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 Mid-del Skilled Nursing And Therapy during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple medical conditions experienced a change in condition, including lethargy and decreased intake. Although the nurse contacted the on-call provider and continued monitoring, there was no documentation that the resident's emergency contact was notified, as required by facility policy. An LPN confirmed the lack of family notification after reviewing the records.
A resident with an implanted cardiac loop monitor did not have this device included in their care plan until after a hospital stay, despite medical records and physician orders indicating its presence and required care. Staff interviews revealed a lack of awareness and formal documentation regarding the device, with information about the monitor being shared informally rather than through the care plan.
A resident with chronic respiratory conditions was not provided with continuous oxygen therapy or CPAP/BIPAP as ordered upon hospital transfer. The care plan and treatment records did not reflect the required respiratory interventions, and an LPN confirmed that the hospital's instructions were not implemented.
The facility required all residents to sign a binding arbitration agreement as part of the admission process, without informing them that participation was voluntary or that they had the right to refuse. Staff interviews confirmed that residents who did not sign the agreement were not admitted, and there was no documentation showing that residents or their representatives were given a choice.
Failure to Notify Emergency Contact of Change in Resident Condition
Penalty
Summary
The facility failed to notify the emergency contact of a resident who experienced a change in condition. According to the facility's policy, staff are required to inform the resident, consult with the resident's physician, and notify the legal representative or interested family member of significant changes in the resident's physical, mental, or psychosocial status. In this case, a resident with severely impaired cognition and multiple diagnoses, including dysarthria, anarthria, hemiplegia, and dementia, was noted to be lethargic, less talkative than usual, and had decreased food and fluid intake. The nurse contacted the on-call provider, who advised continued monitoring and for the resident to be seen by the primary care physician. The nurse continued to monitor the resident throughout the shift and documented the resident's vital signs and condition. However, there was no documentation that the resident's emergency contact was notified of this change in condition. During an interview, an LPN reviewed the nurse's progress note and confirmed that there was no evidence of family notification, stating that the family should have been informed of any change in condition. This lack of notification was identified for one of three sampled residents reviewed for notification of change, out of a total of 38 residents in the facility.
Failure to Include Cardiac Loop Monitor in Resident Care Plan
Penalty
Summary
The facility failed to fully develop and implement a care plan addressing all of a resident's needs, specifically omitting the presence and management of an implanted loop cardiac monitor for one resident. Documentation showed that the resident had a loop monitor inserted, with supporting medical records and physician orders indicating the need for the device to be plugged in and functioning at the bedside every shift. Despite this, the resident's care plan did not reflect the presence of the loop monitor until after a hospital stay, even though the device had been implanted and in use prior to that time. Interviews with facility staff revealed a lack of awareness and communication regarding the resident's medical device. A certified nurse aide was unaware of the device, and an LPN stated that there was no order for the loop monitor prior to the recent hospital stay, with knowledge of the device being passed only through verbal report. The MDS coordinator confirmed that the loop monitor was not included in the care plan until after the hospital stay, and noted that staff would not have known about the device outside of direct observation or communication with the resident's family.
Failure to Implement Hospital Transfer Orders for Respiratory Care
Penalty
Summary
The facility failed to follow hospital transfer orders for a resident with diagnoses including unspecified asthma, obesity hypoventilation syndrome, and chronic respiratory failure. Upon observation, the resident was found in bed without oxygen, CPAP, or BIPAP in use, despite hospital transfer orders specifying continuous oxygen at 4 liters per minute by nasal cannula and instructions for CPAP/BIPAP. The resident's care plan only indicated oxygen 1-4 liters as needed, and treatment records for April and May did not document continuous oxygen therapy as ordered. Review of the facility's electronic medication record revealed that the hospital diagnoses and instructions for CPAP/BIPAP were not present or implemented. LPN staff confirmed that the general instructions and orders for oxygen and CPAP/BIPAP from the hospital were not carried out.
Failure to Inform Residents of Voluntary Nature of Arbitration Agreements
Penalty
Summary
The facility failed to ensure that residents and their representatives were informed that signing a binding arbitration agreement was voluntary and that they had the right to refuse. Record review and interviews revealed that the arbitration agreement was included as part of the admission packet, and residents or their legal representatives were required to sign the entire packet, including the arbitration agreement, with a single electronic signature. The documentation provided to residents and families did not specify that the arbitration agreement was optional, and there was no evidence that residents were given a choice to decline it. Interviews with facility staff confirmed that the admissions process required all residents to sign the arbitration agreement as a condition of admission. The admissions coordinator stated that if a resident or representative did not sign the admission agreement, which included the arbitration agreement, the facility would not admit them. The administrator also acknowledged that all residents signed the arbitration agreement and was unaware that this practice was non-compliant. Three sampled residents were identified as having signed the arbitration agreement without documentation that they were informed of their right to refuse.
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What surveyors actually found near you
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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 Del City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Place Healthcare And Rehab | 1.7 mi | — | 29 | 1 |
| Cross Timbers Nursing And Rehabilitation | 2.2 mi | ★★★★★ | 0 | 0 |
| Kingwood Skilled Nursing And Therapy | 2.4 mi | ★★★★★ | 7 | 0 |
| Emerald Care Center Midwest | 3.5 mi | ★★★★★ | 0 | 0 |
| Midwest City Post Acute & Rehab | 3.8 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.