Below 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 Walnut Grove Care & Rehab Center during CMS and state inspections, most recent first.
A resident reported verbal abuse by a CNA after requesting incontinent care assistance, leading to an Immediate Jeopardy situation. The resident, who had a cognitive communication deficit, was left upset and crying. The charge nurse moved the CNA but failed to report the incident, and the administrator did not investigate after being informed. The lack of documentation and reporting contributed to the deficiency.
The facility failed to maintain the appropriate sanitizer level in the low temperature warewasher, as observed when the CDM found the sanitizer reading at 25 ppm instead of the required 50 ppm. This affected the meals served to 55 residents, as the dishes may not have been properly sanitized.
The facility failed to provide a resident access to their trust account money during nights and weekends. The BOM, who managed the trust accounts, worked only Monday through Friday, requiring residents to request money on Fridays to keep on their person. The facility did not maintain petty cash, and an RN confirmed that they did not handle money, leaving residents without access to their funds outside of business hours.
A resident reported verbal abuse by a CNA, which was not escalated to the Administrator or reported to the state agency as required by the facility's policy. The resident, who required assistance with personal care, was upset by the incident and reported it to an LPN, who did not follow the protocol for reporting such incidents.
A resident reported being verbally abused by a CNA, which caused them to become upset and cry. The incident was reported to a charge nurse, who reassigned the CNA but did not inform the administrator. The administrator was later informed but did not investigate or document the incident, violating the facility's abuse prevention policy.
The facility failed to secure medication carts when not in use, as observed with two of the seven carts. The carts in halls A/B and E/F, and on the North side of the nursing station, were found unlocked and unattended with keys in the lock. Nursing staff were present at the nurses' station, but the carts remained unsecured. Facility policy required medication carts to be locked or attended by authorized personnel, which was confirmed by an LPN and the DON.
A facility failed to maintain infection control during medication administration when an LPN did not wear a gown while providing care to a resident with a PEG tube, despite the facility's Enhanced Barrier Precautions policy requiring it. The LPN acknowledged the oversight, and the DON confirmed the need for PPE in such situations.
A facility failed to provide and document the required number of baths for a resident as per their care plan. The resident was only offered baths on two occasions within a specified period, receiving a bath once. Interviews revealed that CNAs were unable to document bathing in the EMR due to a missing button, leading to non-compliance with the facility's policy.
Failure to Protect Resident from Verbal Abuse
Penalty
Summary
An Immediate Jeopardy situation was identified in a facility due to the failure to protect a resident from verbal and psychosocial abuse. The incident involved a resident who reported being verbally abused by a Certified Nursing Assistant (CNA) after requesting assistance with incontinent care. The resident stated that the CNA yelled at them for using the call light and left them feeling upset and crying. The resident reported the incident to a charge nurse, who did not escalate the matter to the administrator or document the incident. The administrator was informed of the verbal abuse by another CNA but did not take immediate action to investigate or address the issue. The charge nurse moved the CNA to another hall but failed to report the incident to the administrator or document it. The lack of documentation and failure to report the incident to the Oklahoma Department of Health contributed to the deficiency. The resident involved had a cognitive communication deficit and required assistance with personal care, which made them vulnerable to abuse. The facility's failure to protect the resident's right to be free from verbal abuse was identified as a deficiency, with the potential for more than minimal harm. The incident highlighted the need for proper reporting and documentation of abuse allegations to ensure resident safety.
Inadequate Sanitization in Warewasher
Penalty
Summary
The facility failed to ensure that the low temperature warewasher used for sanitizing dishes had the appropriate amount of chemical sanitizer. During an observation, the Certified Dietary Manager (CDM) was seen using test strips to measure the sanitizer level in the warewasher, which was found to be insufficient as the sanitizer was not being pumped through to release the chemical into the machine. The chemical company instruction manual specified that the test paper must read at least 50 parts per million (ppm) for effective sanitization. However, the CDM reported that the sanitizer level was only at 25 ppm, below the required 50 ppm. This deficiency affected the meals served to 55 residents who ate from the kitchen, as the dishes may not have been properly sanitized according to professional standards and the facility's policy.
