Below 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 Hill Nursing Home, Inc. during CMS and state inspections, most recent first.
A resident with dementia was physically abused by a CMA during a medication administration attempt, resulting in skin tears. The incident was not reported immediately, and the LPN failed to notify the administrator or remove the CMA. The facility's QAPI committee had not reviewed the incident, and the abuse policy was not followed, leading to a deficiency.
A facility failed to follow its abuse policies when an LPN did not report an abuse allegation involving a resident with dementia to the administrator or protect the resident from the accused staff. The administrator also failed to report the incident to the state health department within the required timeframe.
A facility failed to report an abuse allegation within the required two-hour timeframe. A resident with dementia and other disorders was involved in an incident where a CMA caused skin tears. The incident was reported to the administrator by the family the next day, but the state health department was notified later that evening, violating the facility's policy. The LPN did not report the incident or protect the resident, leading to a deficiency.
The facility failed to ensure menus were prepared in advance, followed, and reviewed by a dietitian. A part-time cook, not certified, created menus without dietitian approval, and staff determined portion sizes based on informal guidance. The dietitian had not signed off on menus for a year, and meals served did not match documented menus.
The facility failed to store, prepare, and serve food safely, using unpasteurized eggs and improperly stored meat and cheese. The DM admitted to not having pasteurized eggs for two weeks and acknowledged issues with undated and improperly stored food items.
A resident with a history of cerebral infarction and osteoporosis experienced significant pain following an injury, but the facility failed to provide adequate pain management. Despite a physician's order for Tylenol, the medication was not administered effectively, and staff did not document the resident's pain levels or mobility limitations. Additionally, there was a delay in obtaining a STAT x-ray, and the facility did not communicate the resident's continued pain or the delay to the physician, which could have led to further medical intervention.
A resident with a history of cerebral infarction and osteoporosis experienced seizure-like activity and was later found to have fractures. Despite being in pain with movement, the resident's pain was not documented by nursing staff. The facility failed to ensure accurate medical records, as the resident's pain and mobility limitations were not recorded, contributing to the deficiency.
The facility did not implement its Legionella Water Management Program as required. The policy called for a water management team and monitoring system, but the maintenance director was unfamiliar with the program, and no monitoring documentation was completed. This deficiency impacted the facility's 40 residents.
The facility failed to document the offering or administration of the pneumococcal vaccine for three residents, despite a policy requiring assessment and offering of the vaccine within thirty days of admission. The IP confirmed the lack of documentation and noted that the facility pharmacy had not filled a prescription for the vaccine since 2019.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from abuse, resulting in physical harm. The incident involved a resident with dementia and behavioral disturbances who was subjected to physical abuse by a Certified Medication Aide (CMA). The resident, who was severely impaired in daily decision-making and required substantial assistance, became combative during a medication administration attempt. The CMA responded by throwing water in the resident's face and physically forcing the resident's hands against their face, causing skin tears and further aggression. The incident was not reported immediately as required by the facility's policy. The Licensed Practical Nurse (LPN) on duty failed to notify the administrator or remove the CMA from the resident care area after the incident. The administrator was only made aware of the situation the following day by the resident's family, who noticed the injuries. The delay in reporting and failure to protect the resident from further harm were significant lapses in protocol. Additionally, the facility's Quality Assurance and Performance Improvement (QAPI) committee had not convened since April, and the incident was not reviewed in a QAPI meeting. This lack of oversight and failure to follow established abuse reporting procedures contributed to the deficiency. The administrator acknowledged that the abuse policy was not adhered to, and the incident was not reported to the state health department within the required timeframe.
Failure to Implement Abuse Reporting Procedures
Penalty
Summary
The facility failed to implement its written abuse policies and procedures for a resident with dementia and other mental health diagnoses. The resident's care plan indicated they had impaired cognition and frequent verbal and physical behaviors, requiring specific interventions from staff. However, an LPN did not report an allegation of abuse involving this resident to the administrator or protect the resident from the accused staff member. This failure to act according to the facility's policy resulted in a deficiency. Additionally, the administrator acknowledged that the allegation of abuse was not reported to the Oklahoma State Department of Health within the required two-hour timeframe. This oversight further highlights the facility's failure to adhere to its own procedures for handling and reporting abuse allegations, as outlined in their policy titled 'Compliance with Reporting Allegations of Abuse/Neglect/Exploitation.' The policy mandates immediate actions to protect the resident and notify relevant parties, which were not followed in this instance.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse within the required two-hour timeframe to the Oklahoma State Department of Health. The incident involved a resident with dementia, anxiety disorder, delusional disorders, and major depressive disorder, who was severely impaired in daily decision-making and required substantial assistance with daily activities. The resident became combative with a Certified Medication Aide (CMA), who then grabbed the resident's wrists, causing skin tears. The incident was reported to the facility administrator by the resident's family the following day, but the report to the state health department was not made until later that evening, exceeding the two-hour reporting requirement. The facility's policy on abuse, neglect, and exploitation mandates immediate reporting of alleged violations to the administrator and relevant authorities within two hours. However, the Licensed Practical Nurse (LPN) involved did not report the incident to the administrator or take steps to protect the resident from the staff member involved. The administrator acknowledged the delay in reporting the incident to the state health department, which constituted a failure to adhere to the facility's policy and regulatory requirements.
