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 Mcalester Nursing & Rehab during CMS and state inspections, most recent first.
Dirty Shower Curtain and Water-Damaged Ceiling Tiles: The east hall shower room had a grey and white shower curtain with numerous black discolorations and two ceiling tiles with brown rings and water damage. Maintenance described the discoloration as looking like mold or mildew and identified the ceiling damage as roof leaks, while the housekeeping and laundry supervisor stated shower curtains were to be cleaned and checked daily. The administrator said 25 residents used the shower room.
Failure to Protect Resident from Sexual Abuse: A cognitively intact resident touched a severely cognitively impaired resident's breast over clothing in a common area while a CNA witnessed the incident. The victim had severe cognitive impairment and diagnoses including frontotemporal neurocognitive disorder and traumatic brain injury, and the event was documented by the facility and police as sexual assault.
A resident with severe cognitive impairment and elopement-seeking behaviors eloped from a facility due to inadequate supervision and failure to update care plans. Despite documented exit-seeking behaviors, the resident's elopement risk evaluation did not reflect these behaviors, and the care plan lacked specific interventions. Staff interviews revealed inconsistencies in identifying at-risk residents, and the administrator confirmed the absence of a formal process for elopement risk identification.
Two residents in the facility had inaccuracies in their Resident Assessments. One resident, with hepatic encephalopathy, received physical therapy services that were not documented in their assessment. Another resident, with chronic kidney disease stage four, was admitted to hospice care, but their prognosis was inaccurately recorded as not being less than six months. The MDS Coordinator acknowledged these errors, indicating a failure in accurate documentation.
A facility failed to update the care plan for a resident with an unstageable pressure ulcer. The resident had a documented wound on the right buttock, and a physician's order was in place for treatment. However, the care plan did not reflect this condition, and the MDS Coordinator admitted it had not been updated since the resident's hospital readmission.
A facility failed to accurately document a resident's blood pressure, affecting medication administration. An LPN rounded up a blood pressure reading from 101/52 to 102/52, contrary to the facility's policy requiring exact documentation. The resident had essential hypertension and tachycardia, with a physician's order to hold medication if SBP was less than 110. The DON confirmed that rounding was not acceptable.
The facility did not ensure that information on how to file a formal complaint with the State agency was visible to residents. During a Resident Council meeting, it was noted that residents were not informed of their right to complain to the State. The complaint procedure form was partially covered, obscuring necessary contact information. Social Services mentioned discussing rights and grievances but lacked a specific form for State complaints. The Administrator acknowledged the issue, stating the contact information was inadvertently covered.
The facility did not ensure residents had access to the most recent State survey results. The Resident Council Group was unaware of how to access these results, and the survey results were not clearly marked or updated. Social Services admitted to not informing residents about the location of the survey results, and the Administrator confirmed the absence of the latest complaint survey results.
A facility failed to update a resident's care plan to reflect their DNR status, despite a physician's order and documentation indicating the change. The care plan inaccurately showed a full code status, which was confirmed by an MDS Coordinator.
A resident with hepatic and metabolic encephalopathy was found with a white pill, identified as oxybutynin, left at their bedside without a self-administration order. The CMA responsible stated they usually ensure residents take their medications, but the resident liked to hold their bladder pill. Additionally, a Vicks VapoStick was found in the room, brought by a family member against policy. The DON confirmed no residents were authorized to self-administer medications.
The facility failed to properly thaw meat products, leading to potential cross-contamination. A container in the walk-in cooler held ground beef and partially frozen hams together, with a red liquid identified as blood at the bottom. The Dietary Manager confirmed the meats should have been separated, and both required cooking before eating. The contaminated meat products were discarded.
