Below 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 Pioneer Nursing Home during CMS and state inspections, most recent first.
Two residents experienced abuse from another resident with a history of behavioral disturbances, including physical and sexual incidents. Staff failed to provide documentation of required monitoring and did not update care plans with new interventions after each event. Despite repeated aggressive and disruptive behaviors, only redirection and medication adjustments were documented, without evidence of effective interventions to prevent further abuse.
A resident with cognitive and behavioral impairments was struck in the face by another resident, and although local police were promptly notified, the required report to the state agency was not made within the mandated two-hour window. The DON confirmed the delay occurred because the incident happened over the weekend and the administrator could not be reached.
A resident with cognitive and behavioral health diagnoses was reportedly struck in the face by another resident, as witnessed by a CMA. Although police were notified, the facility's investigation did not include staff or resident statements about the incident, and the DON acknowledged the investigation was incomplete, contrary to facility policy.
The facility failed to date and label food items in the kitchen. During a kitchen tour, a commercial refrigerator was found to contain various liquids and a pitcher of fruit, none of which were dated or labeled. A staff member confirmed that all items should have been dated and labeled.
The facility failed to develop a care plan for smoking for a resident with a history of stroke and hypertension, who was observed smoking without a documented plan. Additionally, another resident with schizophrenia had a physician's order for wound care, but no wound care plan was documented. The MDS Coordinator confirmed the absence of these care plans.
A facility failed to obtain a physician's order for a catheter for a resident with chronic kidney disease, Parkinson's, COPD, and a history of UTIs. The resident was observed with a catheter, but their medical record lacked the necessary order. An LPN noted the catheter was in place since May 2022 due to a surgical wound, and the MDS Coordinator acknowledged the missing order.
A facility failed to implement enhanced barrier precautions for a resident with a stage III pressure ulcer. An LPN performed wound care without wearing a gown, and no PPE was available near the resident's room. Staff interviews revealed a lack of awareness and implementation of the precautions, with the DON and IP confirming the facility had not adopted the policy.
A facility failed to conduct a significant change assessment for a resident admitted to hospice care, despite a physician's order and the resident's dementia diagnosis. The MDS Coordinator confirmed the oversight, acknowledging that the assessment should have been completed.
A facility failed to accurately complete a Level I PASARR assessment for a newly admitted resident with schizophrenia. The assessment incorrectly documented that the resident did not have a serious mental illness. The administrator was unaware of the diagnosis at the time of admission, resulting in the inaccurate form completion.
A facility failed to complete a baseline care plan for a newly admitted resident with depression and schizophrenia. The absence of this care plan was confirmed by the MDS Coordinator during an interview.
A resident with schizophrenia was admitted to the facility with a pressure ulcer that was not assessed upon admission. The lack of documentation of a wound assessment was noted, and a progress note later indicated that the nurse was informed of the ulcer, leading to physician notification and treatment orders. The ADON stated they were unavailable during the admission, and the charge nurse did not complete the necessary assessment.
A facility failed to date oxygen tubing for a resident with COPD. An observation revealed undated tubing, and the DON confirmed it should be changed weekly and dated, highlighting a lapse in protocol.
The facility did not post census information with the daily staffing roster. An observation revealed the staffing roster was displayed without the census details. The administrator admitted to being unaware of the requirement to include census information.
A resident with mood disorders did not receive prescribed doses of Zyprexa on two occasions, as indicated by blanks on the MAR. The resident exhibited behaviors on those days, and the DON confirmed the medication was not administered.
The facility failed to maintain the physical environment in good repair, with observations of water leaks and damaged ceilings in the front lobby and dining room. The maintenance supervisor and administrator confirmed ongoing issues with roof leaks and pending repairs.
The facility failed to ensure that residents were bathed as scheduled and provided assistance with dressing. One resident was not bathed for several days with no refusals documented, another had no documentation of receiving a bath/shower for three months, and a third was bathed inconsistently. Observations included residents wearing the same clothes over multiple days and having unkempt hair.
