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 Saint Simeons Episcopal Home during CMS and state inspections, most recent first.
A resident with mood disorder, PTSD, and anxiety was left feeling abandoned and undignified after a CNA left them naked in bed without returning. The resident, who was cognitively intact, expressed fear of the CNA and preferred they not return. Other staff members described general practices for maintaining dignity, but the incident highlighted a failure in these practices.
A resident with mood disorder, PTSD, and anxiety was neglected by a CNA who left them naked and unattended, resulting in the resident soiling the bed. The facility's policies on neglect prevention were not effectively implemented, as the CNA had a history of similar allegations. The incident highlighted a failure in supervision and monitoring of care delivery.
A resident with a history of fractures and glaucoma was left naked in bed by a CNA, leading to feelings of abandonment. The resident was dependent on staff for toileting hygiene and was found by another CNA sitting on a raised bed, dressed but in a wet brief. The facility's CEO noted that incomplete care for 30-45 minutes was unacceptable.
Two residents experienced neglect in a facility, one left soiled and wedged in bed by a CNA, and another not receiving proper care from an LPN. Both staff members were terminated after investigations.
The facility failed to submit discharge assessments to CMS within the required seven-day period for two residents. One resident, with diagnoses including hypertension and malnutrition, and another with chronic obstructive pulmonary disease and hypertension, had their assessments completed but not submitted. The MDS coordinator confirmed the oversight.
A facility failed to accurately code assessments for a resident admitted with heart failure, hypertension, and diabetes. The resident's discharge summary indicated they went home, but the discharge assessment inaccurately stated they were discharged to the hospital. The MDS coordinator later confirmed the inaccuracy.
A facility failed to obtain an order for suprapubic catheter care for a resident with benign prostatic hyperplasia and lower urinary tract symptoms. An LPN discovered the missing order while preparing for catheter care, and the DON confirmed the oversight occurred after the resident returned from the hospital.
A resident with dementia and anxiety reported being abused by a CNA, who allegedly took away their call buzzer, turned off the lights and TV, and refused assistance throughout the night. The resident claimed the CNA hit them when they screamed for help.
A resident with Alzheimer's and a subarachnoid hemorrhage was involuntarily discharged from a facility after returning from a hospital admission. The resident's spouse initially agreed to a transfer but later decided against it. Despite this, the facility proceeded with the discharge, as the administrator chose not to stop the transfer process, which was already underway.
Failure to Maintain Resident Dignity and Respect
Penalty
Summary
The facility failed to ensure that a resident was treated with dignity and respect, as evidenced by an incident involving a certified nursing assistant (CNA). The resident, who was cognitively intact with a BIMS score of 13 and had diagnoses including mood disorder, PTSD, and anxiety, reported feeling abandoned after CNA #1 left them naked in bed after removing their wet brief. This incident was reported by another CNA, leading to the suspension of CNA #1 pending investigation. The resident expressed fear of CNA #1 and a preference for them not to return to their room at night. Interviews with other staff members, including another CNA and an LPN, highlighted the facility's general practices for maintaining resident dignity, such as knocking on doors and addressing residents by their preferred names. The CEO/president of the facility stated that ensuring dignity and respect was part of staff training and daily rounds by nursing leadership. However, the incident with CNA #1 demonstrated a failure in these practices, as the resident was left feeling undignified and disrespected.
Neglect Incident Involving CNA and Resident
Penalty
Summary
The facility failed to ensure that a resident was free from neglect, as evidenced by an incident involving a certified nursing assistant (CNA) who left a resident naked and unattended in bed. The resident, who had diagnoses including mood disorder, PTSD, and anxiety, was cognitively intact with a BIMS score of 13. The incident was reported when the resident expressed fear of the CNA and recounted that the CNA had removed their wet brief, left them naked, and did not return, resulting in the resident soiling the bed. This incident was corroborated by another CNA who found the resident in an unusual position and condition the following morning. The facility's policies on abuse and neglect prevention were not effectively implemented, as the CNA involved had previously been suspended for a similar allegation that was not corroborated. Despite being given a 'teaching moment' and allowed to return to work, the CNA was again involved in an incident of neglect. The facility's failure to provide necessary supervision and monitoring of care delivery led to the resident experiencing neglect, as the care that was supposed to be provided was interrupted and left incomplete for an extended period, which did not meet the facility's expectations for resident care.
Failure to Provide Adequate ADL Assistance
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living for a resident who was dependent on staff for toileting hygiene. The resident, who had a history of fractures and glaucoma, was cognitively intact with a BIMS score of 13. An incident occurred where a CNA left the resident naked in bed, which the resident reported as an isolated event with that particular CNA. The resident expressed feelings of abandonment as they were left needing to be changed. Further investigation revealed that another CNA found the resident sitting on the side of their bed, which was raised too high, waiting for the initial CNA to return. The resident was dressed and wearing a wet brief. The CEO/president of the facility stated that care left incomplete for 30 to 45 minutes did not meet their expectations. Additionally, another CNA noted that the initial CNA was slow in responding to call lights, which may have contributed to the delay in care.
