Hall treatment cart unlocked multiple times, despite the facility's protocol requiring carts to be locked when unattended. Furthermore, glucose test strips on two of the six medication/treatment carts were found to be opened and not dated, contrary to the facility's expectation that items should be dated when opened. The DON acknowledged that staff should discard any item not dated when opened, as there would be no way to determine when it was opened.
Failure to Conduct Regular Inspections of Bed Rails
Penalty
Summary
The facility failed to ensure regular inspections of beds and bed rails to identify potential entrapment risks for a resident who utilized assist bars/side rails. Observations over several days showed the resident in bed with bilateral assist bars/side rails in the up position. The facility's Bed Safety policy, dated December 2007, required maintenance staff to inspect all beds and related equipment as part of a regular bed safety program. However, the maintenance supervisor and a maintenance worker confirmed that they did not routinely monitor assist bars/side rails or beds for safety, and there was no documentation of regular inspections. The resident involved had a diagnosis of muscle weakness and was assessed as severely impaired in cognition for daily decision-making. An Assist Bar Evaluation form recommended the use of an assist bar to promote independence. Despite this, the facility did not have a documented process for regular inspections of the beds or assist bars/side rails, and the administrator confirmed the absence of such documentation. The maintenance staff only addressed issues as reported by other staff, and there was no routine check or documentation to ensure the safety of the assist bars/side rails.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 63 citations issued within 25 miles in the last 12 months — including the 10 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 Okemah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Okemah Care Center | 2.1 mi | ★★★★★ | 7 | 0 |
| Rainbow Terrace Care Center | 12.6 mi | ★★★★★ | 0 | 0 |
| Fountain View Manor, Inc | 19.7 mi | ★★★★★ | 7 | 0 |
| Heartway At Henryetta Health And Rehab | 20.1 mi | ★★★★★ | 0 | 0 |
| Elmwood Manor Nursing Home | 20.5 mi | ★★★★★ | 6 | 2 |
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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.