Below average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Seiling Nursing Center during CMS and state inspections, most recent first.
The facility did not ensure that an LPN maintained a current valid license or that a licensed nurse was in charge on each shift. Policy required 24/7 nursing services under a professional licensed nurse, but personnel records lacked current license verification for an LPN, and state board records showed the license had expired. Staffing schedules confirmed the LPN worked 18 shifts after the license expiration, and the DON acknowledged the nurse had worked multiple days while unlicensed and that there was no licensed nurse in the building on most of those days, despite 20 residents residing there.
The facility failed to maintain the required 8 consecutive hours of RN coverage per day, seven days a week for its residents. Review of staffing schedules and missing PBJ data revealed multiple days without full RN coverage, including one day with only 6 RN hours and another with no RN hours. The administrator reported that the DON, a salaried employee, was not routinely listed on the schedule, and the DON stated they attempted to cover call-ins or find replacements but lacked timecards to verify their presence on several of the deficient days. A handwritten note indicated the DON only clocked in when working on the floor and was otherwise present while on call, but no documentation was provided to substantiate RN hours for the identified dates.
The facility did not submit required PBJ direct care staffing data to CMS for a full fiscal quarter, despite having 20 residents in care. A PBJ staffing report review showed no staffing data had been provided for the specified quarter. The administrator later acknowledged that the PBJ data was not submitted by the required deadline, stating that an attempt to submit the data after the due date was rejected and that they were informed by customer service that the deadline had been missed.
A resident who received dialysis three times weekly did not have documented pre- and post-dialysis assessments or ongoing communication between the facility and the dialysis center. The facility lacked a dialysis services policy, and although the dialysis center faxed the resident’s medication list and lab/nutrition results, the clinical record contained no communication forms or documentation of coordination with the dialysis provider. Nursing notes only reflected that the resident was transported to and from dialysis via public transport, and the DON acknowledged that staff were not completing pre- and post-dialysis assessments or maintaining communication documentation.
The facility did not post complete nurse staffing information as required. The staffing board lacked the facility name, total number and actual hours worked by nursing staff, and the resident census. The DON was unaware of the required components.
The facility failed to monitor for side effects of Xarelto in two residents with atrial fibrillation. Despite physician orders for Xarelto administration, there was no documentation of side effect monitoring in their clinical records. The DON admitted unawareness of the need for such monitoring.
The facility failed to ensure the cleanliness of the ice machine, as black and orange/pink residues were found in the water dispenser. Despite having a cleaning schedule, there was no documentation of the dispenser being cleaned. The CDM claimed weekly cleaning but could not provide evidence.
A facility failed to assess a resident for bed rail use, obtain an order, or update the care plan before installation. The resident, with repeated falls and dementia, was observed with bed rails up. The DON confirmed the decision for bed rails was made in a care plan meeting, but no documentation was found.
A facility failed to monitor side effects for an antidepressant prescribed to a resident with depression. The resident was ordered citalopram daily, but their clinical record lacked documentation of side effect monitoring. The DON acknowledged that monitoring should be on the TAR but could not explain the omission.
A facility failed to discard an insulin pen after 28 days of use, as per manufacturer instructions. An LPN administered insulin to a resident from a pen that had been in use beyond the recommended period, relying on the expiration date instead. The DON incorrectly stated that insulin was good for 45 days after first use.
A facility failed to implement enhanced barrier precautions for a resident with an indwelling catheter, resulting in a deficiency. The resident's care plan lacked documentation of these precautions, and there was no signage on the resident's door. CNAs providing catheter care were observed wearing only gloves and had not been educated on enhanced barrier precautions. The DON admitted that the facility had not established a policy for these precautions, despite acknowledging their necessity for residents with catheters.
Unlicensed LPN Worked Multiple Shifts Without Valid Nursing License
Penalty
Summary
The facility failed to ensure that licensed nursing staff were working with a current valid license and that a licensed nurse was in charge on each shift, as required by facility policy and regulation. The written nursing services staffing policy required an organized nursing service under the direction of a professional licensed nurse and adequate, properly supervised nursing services for each resident 24 hours a day, 7 days a week. Review of one LPN’s personnel file showed no current license verification, and verification on the Oklahoma Board of Nursing website revealed that this LPN’s license had expired on a specified date. Clinical staff schedules showed that this LPN worked 18 shifts after the license expiration date, and the DON acknowledged that this nurse had worked approximately 18 days with an expired license. The DON also stated that there was not a licensed nurse in the facility on most of the days this LPN worked during the identified period, and described the facility’s process for monitoring license expiration dates as checking on hire and periodically, which did not prevent the LPN from working with an expired license while 20 residents resided in the facility. No additional resident-specific medical histories or conditions related to this deficiency were documented in the report.
