Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Southern Pointe Living Center during CMS and state inspections, most recent first.
The facility failed to maintain RN coverage for 8 consecutive hours a day based on time detail records reviewed. Multiple days in July and August showed no RN hours documented, and no other RN documentation was provided during the survey. The business office manager stated the DON’s last day was in June, and the regional director of operations stated the RN called in on one of the uncovered days. The administrator identified 42 residents in the facility.
A resident with diabetes and hemiplegia, identified as being at increased risk for pressure ulcers, was not properly assessed or monitored for skin integrity. Required weekly skin assessments were not documented, and no evidence of wound care or physician notification was found prior to the resident's hospital transfer, where multiple unstageable pressure injuries were discovered. Staff interviews confirmed the lack of documentation and inservices addressing skin assessments, resulting in a deficiency for neglect.
A resident with diabetes and hemiplegia, identified as being at increased risk for pressure ulcers, was not properly assessed or monitored for skin integrity over a two-week period. Upon hospital admission, multiple unstageable pressure injuries and a deep tissue injury were discovered, despite facility policy requiring regular skin assessments and reporting. The facility did not document or communicate these wounds prior to transfer, and the family was not informed of any skin issues.
The facility failed to develop comprehensive care plans for two residents, one related to nutrition and the other to elopement risk. One resident experienced significant weight loss without a nutrition care plan, while another, identified as an elopement risk, eloped from the facility before an elopement risk care plan was initiated.
The facility failed to follow physician orders for three residents, leading to deficiencies in care. One resident's meal intake was not properly documented, and two residents with diabetes had high blood sugar levels without the required physician notification. The DON confirmed these lapses in adherence to prescribed care plans.
The facility failed to follow the pureed diet menu for three residents, omitting cornbread from their meal despite it being listed on the menu. The dietary manager acknowledged the mistake, citing nervousness as the cause.
The facility failed to ensure accurate resident assessments for two residents. One resident's significant change assessment did not correctly document the contraindication date for a GDR of medications. Another resident's discharge assessment incorrectly classified a fall with a hand fracture as a minor injury instead of a major injury.
The facility failed to notify OHCA of a new diagnosis of Bipolar disorder for a resident who already had serious mental illness diagnoses. This oversight was confirmed by a corporate nurse.
The facility failed to complete a PASRR I screening for a newly admitted resident diagnosed with Schizoaffective disorder. The resident later received additional diagnoses of major depressive disorder and bipolar disorder. A PASRR I was eventually completed but did not document the resident's serious mental illness. The corporate nurse confirmed the PASRR I was completed late and could not be found on admission.
A resident with dementia and mood disorder, identified as an elopement risk, eloped from the facility due to inadequate assessment and monitoring. The care plan did not include an elopement risk plan, and the elopement risk assessment was not completed as per policy. The resident was later found and transferred to a geri-psych facility.
The facility failed to conduct pain assessments for two residents, leading to unmanaged pain despite visible discomfort and complaints. The DON and MDS coordinator acknowledged the lack of required pain assessment components and were unaware of the residents' unrelieved pain.
The facility failed to complete a Medication Regimen Review (MRR) within the required time frame for a resident with severe cognitive impairment and multiple psychotropic medications. The physician's response to the MRR exceeded the 30-day policy requirement.
The facility failed to ensure that a resident did not receive psychotropic medication unless for a specific diagnosed condition. The resident, with severe cognitive impairment, received multiple psychotropic medications without appropriate diagnoses. Both the DON and the pharmacist acknowledged the need for diagnosis clarification.
A resident with chronic conditions and cognitive intactness was denied the right to receive a visitor of their choice due to the administrator's concerns about the visitor's past employment at the facility. The resident's right was eventually restored after intervention by the resident council president and the ombudsman.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to ensure RN coverage for 8 consecutive hours a day for 2 of 3 months of time detail records reviewed. A record review showed that the facility had no RN hours documented on multiple days in July 2025 and August 2025, including 07/11/25, 07/14/25, 07/28/25, 07/29/25, 08/07/25, 08/26/25, 08/29/25, and 08/31/25. No other RN documentation was provided at the time of the survey. During interview, the business office manager stated the DON's last day of employment was 06/20/25, and the regional director of operations stated the RN called in on 08/31/25. The administrator identified 42 residents in the facility.
