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 Gardens during CMS and state inspections, most recent first.
The facility did not provide residents access to their trust account money during nights and weekends, as cash disbursements were only available Monday through Friday. Residents reported needing to request funds in advance for weekends, and only the business office manager and administrator had access to the funds, with no provisions for access outside their working hours.
The facility failed to notify two Medicaid recipients when their trust account balances approached the Medicaid resource limit, as required by policy. The business office manager and administrator acknowledged the oversight, which is crucial to maintaining Medicaid eligibility.
The facility failed to close trust accounts and convey funds within 30 days for several residents who had been discharged or had passed away. Three deceased residents had their accounts open for extended periods, with balances remaining, and one discharged resident's account was open beyond the required timeframe. The Business Office Manager and administrator acknowledged the failure to meet the 30-day requirement, affecting eight residents in total.
A facility failed to follow infection control protocols during wound care for a resident with multiple diagnoses, including diabetes and an ostomy. An LPN did not perform hand hygiene between glove changes and did not wear a PPE gown, despite the resident being on enhanced barrier precautions.
The facility failed to accommodate the needs of two residents who required U-bars for steadying and repositioning. Despite a policy allowing side rails if deemed necessary by a physician, no assessments were conducted for these residents. One resident, who is blind, needed railings for turning in bed, while another resident's family requested a U-bar due to unsteadiness and a history of falls. Staff believed bedrails were restraints and required a doctor's note, and the Administrator confirmed the facility's avoidance of bedrails due to state concerns.
A facility failed to update the PASRR for a resident who was newly diagnosed with psychosis and hallucinations. Initially, the resident's PASRR indicated neuropathy and obesity, but did not reflect the serious mental health condition diagnosed later. The MDS Coordinator admitted the oversight in not updating the PASRR with the new diagnosis.
A resident was discharged without a documented discharge summary in the EHR. This deficiency was confirmed by the facility administrator during a review and interview.
A facility failed to notify a resident's representative of an involuntary discharge. The resident, diagnosed with Parkinsonism, was discharged due to aggressive behavior. The social services director initiated the discharge, and the administrator and DON took over due to family complications. The administrator admitted that written notice was not provided to the resident's representative.
Lack of Access to Trust Funds on Nights and Weekends
Penalty
Summary
The facility failed to ensure that residents had access to their trust account money during nights and weekends, affecting three residents who were reviewed for access to their funds. The facility's policy stated that cash disbursements from the trust fund petty cash imprest fund were only available Monday through Friday, from 9:00 a.m. to 4:00 p.m., excluding weekends and holidays. Residents reported that they could not access their money during weekends or nights and had to request funds in advance if needed for the weekend. The business office manager and the administrator were the only individuals with access to the petty cash funds, and no provisions were made for access outside of their working hours.
Failure to Notify Medicaid Recipients of Trust Fund Balance Limits
Penalty
Summary
The facility failed to provide necessary notifications to Medicaid recipients when their trust account balances approached the Medicaid resource limit. Specifically, two residents with Medicaid as their payer source had trust account balances exceeding $2,000, which is within $200 of the Medicaid resource limit. The facility's policy requires that residents or their legal representatives be notified when their trust fund balances approach the limits of Medicaid eligibility, but this was not done for the two residents in question. The business office manager acknowledged the oversight, stating that the resource limit for Medicaid was $2,000 and emphasized the importance of not exceeding this limit to maintain Medicaid eligibility. Despite this understanding, the facility did not provide the required notices to the residents when their balances were within $200 of the limit. The administrator confirmed that the facility had not been providing these notifications, which is a violation of their policy and a deficiency in managing residents' personal funds.
