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 Perry Green Valley Nursing Center, Llc during CMS and state inspections, most recent first.
A resident with impaired mobility and moderate cognitive impairment slid from a wheelchair onto the floor of a facility vehicle during transport, resulting in injury. The CNA transporting the resident alone observed repeated difficulty with the resident maintaining position in the wheelchair but proceeded with the trip. The resident ultimately fell in the van, sustained a scratch and abdominal hematoma, and the incident was not promptly reported to nursing staff.
The facility failed to secure chemicals in three of five halls, with utility and shower room doors left unlocked and various hazardous products unattended. Despite staff acknowledging the need for these areas to be locked, they were found unsecured at multiple times, posing potential safety risks.
The facility failed to assess and document the use of bed rails for several residents, including those with Parkinson's disease, muscle weakness, atrial fibrillation, and chronic kidney disease. Physician orders and consents were not obtained prior to the installation of bed rails, and the Director of Nursing acknowledged that assessments were conducted after the fact, with some orders still missing.
The facility failed to provide bedtime snacks to residents as required by their policy. During a survey, residents reported not being offered snacks, and observations confirmed that snacks were not distributed as expected. Limited snacks were prepared, and nursing staff lacked access to the kitchen after hours, preventing them from meeting residents' needs.
The facility did not ensure arbitration agreements included a mutually agreed location. The agreement specified mediation in Tulsa or Oklahoma County, but the administrator believed the location could be changed if not agreed upon. This affected 63 residents with signed arbitration agreements.
The facility failed to maintain and monitor bed rails for several residents, including those with Parkinson's disease, muscle weakness, atrial fibrillation, and a history of falling. The maintenance supervisor admitted to installing and repairing bed rails as needed but did not conduct routine safety inspections, contrary to the facility's policy. The DON identified 24 residents using bed rails, highlighting a systemic issue.
The facility failed to implement control measures for Legionella and did not follow Enhanced Barrier Precautions (EBP) for a resident with a stage 3 pressure ulcer. The DON and maintenance director were unaware of waterborne pathogen testing, and during wound care, the nurse and a student did not wear required gowns, violating EBP policy.
Resident Injury During Transport Due to Inadequate Supervision and Accident Hazard
Penalty
Summary
A deficiency occurred when a resident with impaired mobility, spinal stenosis, dementia, and moderate cognitive impairment slid from their wheelchair onto the floor of a facility vehicle during transport. The resident, who required significant assistance for transfers and weighed 282 pounds, was being transported by a CNA to a physician appointment. During the appointment, the resident repeatedly slid down in their wheelchair, removing their feet from the footrests and not sitting upright, which the CNA attributed to discomfort from a medical boot. The CNA repositioned the resident multiple times but proceeded with the return trip alone, believing it would not be a problem since previous transports had been successful. While driving back, the resident expressed feeling like they were slipping out of the wheelchair. The CNA pulled into a parking lot to assist, but the resident slid onto the van floor before help could be provided. The resident was found wedged between the wheelchair and the van's front seats. The CNA was unable to lift the resident back into the wheelchair due to the resident's size and called for EMS, who assisted in returning the resident to the wheelchair. The resident declined transport to the hospital at that time and was brought back to the facility, where it took four staff members to get the resident inside. Subsequent assessments revealed a 12 cm scratch on the resident's buttock, bruising on the left abdomen, and complaints of significant abdominal pain. An x-ray was ordered, and the resident was later sent to the hospital, where a large left abdominal rectal sheath hematoma was diagnosed. The incident was not immediately reported to nursing staff by the CNA, and the DON later stated that staff should have been informed of the fall and that additional assistance should have been sought when the resident had difficulty remaining in the wheelchair.
Failure to Secure Chemicals in Facility
Penalty
Summary
The facility failed to ensure that chemicals were secured in three of the five halls observed, leading to potential safety hazards. On multiple occasions, utility and shower room doors were found unlocked and unattended, with various chemicals and personal care products left unsecured. For instance, on hall eight, a bottle of bleach was found in an unlocked utility room. Similarly, on hall seven, a can of disinfectant spray and a tube of Calmoseptine were left unattended near the shower room, with the door open. Labels on these products indicated they should be kept out of reach of children, highlighting the potential risk posed by their accessibility. Further observations revealed similar issues on hall one, where the shower room door was ajar with the key in the knob, and several personal care items were unsecured. Additionally, the utility room on hall one was found unlocked with large bottles of bleach inside. Despite staff acknowledging that these areas should be locked, the doors remained unsecured at various times. The DON confirmed that utility and shower rooms were expected to be locked to ensure the security of chemicals, indicating a lapse in adherence to safety protocols.