Failure to Assess and Monitor Skin Integrity Resulting in Neglect
Penalty
Summary
A deficiency occurred when a resident with a history of diabetes mellitus type II and hemiplegia was not properly assessed or monitored for skin integrity, despite being at increased risk for pressure ulcers. Upon admission, the resident had no documented skin issues, and a quarterly assessment confirmed no skin concerns while indicating a Braden score of 16, which placed the resident at increased risk for pressure injury development. However, there was no documentation of weekly skin assessments or monitoring between late January and early February, and no evidence that the resident received treatment for pressure ulcers or injuries during this period. The facility's policies required regular skin assessments and prompt reporting of any changes in skin integrity, but these procedures were not followed. Certified Nursing Assistant (CNA) documentation did not indicate any skin issues, and there was no record of staff conducting or documenting the required weekly skin assessments. Additionally, there was no documentation of wound care or physician notification regarding any skin breakdown prior to the resident's transfer to the hospital. When the resident was transferred to the hospital for altered mental status and slurred speech, a hospital wound consult identified multiple unstageable pressure injuries and a deep tissue injury that had not been previously documented by the facility. Interviews with facility staff confirmed that no wounds were documented prior to the resident's readmission, and no inservices had been conducted to address the lack of skin assessments. This failure to assess, monitor, and document the resident's skin condition resulted in neglect and a deficiency related to the resident's right to be free from neglect.
Failure to Assess and Monitor At-Risk Resident for Pressure Ulcers
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident at risk for pressure ulcers was properly assessed and monitored to prevent the development of pressure ulcers. The resident, who had a history of diabetes mellitus type II and hemiplegia following a cerebral infarction, was admitted without any skin concerns and was identified as being at increased risk for pressure ulcers based on a Braden score of 16. Despite this risk, there were no documented skin assessments for the resident between late January and early February. On February 10th, the resident was transferred to the hospital for altered mental status and slurred speech, with no documentation of skin concerns at the time of transfer. However, upon hospital admission, multiple unstageable pressure injuries and a deep tissue injury were identified on the resident's buttock and coccyx. The facility's own policy required regular assessment and monitoring of skin integrity, as well as prompt reporting of any changes, but these procedures were not followed for this resident. Interviews confirmed that there was no documentation of wounds prior to the resident's hospital admission, and the family was not informed of any skin issues by the facility. The hospital documented the pressure ulcers as present on admission, indicating that the facility failed to identify and report these injuries prior to the resident's transfer.
Failure to Develop Comprehensive Care Plans for Nutrition and Elopement Risk
Penalty
Summary
The facility failed to develop a comprehensive care plan for two residents, one related to nutrition and the other related to elopement risk. Resident #22, who had diagnoses including muscle wasting, atrophy, hypokalemia, and vitamin deficiency, experienced significant weight loss from 241 pounds to 205 pounds without being on a physician-prescribed weight loss program. Despite the resident's admission assessment and quarterly assessment indicating nutritional concerns, no nutrition care plan was developed. The resident reported stomach pain after breakfast and a lack of appetite, contributing to the weight loss, but expressed no concern about the weight loss itself. The MDS coordinator confirmed that no nutrition care plan was in place for this resident. Resident #50, diagnosed with dementia and mood disorder, was identified as an elopement risk upon admission. Despite this, no elopement risk care plan was initiated. The resident eloped from the facility through a torn window screen and was later found and transferred to a geri-psych facility. Upon returning to the facility, an elopement risk care plan was finally initiated. RN #2 confirmed that the elopement risk care plan was not started until after the resident's return from the geri-psych facility, despite the initial identification of the elopement risk.
