Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Tuttle Care Center during CMS and state inspections, most recent first.
A resident continued to receive 100 mg daily of sertraline (Zoloft) despite a physician's order to reduce the dose to 75 mg following a consultant pharmacist's recommendation. The DON confirmed the order was not implemented, and the resident's medication regimen was not adjusted as directed.
A resident with documented anxiety and PTSD did not have these conditions addressed in their care plan, which only included depression. The omission was confirmed by the MDS coordinator, who stated the care plan should have reflected the resident's current mental health diagnoses.
A resident with dementia and bipolar disorder was discharged to another facility, but the required discharge assessment was not completed, encoded, or transmitted as required. The MDS coordinator confirmed the omission during interviews.
A resident with severe cognitive impairment and multiple diagnoses did not receive a pneumococcal vaccine as ordered, despite having consent and a physician's order in place. Nursing documentation showed the vaccine was placed on hold due to unavailability, and staff confirmed it was not administered.
The facility failed to allow two residents with COPD to exercise their right to smoke after testing positive for COVID-19, despite the absence of a documented policy prohibiting smoking for COVID-19 positive residents. Staff confirmed that these residents were not allowed to smoke and were offered nicotine patches instead, leading to confusion and upset among the residents.
The facility failed to complete discharge summaries for two residents discharged within the last 30 days. An MDS coordinator stated that nurses on the floor at the time of discharge are responsible for completing these summaries. However, an LPN confirmed that the discharge summaries were not documented in the EHR under the forms tab, as required.
A resident, who was cognitively intact and dependent on staff for most ADLs, reported physical abuse by a CNA, including being force-fed and threatened. The resident sustained a bruise on their hand due to the CNA's actions. Despite these incidents, the CNA was not removed from the facility during their shift as the administrator was informed the following morning.
A facility failed to report an abuse allegation within the required 2-hour timeframe to OSDH. A resident reported to a CNA that another CNA threatened them, but the incident was not reported to OSDH until the next day. The administrator was not informed of the incident until the following morning, leading to a delay in reporting.
Failure to Implement Physician-Ordered Psychotropic Dose Reduction
Penalty
Summary
A deficiency occurred when the facility failed to implement a physician's order to reduce the dosage of sertraline (Zoloft) for a resident as part of a gradual dose reduction recommended by the consultant pharmacist. The physician responded to the pharmacist's recommendation by ordering a decrease in the resident's Zoloft dosage from 100 mg to 75 mg daily. However, there was no documentation that this dosage reduction was carried out, and the resident continued to receive the original 100 mg daily dose. The Director of Nursing confirmed that the physician's order to decrease the medication was not implemented, despite facility procedures indicating such changes should be made the same day or the next day.
Failure to Address Mental Health Diagnoses in Care Plan
Penalty
Summary
The facility failed to develop a care plan that addressed the specific mental health diagnoses of anxiety and post-traumatic stress disorder for a resident with these conditions. The resident's admission Minimum Data Set (MDS) assessment documented the presence of anxiety and post-traumatic stress disorder, and the admission record confirmed these diagnoses. However, the care plan initiated for the resident did not include interventions or goals related to these mental health issues, only addressing depression. During an interview, the MDS coordinator acknowledged that the care plan should have included these diagnoses to ensure staff awareness of the resident's current condition.
Failure to Complete and Transmit Discharge Assessment
Penalty
Summary
The facility failed to ensure that a discharge assessment was completed, encoded, and transmitted for a resident who was discharged to another facility. Record review showed that the resident, who had diagnoses including dementia and bipolar disorder, was discharged on 12/30/24, with documentation indicating the time of discharge and that discharge paperwork was provided to the transport and power of attorney. However, there was no documentation that a discharge resident assessment was completed as required. During interviews, the MDS coordinator confirmed that discharge assessments are typically completed on the day of discharge but acknowledged that the assessment for this resident was not completed.
