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 St. Ann's Skilled Nursing And Therapy during CMS and state inspections, most recent first.
A resident with advanced dementia experienced a decline in health, prompting nursing staff to request hospice reassessment. Although a hospice nurse assessed the resident and planned to obtain physician orders for an antibiotic and diet change, the facility did not receive these orders for several days due to failed fax transmissions and lack of follow-up by staff. The delay was only identified after the resident's family raised concerns, revealing a breakdown in communication and coordination between facility and hospice staff.
A resident who experienced a significant decline in functional status and was placed on hospice care did not have their care plan updated to reflect their increased need for assistance with eating. Staff were unaware of the resident's current requirements, and the care plan continued to indicate only supervision or limited participation, resulting in the resident not receiving appropriate help during meals.
A resident with moderate cognitive impairment and a documented need for substantial to maximal eating assistance did not receive help during a meal. The resident was left to feed themselves, expressed a desire for assistance, and staff failed to provide the required support, despite facility guidelines and expectations.
A medication aide failed to follow the five rights of medication administration when preparing medications for two residents who both required applesauce, resulting in one resident receiving another's baclofen instead of their prescribed medication. The error was identified promptly, and the resident was assessed with no immediate adverse symptoms noted.
A resident with heart disease and other conditions was prescribed Aspirin and Plavix. During the admission assessment, Plavix was incorrectly coded as an anticoagulant. The error was identified when the resident, who had bruising on their arms, mentioned their medication. The MDS Coordinator acknowledged the mistake, and the DON was aware of the error.
A resident with a diagnosis including syncope and collapse experienced continuous daily pain, which was not managed appropriately by the facility. Despite a Pain Care Assessment and a report from the resident's daughter about foot pain believed to be gout, no pain medication was administered. The facility's policy requires effective communication and pain management, but the resident did not have PRN medication, and the pain was not reported to the physician, leading to a deficiency.
A resident missed two doses of Buprenorphine HCL Sublingual Tablet 2 MG due to the medication not being available in the facility. The facility's policy requires timely receipt of medications from the pharmacy, but the medication was not delivered as ordered. The DON confirmed the absence of the medication, resulting in the resident missing scheduled doses.
A CMA failed to follow proper hand hygiene protocols while administering medications, as observed when they did not sanitize their hands after picking up a dropped pill from the floor. The DON confirmed that staff are expected to sanitize their hands before and after each resident interaction, highlighting a breach in infection control practices.
Failure to Coordinate Timely Hospice Orders and Care
Penalty
Summary
The facility failed to ensure proper coordination of care with hospice services for a resident who was severely cognitively impaired and receiving hospice care for Alzheimer's disease and dementia. The resident experienced a decline in health, including difficulty chewing and swallowing, which prompted nursing staff to contact hospice for reassessment. The hospice nurse assessed the resident and documented that the physician would be contacted for a liquid antibiotic and a pureed diet order. However, the facility did not receive the necessary physician orders for the antibiotic and diet change until several days later. During this period, there was a breakdown in communication and follow-up between facility staff and hospice. Although the hospice nurse indicated that orders would be obtained, facility staff did not verify receipt of these orders in a timely manner. The delay was only discovered when the resident's family expressed concern about the lack of timely antibiotic administration. It was noted that hospice attempted to fax the orders multiple times without success, and verbal orders were eventually received and initiated by the facility. Interviews with facility staff and hospice personnel confirmed that there was a lack of follow-up to ensure that the physician orders were received and implemented. The nurse responsible acknowledged not realizing the orders had not been received until the family raised the issue. The Assistant Director of Nursing stated that staff should have followed up with hospice within a few hours or ensured the oncoming nurse was aware of the need for follow-up. The hospice nurse also confirmed that they were unaware the orders had not been received until contacted by facility staff several days later.
Failure to Update Care Plan Following Resident Decline
Penalty
Summary
The facility failed to update the care plan for a resident who experienced a significant decline in functional status and was placed on hospice care. Despite a comprehensive assessment indicating that the resident now required substantial or maximal assistance with eating, the care plan continued to reflect only a need for supervision or limited staff participation, as originally documented several years prior. Staff observations showed the resident sitting up in bed, slowly feeding themselves, and expressing a desire for help, yet no assistance was provided during the meal. Interviews with staff revealed a lack of awareness regarding the resident's current needs, with one CNA stating they were unaware the resident required feeding assistance and another staff member indicating that queuing and supervision were believed to be sufficient. The MDS coordinator acknowledged that the care plan should have been updated following the significant change assessment but had not been revised. The administrator confirmed that care plans are expected to be current and that staff should provide assistance as needed.