Failure to Follow Physician Orders for Three Residents
Penalty
Summary
The facility failed to follow physician orders for three residents, leading to deficiencies in care. Resident #22, who had diagnoses including muscle wasting and atrophy, hypokalemia, and vitamin deficiency, had a physician order to document meal and fluid intake. However, the meal percentage documentation was incomplete for several days in March and April, as confirmed by the Director of Nursing (DON). This lack of documentation indicates a failure to adhere to the prescribed care plan for the resident's nutritional monitoring. Resident #1, diagnosed with diabetes, had a physician order for insulin administration based on blood sugar levels, with instructions to notify the physician if blood sugar exceeded 350. On multiple occasions in February and March, the resident's blood sugar levels were above 350, but there was no documentation that the physician was notified. Similarly, Resident #34, also diagnosed with diabetes, had a physician order for insulin administration with a requirement to notify the physician if blood sugar was above 350. On three occasions in March, the resident's blood sugar exceeded 350, but there was no documentation of physician notification. The DON confirmed that the nurses failed to call the physician as required by the orders.
Failure to Follow Pureed Diet Menu
Penalty
Summary
The facility failed to ensure that menus were followed for one meal service for residents on a pureed diet. On 04/03/24, during meal preparation, the dietary manager (DM) pureed cherry cobbler, cabbage, sausage, and potatoes but did not include cornbread, which was listed on the menu. The menu specified that residents on a pureed diet should receive a #10 scoop of cornbread. The DM acknowledged the omission of cornbread, attributing it to nervousness. This deficiency affected three residents who required pureed meals.
Inaccurate Resident Assessments
Penalty
Summary
The facility failed to ensure accurate resident assessments for two of the twelve sampled residents. One resident with diagnoses including COPD, Bipolar disorder, Schizoaffective disorder, and dementia had a significant change assessment that did not accurately document the contraindication date for a gradual dose reduction (GDR) of medications. The corporate nurse consultant identified that the contraindication should have been dated earlier. Another resident with osteoporosis fell and sustained a left hand fracture, but the discharge assessment incorrectly documented the fall as a minor injury instead of a major injury. The MDS Coordinator was unsure about the classification of the injury according to the RAI manual.
Failure to Notify OHCA of New Mental Health Diagnosis
Penalty
Summary
The facility failed to notify the Oklahoma Health Care Authority (OHCA) of a new diagnosis of serious mental illness for a resident. The resident was admitted with diagnoses including Schizoaffective disorder and major depressive disorder. A PASRR I assessment completed did not document the resident's serious mental illness. Later, the resident received a new diagnosis of Bipolar disorder, unspecified, but OHCA was not contacted regarding this new diagnosis. This failure was confirmed by a corporate nurse.
Failure to Complete PASRR I Screening for Resident with Mental Disorders
Penalty
Summary
The facility failed to complete a PASRR I screening for a newly admitted resident diagnosed with Schizoaffective disorder. The resident was admitted on an unspecified date and did not have a PASRR I completed at the time of admission. The resident later received additional diagnoses of major depressive disorder and bipolar disorder. A PASRR I was eventually completed, but it did not document the resident's serious mental illness. The corporate nurse confirmed that the PASRR I was completed late and could not be found on admission.
Failure to Properly Assess and Monitor Elopement Risk
Penalty
Summary
The facility failed to ensure a resident at risk for elopement was properly assessed and monitored to prevent elopement. The resident, who had diagnoses including dementia and mood disorder, was identified as an elopement risk upon admission. However, the comprehensive care plan did not include an elopement risk care plan at that time. The resident eloped from the facility through a torn window screen and was later found and transferred to a geri-psych facility. Upon the resident's return, the elopement risk care plan was still not updated, and an elopement risk assessment had not been completed as per the facility's policy. RN #2 reported that they did not initiate an elopement risk care plan until after the resident returned from the geri-psych facility. Additionally, RN #2 was unsure if the elopement risk alert and the placement of a wander guard were done before or after the resident's elopement. There was no documentation provided regarding the wander guard, and the elopement risk assessment had not been completed since the resident's return. This lack of proper assessment and monitoring led to the resident's elopement from the facility.