Failure to Administer Pneumococcal Vaccine as Ordered
Penalty
Summary
The facility failed to administer a pneumococcal vaccine as ordered for one resident. The resident, who had diagnoses including asthma and protein calorie malnutrition and was assessed as having severe cognitive impairment, had a signed consent form for the pneumococcal vaccine. A physician's order was in place for the vaccine to be administered, but documentation showed the vaccine was placed on hold due to unavailability. Nursing records indicated the vaccine was not administered, and staff confirmed that the vaccine had not been given. There was no documentation of the vaccine being administered, despite the order and consent being present.
Facility Fails to Uphold Residents' Smoking Rights During COVID-19
Penalty
Summary
The facility failed to uphold the residents' rights to smoke, regardless of their COVID-19 status, for two residents diagnosed with COPD. The facility's COVID-19 policy, revised in May 2024, did not specify that residents with COVID-19 would be prohibited from smoking, nor did it provide alternative means for these residents to smoke. Despite this, the facility restricted smoking for residents who tested positive for COVID-19, as evidenced by the experiences of two residents. One resident, who tested positive for COVID-19, expressed upset and exhibited behaviors due to the smoking restrictions imposed on them. The facility's staff, including LPNs and the administrator, confirmed that COVID-19 positive residents were not allowed to smoke and were instead offered nicotine patches. Another resident, also diagnosed with COPD, was similarly restricted from smoking after testing positive for COVID-19. This resident reported that the facility did not explain the reason for the smoking prohibition, which they found confusing. The resident complied with the restriction during their quarantine period and resumed smoking afterward. The facility's administrator acknowledged the lack of documentation for the policy change regarding smoking restrictions for COVID-19 positive residents, despite a training report indicating a change in policy.
Failure to Complete Discharge Summaries for Discharged Residents
Penalty
Summary
The facility failed to complete discharge summaries for two residents who were discharged within the last 30 days. Resident #1 was discharged on October 2, 2024, and Resident #4 was discharged on September 5, 2024. Upon review of their records, it was found that no discharge summaries had been completed for either resident. The MDS coordinator indicated that the nurses on the floor at the time of discharge are responsible for completing these summaries. However, an LPN confirmed that the discharge summaries for these residents were not documented in the electronic health record (EHR) under the forms tab, as required.
Failure to Prevent Physical Abuse of a Resident
Penalty
Summary
The facility failed to prevent physical abuse for one of the six sampled residents reviewed for abuse allegations. The resident, who was cognitively intact and dependent on staff for most activities of daily living, reported that a CNA pushed all their weight on the resident's hand, causing a bruise. Additionally, the resident expressed a desire for someone else to feed them, but the CNA continued feeding them against their wishes. Furthermore, the resident reported to another CNA that the first CNA threatened to kill them. Despite these incidents, the CNA was not removed from the building during their shift because the administrator was not notified until the next morning.
Delayed Reporting of Abuse Allegation
Penalty
Summary
The facility failed to report an allegation of abuse within the required 2-hour timeframe to the Oklahoma State Department of Health (OSDH) for one of the six sampled residents reviewed for allegations of abuse. A witness statement dated July 11, 2024, documented that a resident reported to a CNA that another CNA threatened to kill them. However, the incident report was not filed with OSDH until July 12, 2024, at 3:10 p.m., despite the incident occurring on July 10, 2024. The facility's administrator stated they were not notified of the incident until the following morning, indicating a delay in communication and reporting within the facility.
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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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Nursing homes near Tuttle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Senior Village Healthcare | 12.9 mi | ★★★★★ | 0 | 0 |
| Spanish Cove Housing Authority | 14.3 mi | ★★★★★ | 0 | 0 |
| Gran Gran's Place | 14.8 mi | ★★★★★ | 6 | 0 |
| Ranchwood Nursing Center | 15.2 mi | ★★★★★ | 21 | 3 |
| Meadowlake Estates | 16.2 mi | ★★★★★ | 1 | 0 |
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