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 Southern Hills Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not report allegations of abuse involving two residents—one with multiple sclerosis and another with acute respiratory failure and psychiatric conditions—to the state agency within the required two-hour timeframe. In both cases, the DON confirmed that timely notification was not made, and documentation was lacking to show compliance with reporting requirements.
The facility did not thoroughly investigate two separate abuse allegations involving residents with complex medical conditions. In both cases, required documentation such as resident and staff statements was missing from the investigation files, and the DON confirmed that the investigations were incomplete.
Two residents with severe cognitive impairment and documented exit-seeking behaviors were able to elope from unsecured courtyard gates, which staff failed to monitor or lock appropriately. Despite prior assessments and care plans identifying their risks, staff did not implement effective supervision or environmental controls, resulting in both residents leaving the premises unsupervised.
The facility failed to follow proper infection control practices during dining services. Staff members delivering lunch trays did not sanitize their hands after each delivery, contrary to the administrator's statement that hand sanitization should occur after every tray. This affected 62 residents receiving meals.
The facility did not provide necessary information for residents to formulate an advance directive, as required by policy. Three residents lacked acknowledgement of an advance directive in their medical records. The social services director noted discussions occurred during admission, but no signed forms confirmed the offer.
Failure to Timely Report Abuse Allegations to State Agency
Penalty
Summary
The facility failed to ensure timely reporting of abuse allegations to the state agency as required by both facility policy and federal guidelines. For one resident with multiple sclerosis, osteoporosis, contractures, and muscle wasting, an incident occurred in which the resident was left alone in their room with the door shut, resulting in incontinence and discomfort. The resident reported the incident to the DON, but the state agency was not notified within the required two-hour timeframe; notification occurred several hours later. The DON confirmed that the incident was not reported within the mandated period. In a separate case, another resident with acute respiratory failure, seizures, spinal stenosis, and paranoid schizophrenia was involved in an allegation of abuse after a family member reported that the resident had been spoken to harshly by a CNA. Although the physician, family, and Adult Protective Services were notified, there was no documentation that the state agency was informed within the two-hour required timeframe. The DON was unable to find evidence of timely reporting for this incident as well.
Failure to Thoroughly Investigate Allegations of Abuse
Penalty
Summary
The facility failed to thoroughly investigate allegations of abuse for two of three sampled residents reviewed for abuse. According to the facility's Abuse Prevention Policy, any complaint or suspicion of abuse must be thoroughly reported, investigated, and documented. For one resident with multiple sclerosis, osteoporosis, contractures, and muscle wasting, an incident was reported in which the resident was left in their room with the door shut after being incontinent, causing discomfort and fear. The investigation documentation for this incident did not include statements from the resident or staff regarding the allegation, and the Director of Nursing (DON) confirmed that the incident was not thoroughly investigated. In a separate case, another resident with acute respiratory failure, seizures, spinal stenosis, and paranoid schizophrenia was the subject of an abuse allegation reported by their family, who stated that a CNA was heard speaking harshly to the resident. The investigation documentation for this incident also lacked resident and staff statements regarding the allegation. The DON reviewed the documentation and acknowledged that the incident was not thoroughly investigated.
Failure to Prevent Elopement and Ensure Supervision of Exit-Seeking Residents
Penalty
Summary
The facility failed to provide adequate supervision and prevent accident hazards for residents with known exit-seeking behaviors, resulting in two separate incidents of elopement. In the first incident, a resident with a history of wandering, cognitive impairment, and a high risk for elopement was able to leave the courtyard through an unlocked gate that had been propped open by contractors. The resident was observed leaving by another resident, and staff were notified and able to redirect the resident back into the building. Prior assessments and care plans had identified the resident's risk for elopement and included interventions such as staff education, regular checks, and redirection, but these measures were not effectively implemented to prevent the resident from exiting the secured area. In the second incident, another resident with a traumatic brain injury, aphasia, depression, and severe cognitive impairment was found missing after a representative inquired about their whereabouts. Staff were unaware the resident was missing until notified, and the resident was found minutes later in the facility's independent living parking lot. The resident had exited the courtyard through a gate, which was observed to have an unlocked key lock, and traversed through unsecured areas leading to the parking lot. Prior documentation indicated the resident had exhibited wandering and exit-seeking behaviors, including attempts to leave the facility and statements about needing to go elsewhere, but the facility did not ensure the courtyard gates were secured or that staff were monitoring the resident closely enough to prevent elopement. Observations during the survey revealed that multiple gates in the courtyard and patio areas were either unlocked or had dummy locks, allowing residents to exit the secured areas without staff intervention. Staff interviews confirmed that they were aware of the residents' exit-seeking behaviors but did not implement one-on-one supervision or other effective interventions until after the elopement incidents occurred. The facility's failure to secure the environment and provide adequate supervision directly contributed to the residents' ability to leave the premises unsupervised.
Infection Control Lapse During Dining Services
Penalty
Summary
The facility failed to ensure proper infection control practices during dining services, as observed by surveyors. On November 19, 2024, at 12:00 p.m., a rehabilitative service manager and a restorative aide were seen delivering lunch trays to residents without sanitizing their hands after each delivery. The rehabilitative service manager admitted to sanitizing hands after every second tray, while the restorative aide stated they sanitized after every third tray. The administrator later confirmed that the correct procedure was to sanitize hands after delivering each tray. This deficiency affected 62 residents who received meals from the kitchen.
Failure to Provide Advance Directive Information
Penalty
Summary
The facility failed to provide information necessary for residents to formulate an advance directive, as required by their policy on residents' rights regarding treatment and advance directives. This deficiency was identified for three residents who were reviewed for advance directives. Specifically, there was no acknowledgement of an advance directive in the medical records of these residents, despite the facility's policy to support and facilitate this right. During an interview, the social services director stated that advance directives were discussed during the admission process and noted on the admission form, but there was no signed form to confirm that the residents were offered the opportunity to formulate an advance directive.
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 118 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
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 Tulsa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tulsa Center For Rehabilitation And Healthcare | 1.3 mi | ★★★★★ | 8 | 0 |
| Montereau, Inc. | 1.7 mi | ★★★★★ | 7 | 0 |
| Gracewood Health & Rehab | 1.9 mi | ★★★★★ | 9 | 0 |
| The Villages At Southern Hills | 2 mi | ★★★★★ | 0 | 0 |
| Trinity Woods, Inc. | 2.2 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.