Dirty Shower Curtain and Water-Damaged Ceiling Tiles
Penalty
Summary
The facility failed to ensure the east hall shower room was kept safe, clean, and in good repair for residents, staff, and the public. On observation, the shower room had a grey and white shower curtain with spots of black discoloration too numerous to count, and two ceiling tiles with brown rings and water damage. Maintenance staff stated the black discoloration on the shower curtain looked like mold or mildew and identified the damaged ceiling tiles as water leaks, noting the roof had leaks and that the area was wet when it rained. The housekeeping and laundry supervisor stated housekeeping was responsible for ensuring shower curtains were clean, that curtains were to be washed and discarded if stains did not come out, and that housekeeping was to check shower rooms and linens daily to ensure they were clean. The administrator identified 25 residents used the east hall shower room.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to ensure a resident was free from sexual abuse when Resident #1 touched Resident #2's right breast area over clothing while both residents were in the lobby/common area. Resident #2 had diagnoses including frontotemporal neurocognitive disorder, focal traumatic brain injury, cognitive social or emotional deficit, and speech and language deficit, and had a BIMS score of 3 indicating severe cognitive impairment. At the time of observation, Resident #2 was sitting in a wheelchair, was clean and dressed, smiled when approached, and did not verbally respond or appear fearful. Facility video showed Resident #1 positioning a motorized wheelchair beside Resident #2's wheelchair and placing a hand through the armrest opening to touch Resident #2's breast. A CNA witnessed the contact and immediately removed Resident #1 from the area and reported the incident. The incident was documented as an allegation of abuse, and the police offense report identified the event as a sexual assault with Resident #1 as the suspect and Resident #2 as the victim. The facility records also showed Resident #1 had diagnoses including COPD, diabetes mellitus, acute respiratory failure, and major depressive disorder, and a quarterly assessment showed a BIMS of 15 with no behaviors toward others.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
An Immediate Jeopardy situation was identified in a facility due to inadequate supervision and failure to prevent the elopement of a resident with severe cognitive impairment and elopement-seeking behaviors. The resident, who had been admitted with diagnoses including anxiety disorder and dementia, was reported missing and found one block away after stepping off a curb and sustaining injuries. The resident's care plan, although noting a risk for elopement, did not document specific interventions for wandering or exit-seeking behaviors. Prior to the incident, the resident exhibited behaviors such as pacing, cursing, and attempting to exit the facility, which were documented in administration and behavior notes. Despite these observations, the resident's elopement risk evaluation did not reflect these behaviors, and the care plan lacked documentation of visual checks or specific interventions for exit-seeking behavior. The DON acknowledged that the resident was placed on Q15 minute visual checks after exhibiting elopement-seeking behavior but did not update the care plan or reassess the resident's elopement risk. Interviews with CNAs revealed inconsistencies in identifying residents at risk for elopement, with some staff mentioning a list at the nurse's station and others referring to red bracelets, neither of which were observed in practice. The administrator confirmed the absence of a formal process to identify residents at risk for elopement, contributing to the deficiency in supervision and prevention of elopement for the resident involved.
Inaccurate Resident Assessments in LTC Facility
Penalty
Summary
The facility failed to ensure accurate coding of Resident Assessments for two residents, leading to deficiencies in the documentation of their care. Resident #39, who had diagnoses including hepatic encephalopathy and cirrhosis of the liver, received physical therapy services on three occasions. However, these services were not documented in the Quarterly Resident Assessment dated 07/01/24. The MDS Coordinator acknowledged that the therapy services should have been captured in the assessment, indicating a lapse in the accurate recording of the resident's received services. Similarly, Resident #50, diagnosed with chronic kidney disease stage four, was admitted to hospice care with a prognosis of less than six months to live. Despite this, the Significant Change Resident Assessment dated 05/29/24 inaccurately documented the prognosis as not being less than six months. The MDS Coordinator admitted to incorrectly coding the prognosis, despite the resident's hospice admission and physician's assessment. These inaccuracies in the Resident Assessments highlight a failure in the facility's process to ensure precise documentation of residents' care and conditions.
Failure to Update Care Plan for Pressure Ulcer
Penalty
Summary
The facility failed to update the care plan for a resident with an unstageable pressure ulcer. The resident, who had been readmitted to the facility, was documented to have a moisture-associated wound on the right buttock measuring 5.0 cm in length by 3.0 cm in width by 0.1 cm in depth. A physician's order was issued to clean the unstageable area with wound wash, apply hydrogel and collagen, and cover the area with foam dressing daily and as needed for 14 days before re-evaluation. However, there was no documentation of this pressure ulcer in the resident's care plan. The MDS Coordinator acknowledged that the care plan had not been updated since the resident's return from the hospital. This oversight was identified during a review of records and interviews, indicating a lapse in ensuring the care plan was current and reflective of the resident's medical needs.
Inaccurate Blood Pressure Documentation
Penalty
Summary
The facility failed to ensure accurate documentation of blood pressure for a resident with essential hypertension and tachycardia. A physician's order required metoprolol tartrate to be administered twice daily, with instructions to hold the medication if the systolic blood pressure (SBP) was less than 110. During a medication pass, an LPN used a wrist cuff to measure the resident's blood pressure, obtaining a reading of 101/52. The LPN then rounded up the systolic value to 102/52 before documenting it on the Medication Administration Record (MAR). The LPN stated that rounding was done to achieve an even number, acknowledging that it could affect the parameters. The Director of Nursing (DON) confirmed that the policy required vital signs to be recorded as read on the machine and that rounding was not acceptable.
