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 The Cottage Extended Care during CMS and state inspections, most recent first.
A resident with cognitive impairment and a chronic wound did not receive ordered daily dressing changes for five days. An LPN discovered a saturated dressing dated several days prior and found live maggots in the wound, prompting immediate medical intervention. The facility failed to ensure wound care was completed as ordered.
A facility failed to complete a discharge summary for a resident with chronic kidney disease stage 4, anxiety, and COPD. The facility's policy requires documentation of discharge details, but the resident's chart lacked this summary. The DON confirmed the omission.
The facility failed to date oxygen and nebulizer tubing for two residents requiring respiratory care. One resident with chronic respiratory failure had undated oxygen tubing, while another with COPD had nebulizer tubing not changed for over a month. The DON confirmed the expectation for weekly changes and dating of tubing.
The facility failed to ensure call light cords were accessible to residents, affecting three residents with various diagnoses including quadriplegia, dementia, and Alzheimer's. Observations showed call lights placed out of reach, contrary to care plans and facility policy. Staff confirmed the inaccessibility of call lights, impacting residents' ability to request assistance.
Failure to Provide Ordered Wound Care Resulting in Maggot Infestation
Penalty
Summary
A resident with moderate cognitive impairment and diagnoses including chronic obstructive pulmonary disease and cognitive communication deficit had a physician order for daily dressing changes to a left medial ankle venous wound. Documentation and interviews revealed that wound care for this resident was not completed for five consecutive days, as confirmed by the Director of Nursing. During this period, there was no documentation of wound care being performed for several days. The deficiency was discovered when an LPN found the resident's ankle dressing saturated and dated five days prior. Upon removing the dressing, live maggots were found in the wound bed. The LPN immediately sought assistance from an RN, who contacted the on-call physician, the DON, the resident's family, and hospice. The physician ordered the resident to be sent to the hospital. The incident was reported, and it was verified that the facility failed to ensure wound care was completed as ordered for the resident.
Failure to Complete Discharge Summary for a Resident
Penalty
Summary
The facility failed to complete a discharge summary for a resident who was one of three sampled for discharge. The facility's policy, revised in December 2016, requires that specific information be recorded in the resident's medical record upon discharge, including the date and time of discharge, all assessment data obtained, and the signature and title of the person recording the data. The resident in question had diagnoses of chronic kidney disease stage 4, anxiety, and chronic obstructive pulmonary disease. Upon review, it was found that the resident's chart did not contain a discharge summary. The Director of Nursing (DON) confirmed that a discharge summary should have been completed and acknowledged that it was not done for this resident.
Failure to Date Respiratory Tubing for Residents
Penalty
Summary
The facility failed to ensure that oxygen and nebulizer tubing was properly dated for two residents who required respiratory care. Resident #24, who had chronic respiratory failure, hemiplegia, asthma, and a history of transient ischemic attack, was observed on two separate occasions with undated oxygen tubing. Despite having a physician's order for oxygen at 3L via nasal cannula to maintain oxygen saturation above 90%, there was no documented order for the nursing staff to change and date the oxygen tubing. The Director of Nursing (DON) stated that the facility's expectation was for the tubing to be changed and dated weekly if used routinely. Similarly, Resident #59, diagnosed with chronic obstructive pulmonary disease and severe cognitive impairment, had nebulizer tubing that was not changed or dated according to facility expectations. The resident received nebulizer treatments twice daily, yet the tubing was last dated over a month prior. The Treatment Administration record for December 2024 and January 2025 did not include an order for the nursing staff to change and date the nebulizer tubing. The DON confirmed that the facility's protocol required weekly changes and dating of the tubing for routine use.
Inaccessible Call Light Cords for Residents
Penalty
Summary
The facility failed to ensure that call light cords were accessible to residents in their rooms, affecting three of the twenty sampled residents. Resident #1, who had functional quadriplegia, neuromuscular dysfunction, and expressive language disorder, was observed with their call light on the floor behind the headboard of the bed on multiple occasions, making it unreachable. Despite having a communication care plan that included offering a call light they could blow into, the resident was unable to use the call light due to its placement. CNA #1 confirmed that the call light was not within reach of the resident. Resident #43, diagnosed with dementia and cognitive communication deficit, had a fall care plan that required routine checks to ensure the call light was within reach. However, observations showed the call light clipped to the privacy curtain at the foot of the bed, out of the resident's reach. CNA #2 acknowledged that the call light was not accessible. Similarly, Resident #62, with Alzheimer's and dementia, had a care plan for impaired mobility that required the call light to be within reach. Observations revealed the call light hooked to the wall or bed sheets, not accessible to the resident, especially when in a geri chair. CNA #3 and the DON confirmed that the call light was not within reach, contrary to the facility's policy.
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 116 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) |
|---|---|---|---|---|
| Montereau, Inc. | 1.6 mi | ★★★★★ | 7 | 0 |
| Ignite Medical Resort Tulsa, Llc | 1.9 mi | ★★★★★ | 1 | 0 |
| Tulsa Center For Rehabilitation And Healthcare | 1.9 mi | ★★★★★ | 8 | 0 |
| Forest Hills Care And Rehabilitation Center | 2.5 mi | ★★★★★ | 0 | 0 |
| Southern Hills Rehabilitation Center | 3.2 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.