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 Purcell Care Center during CMS and state inspections, most recent first.
A resident with Alzheimer's disease and severe cognitive impairment, previously identified as at risk for elopement, was able to leave the facility unassisted after every 15-minute checks were discontinued. The resident exited by following someone out the door and was later found by police in a nearby neighborhood, indicating a lapse in supervision and monitoring.
A resident with multiple chronic conditions did not receive medications according to physician orders and facility policy, as several medications were administered outside of the designated time blocks. Facility records and staff interviews confirmed that medications were not given during the appropriate times, resulting in a failure to follow established protocols for medication administration.
The facility failed to discard discontinued medications for three residents in a timely manner. Despite being discontinued, unopened injector pens of Trulicity and Dupixent, as well as numerous ampules of formoterol nebulizer solution, were found in the refrigerator. An LPN confirmed that the facility's policy for discarding discontinued medications was not followed.
The facility failed to report an allegation of abuse within the required two-hour timeframe. A resident reported inappropriate behavior by another resident, but the incident report was submitted to OSDH late, beyond the required timeframe. The administrator confirmed the delay.
The facility failed to notify the physician of abnormal blood pressures for two residents with hypertension. Despite multiple instances of elevated and low blood pressure readings, there was no documentation that the physician was informed or that the readings were rechecked, as required by the facility's policy.
The facility failed to administer medications according to physician orders for two residents. One resident had multiple instances of undocumented medication administration, and clonidine was given despite low systolic blood pressure. Another resident received lisinopril and lisinopril-hctz when their systolic blood pressure was below 100. The administrator and Corporate RN confirmed the documentation issues.
Failure to Prevent Elopement of Resident with Cognitive Impairment
Penalty
Summary
A resident with Alzheimer's disease and severe cognitive impairment, who had a history of exit-seeking behaviors, was able to elope from the facility. The resident had previously demonstrated elopement behaviors, including attempting to follow a hospice volunteer out the door, which resulted in the implementation of every 15-minute checks. However, these checks were discontinued after the resident reportedly showed no exit-seeking behaviors for two days. Subsequently, the resident left the facility unassisted and was found by local police in a nearby residential neighborhood. The facility had identified multiple residents at risk for elopement and had policies in place to assess and monitor these individuals. Despite these measures, the resident was able to exit the building by following someone out the door, indicating a lapse in supervision and monitoring. Documentation showed that the resident was last seen in a common area by a certified nurse aide, but was later discovered missing, prompting a search and eventual recovery by law enforcement.
Failure to Administer Medications According to Physician Orders and Facility Policy
Penalty
Summary
The facility failed to ensure that medications were administered according to physician orders for one of six residents sampled for timely medication administration. Facility policy required medications to be administered in a safe and timely manner, in accordance with prescribed orders and specified time frames. However, medication administration records showed that multiple medications, including antihypertensives, laxatives, pain medications, and others, were not given within the designated medication pass times as outlined by facility policy. Instead, medications were administered outside of the prescribed time blocks, with some morning medications given late in the morning and some evening medications administered late at night. The resident involved had multiple chronic conditions, including hypertension, constipation, pain, indigestion, allergies, hormonal imbalance, gout, weight loss, dementia, and insomnia, requiring a complex medication regimen. The audit of medication administration revealed repeated instances where medications were not given at the times specified by physician orders and facility policy. The DON confirmed that medications should have been administered during the appropriate blocked times, indicating a failure to follow established protocols for medication administration.
Failure to Discard Discontinued Medications
Penalty
Summary
The facility failed to ensure that discontinued medications were discarded in a timely manner from the refrigerator for three residents. Resident #25 had Trulicity and Dupixent discontinued on specific dates, yet unopened injector pens of these medications were still found in the refrigerator. Resident #27 had formoterol nebulizer solution discontinued, but numerous ampules were still present. Resident #36 had Trulicity discontinued, but unopened injector pens remained in storage. During an observation, LPN #1 confirmed that the facility's policy for discarding discontinued medications was not followed, as these medications should have been immediately removed and discarded according to the policy.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse within the required two-hour timeframe for two of the three sampled residents reviewed for abuse. According to the facility's abuse policy dated 08/12/22, allegations of abuse must be reported within two hours. A progress note dated 09/01/24 at 4:00 p.m. documented that one resident reported another resident had been sexually inappropriate toward them. However, the initial incident report was not submitted to the Oklahoma State Department of Health (OSDH) until 09/03/24 at 3:25 p.m., which was beyond the required reporting timeframe. The administrator confirmed on 09/05/24 that the incident report was submitted late.
Failure to Notify Physician of Abnormal Blood Pressures
Penalty
Summary
The facility failed to notify the physician of abnormal blood pressures for two residents, leading to a deficiency. Resident #3, diagnosed with vascular dementia and secondary hypertension, had multiple instances of elevated blood pressure readings (153/101) on consecutive days. Despite the facility's policy requiring notification of the physician for hypertension, there was no documentation that the physician was informed or that the blood pressure was rechecked. Interviews with staff confirmed that abnormal blood pressures should be reported to the nurse, who should then recheck the reading and notify the physician if still abnormal. However, this protocol was not followed for Resident #3. Similarly, Resident #5, also diagnosed with secondary hypertension, had several instances of low blood pressure readings (ranging from 74/56 to 84/59) on different days. The facility's policy required notifying the physician for hypotension, but there was no documentation that the physician was informed or that the blood pressure was rechecked by a nurse. Staff interviews corroborated that abnormal blood pressures should be reported and rechecked, and the physician should be notified if the readings remain abnormal. However, this procedure was not adhered to for Resident #5, resulting in a failure to notify the physician of the abnormal readings.
Failure to Administer Medications According to Physician Orders
Penalty
Summary
The facility failed to administer medications according to physician orders for two residents. Resident #3, who had diagnoses including vascular dementia, history of TIA, tremors, and secondary hypertension, had multiple instances where medications were not documented as administered on the Medication Administration Record (MAR). Specifically, medications such as benztropine, apixaban, medroxyprogesterone, riluzole, risperidone, acetaminophen, clonidine, gabapentin, and tramadol had several blank entries on the MAR. Additionally, clonidine was administered when the resident's systolic blood pressure was below 100, contrary to the physician's order to hold the medication in such cases. The administrator confirmed there were no outages in the charting system to explain the blanks on the MAR, and Corporate RN #1 acknowledged that if it was not documented, it was not done. CMA #1 stated that the parameters on the order determine when to hold a medication and that the blanks on the MAR indicated it was not documented as given. Resident #5, who had a diagnosis of secondary hypertension, also experienced medication administration issues. The MAR for December 2023 showed that lisinopril was administered when the resident's systolic blood pressure was below 100 on four of six opportunities, and lisinopril-hctz was administered under the same conditions on two of five opportunities. The administrator and Corporate RN #1 were made aware of these issues, and it was confirmed that the blanks on the MAR indicated the medications were not documented as given. CMA #1 reiterated that the parameters on the order determine when to hold a medication and that the blanks on the MAR were where it was not documented as given.
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Illustrative
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.
Illustrative
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Nursing homes near Purcell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Estates Of Purcell | 0.1 mi | ★★★★★ | 0 | 0 |
| Broadway Living Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Lexington Nursing Home, Inc. | 2.2 mi | ★★★★★ | 2 | 0 |
| Noble Health Care Center | 9.4 mi | ★★★★★ | 2 | 0 |
| 24th Place | 14.5 mi | ★★★★★ | 13 | 1 |
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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.