Failure to Close Resident Trust Accounts Timely
Penalty
Summary
The facility failed to close out trust accounts and convey funds within 30 days for several residents who had been discharged or had passed away. Specifically, the facility did not close the trust accounts for three residents who had died and one resident who had been discharged, all of whom had balances remaining in their accounts. Resident #108's trust account remained open 647 days after their death, with a balance of $6,890.62. Resident #109's account was open 346 days post-mortem, with a balance of $8,859.20. Resident #110's account remained open 122 days after their death, with a balance of $6,455.87. Additionally, Resident #111's account was open 39 days after discharge, with a balance of $3,253.78. The facility's policy mandates that trust accounts be closed and funds conveyed within 30 days of a resident's death or discharge. However, the Business Office Director identified eight residents whose accounts were not closed within this timeframe. The Business Office Manager acknowledged the failure to meet the 30-day requirement, and the facility administrator confirmed the accounts were still open beyond the stipulated period. This deficiency highlights a lapse in adhering to the facility's policy regarding the timely closure of resident trust accounts.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to adhere to proper infection prevention and control practices during wound care for a resident. The resident had diagnoses including diabetes, hypertension, presence of an ostomy, and neuropathic bladder, and was on enhanced barrier precautions due to having a foley and ostomy. On September 12, 2024, at 10:09 a.m., an LPN was observed performing wound care without performing hand hygiene after removing soiled gloves and before donning new gloves. Additionally, the LPN was not wearing a PPE gown as required under enhanced barrier precautions. The LPN acknowledged the failure to clean their hands between changing gloves and not following the enhanced barrier precautions during the wound care procedure.
Failure to Accommodate Residents' Needs for U-Bars
Penalty
Summary
The facility failed to accommodate the needs of two residents who required U-bars for steadying and repositioning. The facility's policy on bed safety allowed for the use of side rails if an assessment and consultation with the attending physician determined they were necessary for managing a medical symptom or condition, or to assist the resident in repositioning or moving in bed. However, the facility did not conduct assessments for the two residents in question. Resident #164, who is blind, expressed the need for railings to assist with turning in bed and for perception. Similarly, Resident #158's family requested a U-bar for the resident, who was unsteady and had a history of falls at home, but were informed that it was not allowed without a doctor's note. Staff members, including an LPN and a CMA, indicated that they were under the impression that bedrails were considered restraints and could not be used without a doctor's note. The Administrator confirmed that the facility did not use bedrails and instead used positioning enablers, citing concerns about being tagged by the state. During the exit interview, the MDS coordinator confirmed that neither resident had been assessed for bed safety rails, highlighting a failure to follow the facility's policy and accommodate the residents' needs.
Failure to Update PASRR for Resident with New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure that a resident with a newly identified diagnosis of psychosis and hallucinations after admission had a Pre-Admission Screening and Resident Review (PASRR) updated with the new diagnosis. The resident initially had a Level One PASRR completed with primary and secondary diagnoses of neuropathy and obesity, respectively, which did not indicate a serious mental health condition. However, the resident was later diagnosed with psychosis and hallucinations, but the PASRR was not updated to reflect this new diagnosis. The Minimum Data Set (MDS) Coordinator, responsible for completing PASRRs within ten days of admission, acknowledged the oversight in not updating the PASRR with the new serious mental health diagnosis.
Failure to Document Discharge Summary
Penalty
Summary
The facility failed to document a discharge summary for a resident who was discharged on June 21, 2024. This deficiency was identified during a record review and interview, where it was found that the electronic health record (EHR) did not contain the necessary discharge summary for the resident. On September 13, 2024, the administrator confirmed the absence of the discharge summary for the resident.
Failure to Notify Resident's Representative of Involuntary Discharge
Penalty
Summary
The facility failed to notify a resident's representative of an involuntary discharge, which was identified during a review of closed records. The resident in question had a diagnosis of Parkinsonism and was involuntarily discharged from the facility. The social services director indicated that the discharge process was initiated due to the resident's aggressive behavior towards staff, and the administrator and DON took over the discharge due to complications with the family. The administrator later confirmed that the facility did not provide written notice of the discharge to the resident's representative, as required by policy.
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Illustrative
What surveyors actually found near you
We read the 100 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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sapulpa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor Village | 2 mi | ★★★★★ | 0 | 0 |
| Beacon Ridge | 2.1 mi | ★★★★★ | 0 | 0 |
| Glenwood Skilled Nursing And Therapy | 5.9 mi | ★★★★★ | 0 | 0 |
| Covenant Living At Inverness | 6.1 mi | ★★★★★ | 0 | 0 |
| Grace Skilled Nursing And Therapy Jenks | 7.2 mi | ★★★★★ | 11 | 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.