Failure to Provide Visible Complaint Information
Penalty
Summary
The facility failed to ensure that information on how to file a formal complaint with the State agency was visible to the residents. During a meeting with the Resident Council Group, it was revealed that residents had not been informed of their right to formally complain to the State about the care they were receiving. An observation of the Long Term Care Facility Complaint Procedure form showed that only the top part of the form was visible, with a plastic sleeve containing survey results covering the bottom half, obscuring the contact information necessary for filing a complaint. Social Services stated that they discussed resident rights and grievance procedures during meetings but did not have a specific form for State agency complaints. The Administrator acknowledged that the contact information was not viewable because it had been covered, although they claimed staff did not cover it.
Failure to Provide Access to Survey Results
Penalty
Summary
The facility failed to ensure that residents had access to the most recent survey results conducted by State surveyors. During a complaint investigation, it was found that the Resident Council Group was unaware of how to access the State inspection results, as the facility had not informed them. The survey results were observed in a clear plastic sleeve on a brown board next to the dining room, but there was no sign indicating that these were the State survey results. The results inside were dated 06/28/23, and the results for the 12/11/23 complaint survey were missing. Social Services admitted that they did not share the location of the survey results with the residents and had only recently taken over the role. Although they had gone over resident rights with the Resident Council Group in April 2024, they failed to ensure the residents were fully informed about the survey results. The Administrator confirmed that the 12/11/23 complaint survey should have been included but was not.
Failure to Update Resident's Code Status in Care Plan
Penalty
Summary
The facility failed to ensure that a resident's code status was accurately updated in their care plan. Resident #38, who was admitted with diagnoses including myocardial infarction and atherosclerotic heart disease, had a care plan dated 05/03/24 indicating a full code status. However, a physician's order dated 06/27/24 documented the resident's code status as Do Not Resuscitate (DNR), which was also indicated by an orange sticker on the resident's chart and a DNR form signed by the resident's guardian. Despite these updates, the care plan still reflected a full code status. On 07/31/24, an MDS Coordinator confirmed that the care plan inaccurately documented the resident as a full code, while the resident's actual code status was DNR.
Medication Mismanagement at Resident's Bedside
Penalty
Summary
The facility failed to ensure medications were not left at a resident's bedside, as observed with one resident out of 16 who were monitored for bedside medications. The resident, who had diagnoses including hepatic encephalopathy, metabolic encephalopathy, and cirrhosis of the liver, did not have a physician's order to self-administer medications. During an observation, the resident reported finding a white pill, identified by staff as oxybutynin, on their bedside table, which had been left there approximately 45 minutes prior. This indicates a lapse in the facility's medication administration protocol, as the resident was not supposed to have medications left at their bedside. The Certified Medication Aide (CMA) responsible for administering the medication stated that they typically watch residents take their medications and then remove the empty cup. However, they acknowledged that the resident in question likes to hold their bladder pill, which may have contributed to the medication being left at the bedside. Additionally, a container of Vicks VapoStick was found in the resident's room, which the resident admitted was brought in by a family member, despite knowing it was against facility policy. The Director of Nursing (DON) confirmed that there were no residents authorized to self-administer medications and emphasized that staff should ensure medications are administered and documented properly.
Improper Thawing of Meat Products
Penalty
Summary
The facility failed to ensure proper thawing of meat products to prevent cross-contamination during a kitchen observation. A grey container on the bottom shelf of the walk-in cooler contained a clear wrapped container of ground beef dated 07/11/24 and two partially frozen hams with a use-by date of 10/29/24. A red liquid, identified as blood, was noted at the bottom of the container where the meats were stored. The Dietary Manager acknowledged that the meats were supposed to be separated and confirmed that both items required cooking before consumption. The meat products were subsequently discarded into the outside trash can.
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 11 citations issued within 25 miles in the last 12 months — 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 Mcalester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| New Hope Retirement & Care Center | 0.5 mi | ★★★★★ | 8 | 0 |
| Mitchell Care & Rehab Center | 1 mi | ★★★★★ | 0 | 0 |
| Heritage Hills Living & Rehabilitation Center | 1.5 mi | ★★★★★ | 3 | 0 |
| Walnut Grove Care & Rehab Center | 3.6 mi | ★★★★★ | 0 | 0 |
| Beare Manor | 13.7 mi | ★★★★★ | 0 | 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.