Failure to Conduct Pain Assessments
Penalty
Summary
The facility failed to conduct pain assessments for two residents who were reviewed for pain management. Resident #10, who had diagnoses including pain, was observed multiple times experiencing significant knee pain. Despite the resident's complaints and visible discomfort, there were no pain assessments documented in the electronic health record (EHR). The resident's care plan indicated the need to monitor and record pain characteristics, but this was not followed. The Director of Nursing (DON) and MDS coordinator were unable to provide a pain assessment outside of the Minimum Data Set (MDS) and acknowledged the lack of required components in their assessments. Resident #24, with diagnoses including chronic pain, peripheral autonomic neuropathy, and peripheral vascular disease, also did not have any pain assessments in their clinical record. The resident reported that their current pain medication regimen was ineffective and requested more frequent administration, which was not addressed. The DON and MDS coordinator were unaware of the resident's unrelieved pain and acknowledged that their pain assessments did not meet the facility's policy requirements. The facility had only recently started performing pain assessments in March, which did not align with their established protocols.
Failure to Complete Timely Medication Regimen Review
Penalty
Summary
The facility failed to complete a Medication Regimen Review (MRR) within the required time frame for a resident diagnosed with bipolar disorder, major depressive disorder, and schizoaffective disorder. The MRR, dated 02/21/24, recommended discontinuing one of the two lorazepam orders. However, the physician did not respond to this request until 04/02/24, exceeding the 30-day time frame stipulated in the facility's policy. Additionally, a significant change assessment dated 03/06/24 documented that the resident was severely impaired with cognition, had inattention, and an altered level of consciousness, and received multiple psychotropic medications during the look-back period. The Director of Nursing (DON) confirmed that the physician's response was delayed beyond the policy's required time frame.
Failure to Ensure Appropriate Use of Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents did not receive psychotropic medication unless for a specific diagnosed condition. This was identified for one of five residents reviewed for unnecessary medication. The resident had diagnoses including bipolar disorder, major depressive disorder, and schizoaffective disorder. A significant change assessment documented severe cognitive impairment and fluctuating inattention and altered consciousness. The resident received multiple psychotropic medications, including risperidone, Vraylar, clonazepam, and lorazepam, without appropriate diagnoses. The DON and the pharmacist both acknowledged that the diagnoses for the antipsychotic medications needed to be clarified.
Failure to Honor Resident's Right to Choose Visitors
Penalty
Summary
The facility failed to ensure a resident's right to receive visitors of their choice. Resident #33, who had diagnoses including chronic pain syndrome, chronic kidney disease, and adjustment disorder with depressed mood, was cognitively intact and required supervision or touch assistance with most ADLs. The resident reported that their friend, who had been a supportive visitor during their hospital stay, was asked to leave the facility by staff on the administrator's orders. The administrator had informed the resident that the friend was not allowed to visit anymore, despite the resident's expressed desire to see them. The resident council president and the ombudsman were involved in addressing the issue, and the resident eventually regained the right to have their friend visit. Staff interviews revealed that the administrator had instructed CNA #1 to ask the friend to leave, citing the friend's previous employment at the facility and the circumstances of their departure as the reason. The DON was unaware of the specific reasons for the visitation restriction and did not have concerns about the friend visiting the resident. The administrator believed they were acting in the resident's best interest by preventing the visit, despite acknowledging the resident's right to choose their visitors.
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 95 citations issued within 25 miles in the last 12 months — including the 3 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 Colbert
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Calera Manor | 3.9 mi | ★★★★★ | 0 | 0 |
| The Homestead Of Denison | 6.2 mi | ★★★★★ | 9 | 0 |
| The Terrace At Denison | 6.4 mi | ★★★★★ | 23 | 0 |
| Woodlands Place Rehabilitation Suites | 7.7 mi | ★★★★★ | 14 | 0 |
| Denison Nursing And Rehab | 8.1 mi | ★★★★★ | 3 | 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.