The facility failed to follow infection control guidelines in shower rooms, leading to the presence of black patches of residue, which looked like mold, and musty odors. Staff confirmed that proper cleaning and disinfection were not performed as required, and maintenance was unaware of the issue until it was pointed out.
Failure to Protect Residents from Abuse and Inadequate Behavioral Interventions
Penalty
Summary
The facility failed to protect residents from abuse and did not ensure appropriate interventions or documentation were in place following incidents involving multiple residents. One resident with schizoaffective disorder and mild cognitive impairment reported being grabbed inappropriately by another resident with a history of behavioral disturbances. Although the accused resident was supposed to be under line-of-sight monitoring due to recent manic behaviors, the facility could not provide documentation to confirm this monitoring occurred. Additionally, the care plan for the resident exhibiting aggressive behaviors was not updated with new interventions after each incident as required. Another incident involved a resident with vascular dementia and behavioral disturbances being hit in the face by the same resident with behavioral issues. This event was witnessed by a staff member, and the police were notified. The resident responsible for these behaviors had a documented history of verbal and physical outbursts, including yelling, cussing, hitting walls, and instigating altercations with peers. Despite repeated disruptive and aggressive behaviors, the facility's documentation showed only attempts at redirection and medication adjustments, with no evidence of effective interventions or consistent monitoring to prevent further abuse.
Failure to Timely Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of abuse to the state agency within the required two-hour timeframe. According to facility policy, all alleged violations involving abuse, neglect, exploitation, or mistreatment must be reported immediately, but not later than two hours after the allegation is made. In this incident, a certified medication aide (CMA) witnessed one resident hit another resident in the face without provocation. The local police were notified and arrived at the facility shortly after the incident. However, the state agency was not notified until several hours later, as indicated by a fax transmittal page showing the report was sent at 4:05 p.m., despite the police being notified at 7:25 a.m. The resident who was struck had diagnoses including vascular dementia with behavioral disturbances, schizoaffective disorder bipolar type, mood affective disorder, and moderate intellectual disabilities, and was assessed as moderately impaired for daily decision making. The delay in reporting was acknowledged by the Director of Nursing (DON), who stated that the incident occurred over the weekend and the report was submitted by the weekend charge nurse. The DON confirmed that the report was not made within the required timeframe and that the administrator was unable to be contacted at the time.
Failure to Thoroughly Investigate Alleged Resident-to-Resident Abuse
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a resident with vascular dementia, schizoaffective disorder, mood affective disorder, and moderate intellectual disabilities. According to a facility incident report, a certified medication aide (CMA) witnessed another resident hit the affected resident in the face without provocation, and the local police were notified and present at the facility. However, the investigation documentation for this incident did not include any staff or resident statements regarding what occurred. The Director of Nursing (DON) confirmed that the investigation lacked these statements and was not thorough, which is inconsistent with the facility's abuse prevention policy requiring timely and comprehensive investigations of all abuse allegations.
Failure to Date and Label Food in Kitchen
Penalty
Summary
The facility failed to ensure that foods in the kitchen were properly dated and labeled. During a kitchen tour, a commercial refrigerator was found to contain a pitcher of brown liquid, a pitcher of yellow liquid, 11 cups of different colored liquids, and a pitcher of fruit, none of which were dated or labeled. An interview with a staff member confirmed that all items in the refrigerator should have been dated and labeled.
Failure to Develop Care Plans for Smoking and Wound Care
Penalty
Summary
The facility failed to develop a care plan for smoking for one resident and a care plan for a wound for another resident. The first resident, who had a history of stroke and hypertension, was observed smoking a cigarette during the designated smoking time, but there was no documented smoking care plan. The MDS Coordinator confirmed that the care plan should have included smoking. The second resident, admitted with schizophrenia, had a physician's order for wound care on the left upper buttocks, but there was no documented wound care plan. The MDS Coordinator acknowledged the absence of a wound care plan.
