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 Shady Rest Care Center during CMS and state inspections, most recent first.
The facility did not ensure that an area was free from accident hazards and failed to provide adequate supervision to prevent accidents. Surveyors observed environmental hazards and insufficient staff monitoring, increasing the risk of resident accidents.
The facility failed to provide consistent food portions to residents, as observed during an afternoon meal service. A staff member used tongs instead of the correct serving spoon for fried potatoes, leading to varied portion sizes. The staff member admitted to not having the correct measuring spoons, and the Administrator was unaware of this issue.
The facility failed to employ a director of food services, leaving the position of Dietary Manager vacant for four to five months. The administrator was ordering food, and the dietician visited infrequently. The absence of a dietary manager was confirmed by staff and the administrator, who stated that the last manager was terminated and not yet replaced.
A resident with benign prostate hyperplasia and depression repeatedly requested the removal of a urinary catheter due to discomfort. Despite multiple documented requests over nearly a month, the facility did not honor the resident's right to refuse treatment, resulting in a deficiency. The DON acknowledged the resident's right to refuse treatment, yet no action was taken to address the resident's requests.
The facility did not replace a broken window pane in a resident's room, instead covering it with Styrofoam and tape. Two residents reported the issue, and the maintenance supervisor cited a lack of funds for the delay. The corporate nurse acknowledged the inadequacy of the temporary fix.
A facility failed to include the use of psychotropic medications in a resident's care plan. The resident, diagnosed with bipolar and anxiety disorders, was prescribed clonazepam, fluoxetine, and trazodone. Interviews with the DON and ADON confirmed that these medications should have been addressed in the care plan.
A facility failed to ensure a resident's attending physician participated in care plan conferences, as required by policy. The resident, with chronic obstructive pulmonary disease and chronic kidney disease, did not have their attending physician present at a quarterly care plan meeting. The ADON confirmed the medical director, acting as the attending physician, had not attended any care plan meetings for the resident since early 2024, despite policy requirements.
The facility did not ensure that dryer lint screens were routinely cleared in the laundry room, as required by their policy. The Dryer Lint Log for August 2024 indicated that the screens were cleared only 17 out of 84 times. The housekeeping supervisor reported that the second shift did not clear the screens, and the third shift often forgot to document the clearing. The facility had a census of 34 residents.
A resident was transferred to a hospital without notifying their responsible party, as required by the facility's policy. The resident requested hospital transfer, but there was no documentation of notification to the family. A family member later complained about not being informed, and the DON confirmed the lack of notification.
A facility failed to complete an admission MDS assessment within the required 14-day timeframe for a resident. The facility's policy requires timely assessments, but the admission MDS was still in process and not completed on time. This was confirmed by the ADON, with the facility census reported as 34 residents.
A facility failed to monitor side effects for a resident receiving psychotropic medications, including clonazepam, fluoxetine, and trazodone, despite having a policy in place for such monitoring. Interviews with the DON and ADON confirmed the lack of side-effect monitoring, and the corporate nurse noted that 23 residents were on psychotropic medications.
A resident with a pork allergy was repeatedly served pork products, such as bacon and sausage, despite their allergy being documented in their EHR. The facility's policy required that allergies be noted on meal cards and checked by staff, but this was not followed, resulting in the resident being exposed to allergens.
Two residents with significant medical conditions experienced excessively hot room temperatures, with measurements of 88.5 and 86.1 degrees Fahrenheit. Despite multiple reports to staff, the issue persisted for one to three months. CNAs confirmed the heat problem, but the administrator claimed to be unaware until recently.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Inconsistent Food Portions Served to Residents
Penalty
Summary
The facility failed to provide the correct amount of food to residents in accordance with the facility menu. During an observation of the afternoon meal service, it was noted that the amount of fried potatoes served to residents varied and did not adhere to the specified serving size of one half cup as documented in the facility's Spring/Summer 2024 Diet Spreadsheet. The staff member responsible for serving the food, identified as [NAME] #1, used tongs instead of the appropriate serving spoon for the fried potatoes, resulting in inconsistent portion sizes. Upon interview, [NAME] #1 admitted that they did not have the correct size of serving spoon for the fried potatoes and were unaware of how long the facility had been without the necessary measuring spoons. The facility's food portion policy, dated 01/02/23, required that food portions served match those written on the menus. The Administrator was unaware of the missing spoons and acknowledged the importance of providing residents with the correct amount of each food item.