Failure to Ensure Menus Meet Nutritional Needs and Are Reviewed by Dietitian
Penalty
Summary
The facility failed to ensure that menus were prepared in advance, followed, and reviewed by a qualified nutrition professional. The facility's assessment tool indicated a transition to liberal diets with modifications as needed, and that menus would be created by the dietary staff and approved by a registered dietitian. However, the menus provided did not document therapeutic diets or portion sizes. The dietary manager (DM) pointed to a handwritten menu lacking these details, and the assistant administrator confirmed that a part-time cook, who was the previous dietary manager and not certified, had been making the menus for over a year without dietitian approval. Interviews revealed that the part-time cook determined menus based on residents' likes and dislikes, and staff were expected to know portion sizes from weekly meetings. The dietary aide prepared meals based on the DM's instructions without knowing the full menu details. The facility dietitian confirmed they had not signed off on menus for a year, and the assistant administrator admitted that the dietary staff did not follow the provided menus but instead followed those prepared by the part-time cook. The DM also admitted to serving meals not listed on the menu, such as beans every Wednesday, which contradicted the assistant administrator's statement that this practice had stopped.
Food Storage and Preparation Deficiencies
Penalty
Summary
The facility failed to ensure food was stored, prepared, and served in a safe and sanitary manner for the residents. During an observation, it was noted that the refrigerator contained dozens of unpasteurized eggs, which were being used to prepare scrambled, hard, and over medium eggs for residents. The dietary manager (DM) admitted that pasteurized eggs had not been available for two weeks, despite the requirement to use them. Additionally, the refrigerator contained an open bag of shredded cheese and three undated containers of liquid cheese, gravy, and meat. The DM acknowledged that the meat was from the previous day's meal and should have been discarded. Furthermore, thawed meat was found uncovered in a container with bloody juice in the storage room refrigerator, which the DM stated had been thawed since last Friday and should not be served if thawed for more than two days.
Inadequate Pain Management and Communication Failure
Penalty
Summary
The facility failed to provide adequate pain management for a resident with a history of cerebral infarction, aphasia, right-sided flaccid hemiplegia, and osteoporosis, who was experiencing significant pain following an injury of unknown origin. The resident had a physician's order for Tylenol 325mg, 1-2 tablets every six hours as needed for pain. However, the medication administration record indicated that the resident was not medicated for pain on the day of the injury and received only two doses of Tylenol over the following two days. Staff interviews revealed that the Tylenol was not effective in managing the resident's pain, and there was a lack of documentation regarding the resident's pain levels and mobility limitations. The facility also failed to communicate effectively with the physician and obtain timely diagnostic imaging. Despite an order for a STAT x-ray following the resident's injury, there was a delay in obtaining the x-ray, and the facility did not notify the physician of the resident's continued pain or the delay in imaging. The APRN reported that they would have ordered the resident to be sent to the hospital had they been informed of the situation. The DON acknowledged that the physician should have been notified and that the nurses should have documented the resident's pain and mobility issues.
Failure to Document Resident's Pain and Mobility Limitations
Penalty
Summary
The facility failed to ensure the accuracy of the medical record for a resident who was reviewed for an injury of unknown origin. The resident had a history of cerebral infarction, aphasia, right-sided flaccid hemiplegia, and osteoporosis. A physician's order was in place for Tylenol to be administered as needed for pain. On a specific date, the resident experienced seizure-like activity and was transferred to the hospital. Upon return, the resident was noted to be in pain, unable to bear weight, and holding their right hip. An x-ray was ordered, and the resident was later transferred back to the hospital for a left hip fracture. The hospital x-ray revealed a comminuted fracture of the left acetabulum and a fracture of the right sacrum. The medication administration record indicated that the resident was not medicated for pain on the day of the initial incident and received Tylenol on subsequent days. Interviews with nursing staff revealed that the resident experienced pain with movement and positioning, but this was not documented in the nursing notes. The LPN and RN involved reported that they did not document the pain because it was not present when the resident was not being moved. The Director of Nursing acknowledged that the nurses should have documented the resident's pain with mobility in the progress notes. The lack of documentation of the resident's pain and limitations with mobility contributed to the deficiency.
Failure to Implement Legionella Water Management Program
Penalty
Summary
The facility failed to implement its policy regarding the monitoring and prevention of Legionella bacteria growth. The Legionella Water Management Program policy outlined the need for a water management team, including the infection preventionist, administrator, medical director, and director of maintenance, to oversee the program. This program was supposed to include a detailed description and diagram of the water system, identification of situations that could lead to Legionella growth, a system to monitor control limits, and documentation of the program. However, during an interview, the maintenance director admitted to being unfamiliar with the Legionella program, and staff confirmed that no monitoring documentation had been completed regarding Legionella. This deficiency affected the facility, which housed 40 residents.
Failure to Document Pneumococcal Vaccine Administration
Penalty
Summary
The facility failed to provide documentation regarding the offering or administration of the pneumococcal vaccine for three residents out of five reviewed for immunizations. The facility's policy requires that residents be assessed for eligibility and offered the pneumococcal vaccine series within thirty days of admission. However, for residents #5, #8, and #24, there was no documentation in their immunization records indicating that the vaccine was offered or administered. During an interview, the facility's Infection Preventionist (IP) confirmed that only two of the five residents reviewed had received the pneumococcal vaccine, and there was no documentation for the remaining three. Additionally, the IP noted that the facility pharmacy had not filled a prescription for the pneumococcal vaccine since 2019.
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Illustrative
What surveyors actually found near you
We read the 39 citations issued within 25 miles in the last 12 months — including the 1 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 Idabel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Memorial Heights Nursing Center | 0.5 mi | ★★★★★ | 10 | 0 |
| Broken Bow Health And Rehab | 9.9 mi | ★★★★★ | 7 | 1 |
| Clarksville Nursing Home | 23.9 mi | ★★★★★ | 14 | 0 |
| Focused Care At Clarksville | 24.4 mi | ★★★★★ | 8 | 0 |
| Bear Creek Healthcare Llc | 29.5 mi | ★★★★★ | 3 | 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.