Failure to Ensure Residents Free from Abuse
Penalty
Summary
The facility failed to ensure residents were free from abuse, as evidenced by two separate incidents involving two residents. In the first incident, a resident with Parkinson's and immobility was left soiled and wedged between the bed and the wall by a CNA who was covering for another aide on break. This incident was documented in a state reportable incident form, and the CNA was immediately removed from patient care and subsequently terminated. In the second incident, a resident with Alzheimer's disease and osteoporosis did not receive proper care from an LPN, who inaccurately documented the resident's hydration, dressing changes, and medication administration. This was discovered through a state reportable incident form, and the LPN was suspended and later terminated following an investigation. Both incidents were reported to the appropriate authorities, and the staff involved were reported to their respective registries.
Failure to Submit Discharge Assessments Timely
Penalty
Summary
The facility failed to ensure that discharge assessments were submitted to CMS within the required seven-day timeframe for two residents. Resident #64, who was admitted with diagnoses including hypertension, hyponatremia, and malnutrition, had a discharge assessment completed on August 29, 2024, but it was not submitted to CMS. Similarly, Resident #66, admitted with chronic obstructive pulmonary disease, cerebrovascular accident, and hypertension, had a discharge assessment completed on August 31, 2024, which was also not submitted. On January 24, 2025, the MDS coordinator acknowledged that these assessments should have been submitted, indicating a lapse in the facility's compliance with regulatory requirements.
Inaccurate Assessment Coding for a Resident
Penalty
Summary
The facility failed to ensure accurate coding of assessments for a resident. The resident, who was admitted with diagnoses including heart failure, hypertension, and diabetes, was documented in a discharge summary as having gone home on 10/24/24. However, a discharge assessment dated 10/28/24 inaccurately documented that the resident was discharged to the hospital. On 01/23/25, the MDS coordinator confirmed that the assessment was not accurate.
Failure to Obtain Suprapubic Catheter Care Order
Penalty
Summary
The facility failed to obtain an order for suprapubic catheter care for a resident diagnosed with benign prostatic hyperplasia with lower urinary tract symptoms. During a review of the resident's orders, an LPN preparing to perform suprapubic catheter care noticed the absence of an order for catheter care. The LPN acknowledged that there should have been an order in place. The Director of Nursing later confirmed that the resident had returned from the hospital without the catheter care order being reinstated in their records.
Failure to Prevent Abuse of a Resident
Penalty
Summary
The facility failed to prevent abuse for a resident diagnosed with dementia and anxiety. An incident report documented that the Assistant Director of Nursing (ADON) overheard the resident expressing fear and asking if the police had arrived, indicating they were scared. The resident reported to the ADON that they were afraid to return to their room due to fear of being hit again. The resident alleged that a Certified Nursing Assistant (CNA) took away their call buzzer, turned off the lights and TV, and refused to assist them throughout the night. The resident further claimed that when they screamed for the nurse, the CNA returned to the room and hit them.
Involuntary Discharge Without Adequate Reason
Penalty
Summary
The facility failed to ensure a resident was not involuntarily discharged without adequate reason, as required by their policy. The policy states that residents have the right to remain in the facility unless specific criteria are met, such as the resident's welfare, safety, or health being endangered, nonpayment, or the facility ceasing to operate. In this case, a resident with Alzheimer's disease and a subarachnoid hemorrhage was involuntarily discharged after returning from a hospital admission due to a fall. The resident's spouse initially agreed to a transfer suggested by the administrator but later decided against it. Despite this change of mind, the facility proceeded with the discharge. The administrator acknowledged that the spouse had changed their mind about the transfer, but stated that the process of finding a new placement for the resident had already begun and was not stopped. The administrator admitted that the transfer could have been halted while the resident was still in the facility, but chose not to do so. This decision led to the resident being discharged from the facility, which was not in compliance with the facility's policy on involuntary discharges.
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Illustrative
What surveyors actually found near you
We read the 110 citations issued within 25 miles in the last 12 months — including the 5 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
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tulsa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green Country Care Center | 2.9 mi | ★★★★★ | 1 | 1 |
| Oklahoma Memory Care Institute | 5.1 mi | ★★★★★ | 2 | 0 |
| Trinity Woods, Inc. | 5.6 mi | ★★★★★ | 0 | 0 |
| Sherwood Manor Nursing Home | 6 mi | ★★★★★ | 0 | 0 |
| Sand Springs Nursing And Rehabilitation | 6.4 mi | ★★★★★ | 5 | 2 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.