Failure to Maintain Required Daily RN Coverage
Penalty
Summary
The facility failed to ensure RN coverage for eight consecutive hours per day, seven days per week for its 20 residents. Review of the PBJ Staffing Data Report for a specified quarter showed the metric was suppressed because the PBJ data had not been submitted. A review of the direct care staff schedule over several months, which used coded letters and colors to indicate shift times, requests off, and call-outs, identified seven specific days without the required 8 hours of RN coverage. On those dates, the schedule did not reflect an RN on duty for the full required period. During interviews, the administrator stated that the DON was salaried and therefore not counted on the schedule. The DON explained that call-ins were first handled by the nurse attempting to find coverage, then escalated to the DON, who would attempt to find coverage or personally work the shift if no one else was available. When asked to verify RN coverage for the identified dates, the DON stated they had covered several of those days but had no timecards to verify their hours, and acknowledged that on one of the days there were only 6 RN hours and on another day there were no RN hours at all. The administrator later provided a handwritten note stating the DON only clocks in when working on the floor and is otherwise present for 8 hours per shift when on call and no coverage, but the facility did not provide timecards to substantiate RN hours for the deficient dates.
Failure to Timely Submit PBJ Staffing Data to CMS
Penalty
Summary
The facility failed to submit the required Payroll-Based Journal (PBJ) direct care staffing data to CMS within the mandated timeframe for FY Quarter 4 2025. Record review of the PBJ Staffing Data Report for FY Quarter 4 2025 (covering 07/01/25 through 09/30/25) showed that the facility had not provided staffing data to CMS for that quarter, despite having 20 residents residing in the facility during this period. During an interview on 01/21/26 at 11:30 a.m., the administrator stated that the PBJ data was not submitted by the deadline, explaining that they attempted to submit it on the 16th of January, but the system did not accept the submission because it was late and had been due on the 15th. The administrator further reported that, after contacting customer service, they were informed the deadline had been missed and to try submitting the data the following month. No additional resident-specific clinical information, medical history, or condition at the time of the deficiency was documented in the report beyond the census of 20 residents residing in the facility.
Failure to Coordinate and Document Dialysis Care and Assessments
Penalty
Summary
The deficiency involves the facility’s failure to provide safe, appropriate dialysis care and services for a resident who required dialysis. The facility had no policy in its policy book addressing dialysis services. Record review showed that the dialysis center faxed the resident’s medication list and nutrition and blood test results to the facility on 01/15/26, and the baseline care plan documented that the resident was admitted on that date and received dialysis on Tuesdays, Thursdays, and Saturdays. Nursing progress notes on 01/17/26, 01/20/26, and 01/22/26 documented that the resident was transported to and from dialysis via public transport, but there was no documentation in the clinical record of any communication between the facility and the dialysis center. The clinical record also lacked evidence that the facility completed dialysis pre-assessments and post-assessments for the resident. On 01/22/26 at 10:10 a.m., the DON confirmed there were no communication forms or documentation between the facility and the dialysis center and stated the facility was not completing pre and post dialysis assessments for this resident. The administrator identified that 20 residents resided in the facility and one resident received dialysis, and this resident was the one affected by the lack of documented communication and assessments related to dialysis services.
Failure to Post Complete Nurse Staffing Information
Penalty
Summary
The facility failed to post nurse staffing information with all the required components. During an observation on June 13, 2023, at 12:20 p.m., a staffing board was noted in the hallway outside the medication room. The board did not display the facility name, the total number and actual hours worked by licensed and unlicensed nursing staff, or the resident census. The Director of Nursing (DON) reported at 12:25 p.m. on the same day that she was not aware of all the components required for the staffing information.