Failure to Assess and Document Bed Rail Use
Penalty
Summary
The facility failed to ensure that residents were properly assessed for the use of bed rails prior to their installation. This deficiency was identified for four residents who were reviewed for bed rail use. Resident #17, diagnosed with Parkinson's disease, had a physician order for half side rails for bed mobility, but there was no consent documented in the electronic clinical record. Similarly, Resident #30, with muscle weakness, had a physician order for half bed rails, but the care plan did not document their use, and no consent was found in the clinical record. Resident #115, diagnosed with atrial fibrillation, had no physician order or consent for bed rails, yet was observed with them in place. Resident #55, with chronic kidney disease, also lacked documentation of a physician's order or consent for bed rails, although they were observed on the bed. The Director of Nursing (DON) identified 24 residents using bed rails and acknowledged that physician orders were obtained after the bed rails were applied, and residents were assessed afterward. The DON stated that consents were not obtained because the bed rails were not considered restraints. However, orders for bed rails for Residents #115 and #55 had not been obtained at the time of the survey. This oversight in obtaining necessary consents and orders before the installation of bed rails represents a failure in the facility's compliance with safety protocols for bed rail use.
Failure to Provide Bedtime Snacks to Residents
Penalty
Summary
The facility failed to ensure that residents were offered snacks at bedtime, as observed during a survey. The facility's policy stated that staff would pass out optional snacks to residents between meals and that residents could request snacks or simple meals after dining room hours. However, during a resident council meeting, seven residents reported not being offered bedtime snacks. Observations revealed that dietary staff were in the kitchen, but no snacks had been provided to residents at the time. A cook was later seen taking a bowl with snacks to one of the halls, but the quantity was insufficient for the number of residents. Further investigation showed that a CNA was asked by a resident for a sandwich, chips, and a snack cake, indicating that snacks were not proactively offered. A CMA mentioned that they usually distributed snacks after evening medications, but only had a limited number of snacks available for a hall with 24 residents. Additionally, LPNs reported not having access to the kitchen after it was closed, which limited their ability to provide additional snacks. The dietary manager confirmed that only a small number of snacks were prepared for overnight, and nursing staff did not have access to the kitchen once it was closed.
Arbitration Agreement Location Not Mutually Agreed
Penalty
Summary
The facility failed to ensure that arbitration agreements included a location agreed upon by both parties. The Mediation and Arbitration Agreement, dated February 5, 1951, specified that mediation would occur in Tulsa or Oklahoma County, Oklahoma, at a place agreed to by the parties. However, during an interview on November 6, 2024, the administrator stated that arbitration would take place in either Tulsa or Oklahoma County, and if these locations were not agreed upon, they believed they could change to another location. The administrator admitted they did not know why the arbitration agreement did not indicate that arbitration could occur in a location agreeable to both parties. This issue affected 63 residents who had signed binding arbitration agreements.
Failure to Maintain and Monitor Bed Rails
Penalty
Summary
The facility failed to ensure that resident beds were maintained and monitored for the use of bed rails for four residents who were reviewed for bed rails. The facility's Bed Safety and Bed Rails policy, dated August 2022, required maintenance staff to routinely inspect all beds and related equipment to identify risks and problems, including potential entrapment risks. However, the maintenance supervisor stated that they installed bed rails as directed by the DON and repaired them as needed based on staff reports, but did not provide routine safety inspections of the residents' beds or bed rails. Resident #17, diagnosed with Parkinson's disease, was observed with half side rails bilaterally. Resident #30, diagnosed with muscle weakness, was observed in bed with half side rails in the up position bilaterally. Resident #115, diagnosed with atrial fibrillation, was observed in bed with half side rails in the up position bilaterally. Resident #55, diagnosed with muscle weakness and a history of falling, was observed with bilateral half bed rails. The DON identified 24 residents who utilized bed rails, indicating a broader issue with bed rail safety monitoring and maintenance in the facility.
Inadequate Infection Control Measures and Protocols
Penalty
Summary
The facility failed to implement adequate control measures and testing protocols for monitoring potential water-borne pathogens, such as Legionella, within its water system. During interviews, the Director of Nursing (DON) and the maintenance director both expressed a lack of knowledge regarding the prevention of Legionella. The maintenance director admitted that they did not check for waterborne pathogens or bacteria and were unaware of any water testing being conducted. They also stated that they did not monitor the water system beyond checking water temperature and knowing the location of shut-off valves, and they lacked a map of the water system or knowledge of areas with stagnant water concerns. Additionally, the facility did not adhere to its Enhanced Barrier Precautions (EBP) policy for a resident with a stage 3 pressure ulcer on the left elbow. During an observation of wound care, the wound care nurse initially did not wear a gown while removing the dressing and only put it on afterward. A nursing student assisting in the procedure was not wearing a gown, despite being in close contact with the wound. The wound care nurse acknowledged that both they and the nursing student should have worn gowns and gloves as required by the EBP policy, which mandates such precautions during high-contact resident care activities to prevent the transmission of multidrug-resistant organisms.
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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 Perry
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westhaven Nursing Home | 16.8 mi | ★★★★★ | 6 | 0 |
| Stillwater Creek Skilled Nursing And Therapy | 17.7 mi | ★★★★★ | 0 | 0 |
| Southern Oaks Care Center | 27.7 mi | ★★★★★ | 9 | 0 |
| Willow Haven Nursing Home | 28.2 mi | — | 0 | 0 |
| Golden Age Nursing Home Of Guthrie, Llc | 29 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.