Failure to Provide Required Eating Assistance
Penalty
Summary
A deficiency occurred when a resident who required substantial to maximal assistance with eating did not receive the necessary support during a meal. The resident, who had a BIMS score of 10 indicating moderate cognitive impairment, was observed sitting up in bed and slowly feeding themselves, with most of their food still on the plate. The resident expressed a desire for help, stating, 'It would be nice if I had help.' Despite this, a CNA entered the room, asked if the resident was done, and left the tray without providing assistance. Facility records indicated that eight residents required feeding assistance, and the facility's Nursing Skills Guideline emphasized the importance of providing care that respects residents' needs and preferences. The CNA involved stated they were not aware the resident required feeding assistance and believed it was their responsibility to ask if help was needed. The administrator confirmed that staff are expected to assist residents who require help with eating.
Failure to Ensure Five Rights of Medication Administration Results in Medication Error
Penalty
Summary
The facility failed to ensure the five rights of medication administration, resulting in a medication error involving one resident. According to the facility's policy, medications are to be administered at the time they are prepared, and residents must be positively identified before administration. However, a certified medication aide prepared medications for two residents who both required their medications to be given with applesauce. While allowing a potassium tablet to dissolve in applesauce for one resident, the aide prepared another resident's baclofen, also with applesauce. The aide then mistakenly administered the baclofen intended for one resident to another resident, as the correct medication cup containing the potassium tablet remained in the cart. The incident was immediately reported to the nurse, and the resident who received the incorrect medication was assessed. The nurse noted that the resident's oxygen levels were at their baseline and that there were no other symptoms observed during monitoring. The medication aide described their usual process for medication administration, which includes checking the medication three times, but acknowledged the error occurred when they were interrupted by a resident's request. The Director of Nursing confirmed the sequence of events and the identification of the medication error.
Incorrect Coding of Antiplatelet Medication as Anticoagulant
Penalty
Summary
The facility failed to accurately complete a resident assessment for one of the sampled residents. The resident had diagnoses including heart disease, chronic obstructive pulmonary disease, and high cholesterol. The resident was prescribed Aspirin and Plavix, both of which are antiplatelet medications. However, during the admission assessment, Plavix was incorrectly coded as an anticoagulant. This error was identified when the resident, who had noticeable bruising on their arms, mentioned taking Plavix and Aspirin. The MDS Coordinator initially confirmed the incorrect coding, later acknowledging the mistake. The Director of Nursing was aware of the coding error.
Failure to Provide Appropriate Pain Management
Penalty
Summary
The facility failed to provide appropriate pain management for a resident experiencing pain. The resident, who had a diagnosis including syncope and collapse, reported experiencing continuous pain daily, which sometimes worsened. Despite a Pain Care Assessment indicating the resident had pain, there was no documentation of pain medication being administered. The resident's daughter also reported that the resident was experiencing pain in their foot, believed to be gout, and was unable to sleep at night. However, there was no follow-up documentation or administration of pain medication after this report. The facility's Pain policy requires a commitment to resident comfort and proper communication between team members to ensure effective pain management. However, the resident did not have PRN pain medication, and the pain was not reported to the physician. The Director of Nursing confirmed that the resident was not administered pain medication after the Pain Assessment or after the daughter's report of pain. This lack of action and communication led to the deficiency in providing safe and appropriate pain management for the resident.
Medication Unavailability for Resident
Penalty
Summary
The facility failed to ensure the availability of a medication for a resident, leading to a deficiency. The facility's policy on medication ordering and receiving, dated January 2022, mandates that medications and related products should be received from the dispensing pharmacy on a timely basis. However, for one resident, Buprenorphine HCL Sublingual Tablet 2 MG was not available for administration as scheduled. The resident's Medication Administration Record (MAR) documented that the medication was due on two occasions, but it was not received from the pharmacy. An Orders Administration Note indicated that the medication was ordered the previous day but had not been delivered. The Director of Nursing (DON) confirmed that the medication was not in the facility and that the resident had missed two doses.
Inadequate Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to ensure staff implemented proper infection control measures during medication administration. A Certified Medication Aide (CMA) was observed handling medications without sanitizing their hands, which is a violation of the facility's Hand Hygiene policy. Specifically, the CMA dropped a tablet of Eliquis into an open medication cart drawer and another pill on the floor. After discarding the pill that fell on the floor, the CMA did not sanitize their hands before continuing to handle and administer medications to a resident. When questioned, the CMA admitted to not sanitizing their hands after picking up the pill from the floor and stated that they used hand sanitizers located on the hall walls, as there was no hand sanitizer in the medication cart. The Director of Nursing (DON) confirmed that staff are expected to sanitize their hands before and after administering medications to each resident, and also after discarding a dropped pill.
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 217 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 Oklahoma City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Health Center At Concordia | 0.2 mi | ★★★★★ | 0 | 0 |
| Baptist Village Of Oklahoma City | 0.5 mi | ★★★★★ | 2 | 0 |
| The Lakes | 1.6 mi | ★★★★★ | 0 | 0 |
| Warr Acres Nursing Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Heritage At Brandon Place Health & Rehabilitation | 2.9 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St. Ann's Skilled Nursing And Therapy.
100% money-back within 48 hours.
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.