Failure to Monitor Xarelto Side Effects
Penalty
Summary
The facility failed to adequately monitor for side effects related to the use of Xarelto in two of the five sampled residents who were reviewed for unnecessary medications. Resident #2, diagnosed with paroxysmal atrial fibrillation, had a physician's order to receive Xarelto twice a day starting from January 25, 2024. However, there was no documentation in the resident's clinical record indicating that monitoring for side effects of Xarelto was conducted. Similarly, Resident #8, diagnosed with unspecified atrial fibrillation, had a physician's order to receive Xarelto once a day from July 7, 2021. Like Resident #2, there was no documentation in the clinical record for Resident #8 showing that side effect monitoring for Xarelto was performed. The Director of Nursing (DON) acknowledged that side effect monitoring was supposed to be completed on the Treatment Administration Record (TAR) but admitted they were unaware that monitoring for Xarelto side effects was necessary.
Ice Machine Cleanliness Deficiency
Penalty
Summary
The facility failed to maintain cleanliness of the ice machine, as observed during a survey. The ice machine, located in the dining room, had a separate ice and water dispenser. Upon inspection, a paper towel wiped on the inside of the water dispenser revealed black residue, while another paper towel showed orange/pink residue. The facility had a weekly cleaning schedule for the ice machine, but there was no documentation indicating that the ice and water dispenser was cleaned. Additionally, a blank cleaning schedule dated June 2024 specified daily cleaning of the ice machine's exterior and tray, yet lacked documentation for the dispenser's cleaning. The Certified Dietary Manager (CDM) stated that the ice and water dispensers were cleaned weekly but could not provide any documentation to support this claim. The facility administrator identified 17 residents residing at the facility, but the report does not specify any direct impact on these residents.
Failure to Assess and Document Bed Rail Use
Penalty
Summary
The facility failed to ensure that a resident was properly assessed for the use of bed rails, an order was obtained, or the care plan was updated prior to the installation of bed rails. This deficiency was identified for a resident with diagnoses including repeated falls and dementia, who had severely impaired cognition and required substantial assistance for position changes. On two separate occasions, the resident was observed with half bed rails in the up position. The Director of Nursing (DON) acknowledged that the bed rails were intended for positioning and were decided upon during a care plan meeting in March. However, there was no documentation of an assessment, an order, or an updated care plan regarding the use of bed rails.
Failure to Monitor Antidepressant Side Effects
Penalty
Summary
The facility failed to ensure that side effects were monitored for an antidepressant medication prescribed to one of the five sampled residents reviewed for unnecessary medications. The resident, who had a diagnosis of depression, was prescribed citalopram to be taken once daily as per a physician's order dated July 11, 2023. However, the resident's clinical record lacked documentation of side effect monitoring for citalopram. During an interview on June 13, 2024, the Director of Nursing (DON) stated that side effect monitoring was supposed to be documented on the Treatment Administration Record (TAR) but was unable to explain why it was missing for this resident.
Improper Insulin Pen Usage
Penalty
Summary
The facility failed to ensure proper handling and disposal of an insulin pen for a resident, leading to a deficiency. During an observation, an LPN was seen preparing a Humalog insulin pen for administration to a resident. The insulin pen had a date written on it, indicating when it was first used, which the LPN confirmed was in 2024. Despite the manufacturer's instructions to discard the pen after 28 days of use, the LPN administered insulin from the pen, relying on the expiration date on the label instead of the 28-day usage guideline. The Director of Nursing (DON) incorrectly stated that insulin was good for 45 days after first use, contradicting the manufacturer's instructions.
Failure to Implement Enhanced Barrier Precautions for Catheterized Resident
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident with an indwelling catheter, leading to a deficiency in infection prevention and control. The resident, who had a diagnosis of urine retention and a physician's order for a Foley catheter to bedside drainage, was observed without appropriate signage indicating enhanced barrier precautions. Additionally, the resident's care plan lacked documentation of these precautions. During observations, CNAs providing catheter care were only wearing gloves and had not received education on enhanced barrier precautions related to catheters. The Director of Nursing (DON) admitted that the facility had not written a policy for enhanced barrier precautions, although they acknowledged that such precautions should have been in place for residents with catheters.
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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 Seiling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Town Of Vici Nursing Home | 21.3 mi | ★★★★★ | 0 | 0 |
| Fairview Fellowship Home For Senior Citizens, Inc | 26.2 mi | ★★★★★ | 4 | 0 |
| Woodward Skilled Nursing And Therapy | 31.1 mi | ★★★★★ | 0 | 0 |
| Summers Healthcare, Llc | 33.9 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.