Failure to Obtain Physician's Order for Catheter
Penalty
Summary
The facility failed to obtain a physician's order for a catheter for a resident who was admitted with chronic kidney disease, Parkinson's without dyskinesia, COPD, and a personal history of UTIs. The resident was observed with a catheter draining to gravity at bedside, but their medical record did not contain a physician's order for the catheter. An LPN reported that the resident had a catheter since May 2022 due to a wound that required surgical repair. The MDS Coordinator confirmed that there should have been an order for the catheter.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an infection control program for enhanced barrier precautions, specifically for a resident with a stage III left heel pressure ulcer. The facility's policy on Enhanced Barrier Precautions was undated and required the use of gowns and gloves during high-contact resident care activities, such as wound care. However, during an observation, an LPN was seen performing wound care on the resident without wearing a personal protective gown, and no personal protective equipment was available near the resident's room. The resident had been diagnosed with a stage III pressure ulcer upon admission and required daily wound care. Interviews with facility staff revealed a lack of awareness and implementation of enhanced barrier precautions. The Director of Nursing (DON) stated they were unfamiliar with the precautions, and the Infection Preventionist (IP) confirmed that the facility had not implemented them. Additionally, a CNA reported not receiving education on using enhanced barrier precautions for residents with pressure wounds. The LPN acknowledged the oversight in not wearing a gown during wound care and confirmed that the facility had not adopted the enhanced barrier precautions policy.
Failure to Complete Significant Change Assessment for Hospice Admission
Penalty
Summary
The facility failed to complete a significant change assessment for a resident who was admitted to hospice care. The resident, who had a diagnosis of dementia, was admitted to hospice as per a physician's order dated 06/06/24. However, upon reviewing the resident's records, it was found that there was no documentation indicating that a significant change assessment had been conducted. This oversight was confirmed during an interview with the MDS Coordinator, who acknowledged that such an assessment should have been completed when the resident was admitted to hospice.
Inaccurate PASARR Assessment for Resident with Schizophrenia
Penalty
Summary
The facility failed to accurately complete a Level I PASARR assessment for a newly admitted resident diagnosed with schizophrenia. The resident was admitted with a diagnosis of schizophrenia, but the PASARR assessment, dated 10/10/24, incorrectly documented that the resident did not have a serious mental illness. On 11/04/24, the administrator admitted to being unaware of the resident's diagnosis at the time of admission, leading to the inaccurate completion of the PASARR form.
Failure to Complete Baseline Care Plan for New Admission
Penalty
Summary
The facility failed to complete a baseline care plan for a resident who was admitted with diagnoses including depression and schizophrenia. The record review revealed that no baseline care plan was documented for this resident. During an interview, the MDS Coordinator confirmed that a baseline care plan had not been completed for the resident.
Failure to Assess Pressure Ulcer Upon Admission
Penalty
Summary
The facility failed to assess a pressure ulcer upon admission for a resident diagnosed with schizophrenia. Upon review, it was found that there was no documentation of a wound assessment at the time of the resident's admission. A progress note dated 10/16/24 indicated that a nurse was informed of the pressure ulcer, which had not been assessed upon admission, and subsequently, the physician was notified, and treatments were ordered. On 11/04/24, the Assistant Director of Nursing (ADON) stated that the resident was admitted with a wound to the buttock. The ADON mentioned they were out of town during the resident's admission, and the charge nurse was responsible for completing the assessment but failed to do so.
Failure to Date Oxygen Tubing for Resident with COPD
Penalty
Summary
The facility failed to ensure that oxygen tubing was dated for a resident who was admitted with a diagnosis of COPD. During an observation on November 4th, the resident's oxygen tubing was found to be undated. The following day, the Director of Nursing confirmed that the tubing was supposed to be changed weekly and dated, indicating a lapse in the facility's protocol for respiratory care management.
Failure to Post Census Information with Staffing Roster
Penalty
Summary
The facility failed to ensure that census information was posted alongside the daily staffing roster. During an observation on November 5th, the staffing roster was seen posted next to the nurses' station, but it did not include the census information. The administrator, when interviewed, stated they were unaware of the requirement to post the census information.
