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 Seminole Care And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with fractures and chronic pain had a care plan that was not updated to reflect changes in their weight-bearing status and refusal of pain medication. Despite physician orders indicating the resident could bear weight as tolerated and documentation of medication refusal, the care plan remained unchanged.
The facility inaccurately coded MDS assessments for two residents, leading to documentation errors regarding their medication use. One resident was documented as not receiving prescribed hypnotic and antipsychotic medications, while another was incorrectly noted as receiving an anticoagulant. MDS Coordinators acknowledged the coding errors.
A facility failed to conduct an entrapment risk assessment and obtain informed consent before using bed rails for a resident with congestive heart failure and a history of falls. The resident used the bed rails for positioning, but there was no documentation of the assessment or consent in the medical record, nor was the use of bed rails included in the care plan. The facility's policy required such assessments quarterly, but the administrator admitted they had not been completed.
A facility failed to monitor side effects for a resident on psychotropic medication. The resident, diagnosed with depression, was prescribed bupropion hydrobromide and Lexapro. The care plan required side effect monitoring every shift, but no documentation was found. The DON confirmed that monitoring was not conducted as the order had been discontinued.
The facility failed to remove expired medications and supplies from two medication storage rooms. Observations revealed expired lubricant eye drops and a V.A.C. Granufoam dressing in the skilled hall's storage room, and expired Ipratropium Bromide & Albuterol Sulfate in the medication room for halls 1 and 2. CMAs confirmed these items should have been removed.
A resident with multiple health issues was observed using a seat belt on their electric wheelchair, which they could not release, effectively making it a physical restraint. The facility failed to assess, care plan, or obtain a physician's order for this restraint, contrary to their policy.
The facility failed to provide meals in a timely manner, with observations showing consistent delays in meal service. Residents reported receiving cold food and meals being served an hour or more past scheduled times. The dietary manager acknowledged the delays and indicated a need for additional staff to improve service timeliness.
The facility failed to develop a comprehensive care plan for a resident with pressure ulcers, despite the resident being at moderate risk and having documented injuries. The care plan did not include the resident's risk, active ulcers, treatment, monitoring, or preventive measures, as confirmed by the MDS coordinator and DON.
A resident with chronic heart failure, cerebral infarction, and dementia was discharged home without a completed discharge summary. The social services director and DON confirmed the summary was not completed within the required timeframe.
Failure to Update Care Plan for Resident's Changing Needs
Penalty
Summary
The facility failed to revise a care plan to reflect a resident's current status, leading to a deficiency. The resident, who had diagnoses including right lower leg fracture, left shin fracture, chronic pain syndrome, and osteoarthritis, was initially documented as having limited physical mobility and being non-weight bearing. However, a physician order later indicated that the resident was weight bearing as tolerated. Despite this change, the care plan was not updated to reflect the new weight-bearing status. Additionally, the resident's care plan did not account for their refusal of pain medication. A physician order prescribed tramadol for pain management, but documentation showed that the resident refused the medication on two occasions. The care plan was not revised to include this refusal, and the MDS coordinator confirmed that these updates should have been made but were not.
Inaccurate MDS Coding for Medications
Penalty
Summary
The facility failed to accurately code Minimum Data Set (MDS) assessments for two residents, leading to deficiencies in the documentation of their medical treatments. One resident, diagnosed with suicidal ideations, major depressive disorder, and unspecified psychosis, had physician orders for hypnotic and antipsychotic medications. However, their annual assessment inaccurately documented that they did not receive these medications. The MDS Coordinator acknowledged missing this information during the assessment. Another resident, with diagnoses including muscle wasting, GERD, hypertension, aphasia, anxiety, dementia, depression, and protein calorie malnutrition, was incorrectly documented as receiving an anticoagulant in their quarterly assessment. Upon review, there was no evidence that the resident had received such medication, and the MDS Coordinator confirmed the assessment was coded incorrectly.
Failure to Conduct Entrapment Risk Assessment and Obtain Informed Consent for Bed Rails
Penalty
Summary
The facility failed to perform an entrapment risk assessment and obtain informed consent before using bed rails for a resident diagnosed with congestive heart failure, respiratory failure, and a history of falls. The resident had a physician's order for U-Rails on both sides of the bed for mobility assistance, but there was no documentation of an entrapment risk assessment or informed consent in the medical record. Additionally, the use of bed rails was not documented in the resident's care plan. During an observation, the resident was seen using the bed rails for positioning, and the Director of Nursing confirmed the absence of a current entrapment risk assessment or informed consent. The facility's policy required such assessments on admission, quarterly, and with significant changes in condition, but the administrator acknowledged that the assessment had not been completed as required.
Failure to Monitor Side Effects of Psychotropic Medication
Penalty
Summary
The facility failed to ensure side effect monitoring was conducted for a resident receiving psychotropic medication. The resident had diagnoses including depression and was prescribed bupropion hydrobromide and Lexapro. The care plan, revised in June 2024, required monitoring and documentation of side effects every shift. However, there was no documentation that side effects were monitored. Upon inquiry, the Director of Nursing (DON) confirmed that side effects were not monitored and stated that the order to monitor had been discontinued.