Facility Lacks Dietary Manager
Penalty
Summary
The facility failed to employ a director of food services, which is a requirement for the food and nutrition service. The facility's resident roster indicated that 34 residents were residing in the facility. A review of the facility's staff document revealed that the position of Dietary Manager was vacant, with no name associated with the title. During an interview, a staff member confirmed that the facility did not have a dietary manager at the time, stating that the last person in that role had left four or five months prior to the survey. The facility administrator was handling food ordering, and the dietician was visiting only once or twice a month. The administrator also confirmed that the last dietary manager was terminated and that they had not yet found a replacement, leaving the duties of the dietary manager unfulfilled.
Failure to Respect Resident's Right to Refuse Treatment
Penalty
Summary
The facility failed to respect a resident's right to refuse treatment, specifically regarding the removal of a urinary catheter. The resident, who had diagnoses including benign prostate hyperplasia and depression, repeatedly expressed a desire to have the catheter removed. This request was documented multiple times in nurse notes over a period of nearly a month, indicating the resident's consistent discomfort and desire for the catheter's removal. Despite the resident's repeated requests, the catheter was not removed, and the resident continued to express discomfort and dissatisfaction with the situation. The Director of Nursing acknowledged that the resident has the right to refuse treatment, yet the facility did not act on the resident's requests, leading to a deficiency in honoring the resident's rights as outlined in the facility's policy on resident rights and refusal of treatment.
Failure to Replace Broken Window Pane
Penalty
Summary
The facility failed to maintain a homelike environment by not replacing a broken window pane in a resident's room, instead covering it with Styrofoam and tape. This deficiency was observed in a room shared by two residents, who reported that the window had been broken by a previous roommate. Despite the residents' desire for the window to be fixed, the staff had only covered it with Styrofoam, which was not visible due to a curtain. The maintenance supervisor acknowledged the window had been broken the previous week but cited a lack of funds as the reason for not replacing the pane. The corporate nurse confirmed that using Styrofoam did not provide a homelike appearance and mentioned that funds had been provided to the maintenance supervisor to purchase materials for the repair.
Failure to Implement Comprehensive Care Plan for Psychotropic Medications
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident diagnosed with bipolar disorder and anxiety disorder. The resident was prescribed clonazepam, fluoxetine, and trazodone, but the care plan did not address the use of these antidepressant and antianxiety medications. During interviews, both the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) acknowledged that psychotropic medication use should be included in the resident's care plan.
Physician Absence in Care Plan Conferences
Penalty
Summary
The facility failed to ensure the participation of a resident's attending physician in care plan conferences, as required by their policy. Specifically, the attending physician did not attend the care plan conference for a resident with chronic obstructive pulmonary disease and chronic kidney disease. The care conference information note for a quarterly assessment did not list the attending physician as an attendee. The Assistant Director of Nursing (ADON) confirmed that the medical director, who was the attending physician for the resident, had not participated in any care plan meetings for the resident since January 2024. Although the facility policy required the physician's presence during the care plan process, there was no documentation of the physician's attendance or involvement in these meetings.
Failure to Routinely Clear Dryer Lint Screens
Penalty
Summary
The facility failed to ensure that dryer lint screens were routinely cleared in the laundry room, as observed and reported. The facility's policy, dated February 11, 1995, required that lint screens be cleared at a minimum of every shift and as needed for build-up. However, a review of the Dryer Lint Log for August 2024 showed that the lint screens were cleared only 17 times out of 84 opportunities. During an interview, the housekeeping supervisor stated that the lint screens should be cleared at the end of every shift, but the second shift did not comply, and the third shift often forgot to document the clearing of the screens. The facility had a census of 34 residents at the time of the report.