Failure to Administer Prescribed Medication
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors. A resident with a diagnosis of mood disorders had a physician's order to receive Zyprexa, an antipsychotic medication, at bedtime. However, the Medication Administration Record (MAR) for October 2024 showed blanks for the PM doses of Zyprexa on two specific dates, indicating the medication was not administered. The behavior monitoring tracker documented that the resident exhibited behaviors on those same dates. A Certified Medication Aide (CMA) confirmed that the blanks on the MAR meant the medication was not given. The Director of Nursing (DON) acknowledged the issue, stating there was no way to prove the medication was administered if the record was blank, and was aware of the resident's behaviors on the days the medication was missed.
Facility Failed to Maintain Physical Environment in Good Repair
Penalty
Summary
The facility failed to ensure the physical environment was maintained in good repair, affecting the safety and comfort of its residents. Observations revealed a white five-gallon plastic bucket beneath the fire alarm control panel box in the front lobby, containing approximately one inch of brown-tinged water with dark sediment. The ceiling above had brown watermark stains and patches of black residue. Additionally, the dining room ceiling had three large areas without plaster, exposing the sheetrock with brown watermark stains. The maintenance supervisor confirmed that the facility had several roof leaks over the last couple of months, with recent leaks above the fire alarm control panel box. The administrator acknowledged the leaks and stated that repairs had been made in the dining area, but the area above the fire control panel box was still awaiting repair.
Failure to Provide Scheduled Bathing and Dressing Assistance
Penalty
Summary
The facility failed to ensure that residents were bathed as scheduled and provided assistance with dressing. Resident #3, who was admitted with dementia, anxiety, and tremor, was not bathed from 12/05/23 through 12/12/23 and from 01/06/24 through 01/10/24, with no refusals documented. On 03/04/24, the resident was observed with food particles on their clothes. Resident #5, admitted with schizoaffective disorder, anxiety, and acute hepatic failure, had no documentation of receiving a bath/shower in December 2023, January 2024, and February 2024, with several refusals documented. The resident was observed wearing the same clothes over multiple days and stated that staff were often too busy to assist with care. Resident #7, admitted with pain, depression, and psychosis, was bathed only eight out of thirteen opportunities in January 2024 and four out of fourteen opportunities in February 2024, with two refusals documented. The resident was observed with unkempt hair and white flakes on their scalp and forehead, wearing the same clothes over multiple days. CNA #1 and the DON confirmed that baths/showers should have been completed or documented as refused on the scheduled days, and residents should have been dressed in clean clothes daily or on their scheduled bath days at a minimum.
Failure to Follow Infection Control Guidelines in Shower Rooms
Penalty
Summary
The facility failed to ensure staff followed infection control guidelines to prevent the potential spread of communicable disease in the shower rooms. During a tour of three shower rooms, black patches of residue were observed along the bottom of the tiled wall, in the grout lines around the tiled floor and drain, and on the plaster ceiling and metal pipe. These areas also had a musty odor. CNA #1 confirmed that shower rooms were supposed to be disinfected after each resident shower, and a spray bottle of disinfectant should have been available in all three shower rooms. However, the black patches of residue, which looked like mold, indicated that proper cleaning and disinfection were not being performed as required. The maintenance supervisor and maintenance staff were unaware of the black patchy residue until it was pointed out during the tour. The maintenance supervisor acknowledged that the area had just been treated with mold/mildew removing spray a few hours prior. The Infection Preventionist (IP) stated that CNAs were expected to spray each shower area with a facility-approved disinfectant after each shower, and housekeeping was supposed to deep clean each shower room daily. The housekeeping supervisor confirmed that the black patchy residue should not have been present and that an approved hospital-grade disinfectant should have been available in each room for use after each resident's shower.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 59 citations issued within 25 miles in the last 12 months — including the 10 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
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 Care And Rehabilitation Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Wewoka Healthcare Center | 12 mi | — | 29 | 8 |
| Elmwood Manor Nursing Home | 12.4 mi | ★★★★★ | 6 | 2 |
| The Regency Skilled Nursing And Therapy | 13.6 mi | ★★★★★ | 0 | 0 |
| Heritage Skilled Nursing And Therapy | 13.9 mi | ★★★★★ | 0 | 0 |
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.