Expired Medications and Supplies Not Removed
Penalty
Summary
The facility failed to ensure the removal of expired medications and supplies from two of three medication storage rooms observed. During an observation on the skilled hall's medication storage room, six boxes of lubricant eye drops with an expiration date of April 2024 and an opened V.A.C. Granufoam dressing package with an expiration date of November 2024 were found. A Certified Medication Aide (CMA) acknowledged that these expired items should have been removed. In another observation of the medication room for halls 1 and 2, several boxes of Ipratropium Bromide & Albuterol Sulfate with use-by dates ranging from March 2024 to September 2024 were found to be expired. Another CMA confirmed that these medications should have been removed. The facility's failure to remove these expired medications and supplies was identified through observation, record review, and interviews.
Failure to Assess and Document Use of Physical Restraint
Penalty
Summary
The facility failed to ensure that a resident was properly assessed, care planned, and had a physician's order for the use of a physical restraint. The deficiency was identified for a resident with diagnoses including muscle weakness, cognitive communication issues, lack of coordination, difficulty in walking, and a history of falling. Despite these conditions, the resident was observed in an electric wheelchair with a seat belt that they were unable to release due to physical limitations. This indicates that the seat belt functioned as a physical restraint. The facility's Physical Restraint policy requires an evaluation, a physician's order specifying the medical symptom necessitating the restraint, and a comprehensive care plan addressing the restraint's goal. However, the Director of Nursing (DON) initially identified no residents with restraints, and subsequent observations and interviews revealed that no assessment, care plan, or physician's order was in place for the resident's seat belt. The administrator confirmed the absence of documentation for the assessment of the seat belt's use, highlighting a lapse in compliance with the facility's policy and regulatory requirements.
Failure to Provide Timely Meal Service
Penalty
Summary
The facility failed to provide meals in a timely manner, as observed during multiple meal services. The facility's policy stated that meals should be scheduled to ensure a maximum of 14 hours from dinner to breakfast the following day, with specific meal times set for breakfast at 8:00 a.m., lunch at 12:00 p.m., and dinner at 5:00 p.m. However, observations on 01/23/24 and 01/24/24 revealed that meals were consistently served late. For instance, on 01/23/24, a resident was observed eating breakfast at 8:58 a.m., and another resident reported that meals were often served an hour or more past the scheduled times, resulting in cold food. During the lunch service on the same day, residents in the main dining room did not receive their meals until 12:25 p.m., and the last meal tray was delivered at 1:15 p.m., well beyond the scheduled time. The administrator acknowledged that the noon meal service was delayed, especially for residents who preferred to eat in their rooms. On 01/24/24, the breakfast meal service was observed from 8:00 a.m. to 9:12 a.m., with the last meal tray being delivered at 9:12 a.m. The dietary manager confirmed that breakfast was not served to all residents within an hour of the scheduled meal time and mentioned that while there was enough staff to prepare the food, additional staff would be beneficial to improve the timeliness of meal service. These delays in meal service indicate a failure to adhere to the facility's policy and ensure that residents receive their meals in a timely manner, impacting the residents' dining experience and potentially their nutritional intake.
Failure to Document Comprehensive Care Plan for Pressure Ulcers
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with pressure ulcers. The resident, who had diagnoses including cerebral infarction, hemiplegia, hemiparesis, and chronic heart failure, was assessed to be at moderate risk for pressure ulcers. Despite this, the comprehensive care plan initiated on 11/24/23 did not document the resident's risk for pressure ulcers, nor did it include information on the active pressure ulcers, treatment, monitoring, or preventive measures. A nurse note from 11/22/23 had documented fluid-filled purple discoloration on both heels, and a physician had ordered heel protectors and floating of the heels while in bed. However, these measures were not included in the care plan. Further, a wound physician summary dated 12/05/23 documented new unstageable deep tissue injuries to both heels. Interviews with the MDS coordinator and the DON confirmed that the pressure ulcer treatments, monitoring, and preventive measures were not documented in the comprehensive care plan, even though the resident was receiving preventive measures and treatments. This oversight indicates a failure in the facility's documentation and care planning processes for residents at risk of or with existing pressure ulcers.
Failure to Complete Discharge Summary
Penalty
Summary
The facility failed to ensure a discharge summary was completed for a resident who was discharged home. The resident, who had diagnoses including chronic heart failure, cerebral infarction, and dementia, was discharged with home health services, medications, and belongings sent home with their spouse. However, there was no documentation of a discharge summary being completed. The social services director, who typically completes discharge summaries, confirmed that the discharge summary for this resident had not been completed. The DON also acknowledged that the discharge summary had not been completed within the required thirty days.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Seminole
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seminole Pioneer Nursing Home | 0.8 mi | ★★★★★ | 0 | 0 |
| Wewoka Healthcare Center | 11.8 mi | — | 29 | 8 |
| Elmwood Manor Nursing Home | 12.2 mi | ★★★★★ | 6 | 2 |
| The Regency Skilled Nursing And Therapy | 13.8 mi | ★★★★★ | 0 | 0 |
| Heritage Skilled Nursing And Therapy | 14.4 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.