Failure to Notify Family of Hospital Transfer
Penalty
Summary
The facility failed to notify a resident's responsible party when the resident was transferred to a hospital. This deficiency was identified for one of four sampled residents reviewed for hospitalizations. According to the facility's policy on a change in a resident's condition or status, a nurse is required to notify a resident's representative when the resident is transferred to a hospital. However, a progress note dated 07/30/24 documented that a resident requested to be sent to a hospital, and a medical transport was called, but there was no documentation indicating that the resident's representative was notified of the transfer. Subsequently, a progress note dated 07/31/24 recorded that a family member called the facility to complain about not being informed of the resident's hospitalization. The Director of Nursing (DON) confirmed that there was no documentation of notification to the emergency contacts, acknowledging that someone should have informed them.
Failure to Complete Timely Admission MDS Assessment
Penalty
Summary
The facility failed to complete an admission Minimum Data Set (MDS) assessment within the required 14-day timeframe for a resident. The facility's policy mandates that resident assessments be conducted and submitted in accordance with federal and state submission timeframes. However, for one resident, the admission MDS assessment was still in process and had not been completed on time. This was confirmed during an interview with the Assistant Director of Nursing (ADON), who acknowledged that the assessment was late. The facility census at the time was reported to be 34 residents.
Failure to Monitor Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to ensure that residents receiving psychotropic medications were monitored for side effects, as evidenced by the case of Resident #139. This resident, diagnosed with bipolar disorder and anxiety disorder, was prescribed clonazepam, fluoxetine, and trazodone. However, a review of the electronic health record (EHR) revealed that there was no documentation of side-effect monitoring for these medications. Interviews with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) confirmed that side-effect monitoring was not in place for Resident #139, despite the facility's policy that all residents on psychotropic medications should be monitored for side effects. The corporate nurse reported that 23 residents in the facility were receiving psychotropic medications, highlighting a potential systemic issue.
Failure to Accommodate Resident Food Allergies
Penalty
Summary
The facility failed to provide food that accommodated resident allergies, specifically for a resident with a documented allergy to pork. The resident, who had diagnoses including congestive heart failure and depression, was observed eating breakfast with bacon on their plate, despite their electronic health record indicating an allergy to pork. The resident reported being served pork products on multiple occasions and had informed the staff about this issue. The facility's policy stated that residents with food allergies should be identified upon admission and offered substitutions, but this was not adhered to in practice. Staff members acknowledged that meal cards should list allergies and preferences, and these should be checked by both the person plating the meal and the person delivering it to the resident. However, this procedure was not followed, leading to the resident being served food containing allergens.
Failure to Maintain Comfortable Room Temperatures
Penalty
Summary
The facility failed to maintain comfortable room temperatures for two residents, both of whom had significant medical conditions. One resident, diagnosed with chronic kidney disease and obesity with alveolar hypoventilation, reported that their room had been too hot for about a month, with a measured temperature of 88.5 degrees Fahrenheit. The other resident, with chronic obstructive pulmonary disease and congestive heart failure, also reported discomfort due to excessive heat in their room, which was measured at 86.1 degrees Fahrenheit. Both residents had informed the administrator and other staff members about the issue multiple times. Certified Nursing Assistants (CNAs) confirmed that the area where these residents resided had been excessively hot for about one to three months. Despite these reports, the administrator stated they were only informed of the air conditioning issue on a recent Thursday and had arranged for contractors to address the problem. The administrator claimed to be unaware of the ongoing problem in that part of the building until it was reported to them, indicating a communication breakdown within the facility.
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 56 citations issued within 25 miles in the last 12 months — including the 2 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 Pryor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Terrace Care Center | 2.5 mi | ★★★★★ | 3 | 0 |
| Meadowbrook Nursing Center | 8.4 mi | ★★★★★ | 20 | 1 |
| Parkhill North Nursing Home | 9.6 mi | ★★★★★ | 13 | 0 |
| Lane Nursing & Ventilator Care | 14.8 mi | ★★★★★ | 0 | 0 |
| Claremore Skilled Nursing And Therapy | 15.5 mi | ★★★★★ | 5 | 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.