Resident Trust Account Access Deficiency
Penalty
Summary
The facility failed to ensure that a resident had access to their trust account money during nights and weekends. The Business Office Manager (BOM) identified that 12 residents had money in the trust account, but the facility did not provide a means for residents to access their funds outside of regular business hours. The policy and procedure for the Resident Trust Fund indicated that the management of the trust should follow proper accounting principles and comply with state and federal regulations. However, a review of the trust account ledgers for one resident showed no entries of money being withdrawn at night or on weekends. The resident reported wanting to purchase a coke over the weekend but was told they did not have any money. The BOM confirmed that they worked Monday through Friday and that residents would need to request money on Friday to keep on their person, as the facility did not keep petty cash. An RN stated that they worked Tuesday through Saturday and did not handle money, indicating that residents would need to contact the BOM for access to their funds on weekends.
Failure to Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse to the state agency for a resident who was reviewed for abuse. The facility's policy mandates that any incident, allegation, or suspicion of abuse must be reported to the Administrator, who is the designated Abuse Coordinator, and subsequently to the Department of Health using the state-specific Incident Reporting System. However, this protocol was not followed in the case of a resident who reported an incident involving verbal abuse by a CNA. The resident, who had cognitive communication deficits and required assistance with personal care, reported that the CNA yelled at them for using the call light and made them cry. The resident communicated this incident to the charge nurse, who did not escalate the report to the Administrator as required. The Administrator was informed by another CNA about concerns regarding the behavior of the CNA involved in the incident, but no investigation was conducted, and the resident was not interviewed. The charge nurse did take immediate action by removing the CNA from the resident's hall, but the failure to report the incident to the Administrator and the state agency constituted a breach of the facility's abuse prevention policy. This oversight highlights a lapse in the facility's adherence to its own procedures for handling and reporting allegations of abuse.
Failure to Investigate Allegation of Verbal Abuse
Penalty
Summary
The facility failed to investigate an allegation of abuse involving a resident who was cognitively intact but required assistance with personal care and had a history of anxiety. The incident occurred when a CNA reportedly yelled at the resident for using the call light to request incontinent care, causing the resident to become upset and cry. The resident reported the incident to a charge nurse, who then reassigned the CNA to a different hall but did not report the incident to the administrator. The administrator was informed of the verbal abuse allegation by another CNA but did not conduct an investigation or interview the resident. There was no documentation of the incident, no progress notes, and no report was made to the Oklahoma Department of Health. The facility's policy requires all personnel to report and investigate any allegations of abuse, but this protocol was not followed in this case.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure that medication carts were secured when not in use, as observed on two of the seven medication carts. On February 27, 2025, at 8:33 p.m., medication carts located in halls A/B and E/F, as well as on the North side of the nursing station, were found unlocked and unattended with keys left in the lock. At 8:34 p.m., nursing staff were observed sitting at the nurses' station while the medication carts remained unlocked and unattended. The facility's policy, which was undated, stated that medication rooms, carts, and supplies should be locked or attended by authorized personnel. A licensed practical nurse confirmed that the medication carts were supposed to be locked and attended by assigned staff. The director of nursing reiterated that it was the policy for these carts to be attended to and locked at all times.
Infection Control Lapse During Medication Administration
Penalty
Summary
The facility failed to maintain infection control and follow evidence-based practices (EBP) during medication administration. Specifically, an LPN was observed administering crushed medications through a percutaneous endoscopic gastrostomy (PEG) tube to a resident who required enhanced barrier precautions (EBP). Although the LPN washed their hands and wore gloves, they did not wear a gown, which is a requirement when providing care to residents with indwelling medical devices, as per the facility's Enhanced Barrier Precautions policy. This policy, aligned with CDC guidelines, mandates the use of gowns and gloves during high-contact care activities to prevent the transmission of multidrug-resistant organisms (MDROs). During an interview, the LPN acknowledged the oversight, stating they would have worn a gown if they had thought about it. The Director of Nursing (DON) also indicated that a gown, gloves, and mask should be worn when a resident has something contagious, although they needed to review the actual policy. This incident highlights a lapse in adherence to the facility's infection control protocols, particularly concerning the use of personal protective equipment (PPE) during high-risk procedures involving indwelling devices.
Failure to Provide and Document Required Baths
Penalty
Summary
The facility failed to ensure that baths were provided as care planned for a resident who required assistance with activities of daily living (ADL). According to the facility's ADL Care Bathing policy, nursing staff are responsible for assisting residents with bathing to promote cleanliness and dignity. The care plan for the resident in question specified that bathing or showering should be offered twice weekly and as necessary. However, a review of the resident's bathing records revealed that the resident was only offered baths on two out of fourteen dates within a specified period, and only received a bath on one of those occasions. Interviews with the certified nursing assistants (CNAs) and the assistant director of nursing (ADON) highlighted a failure in the documentation process. The CNAs stated that they would inform the charge nurse and document in the electronic medical record (EMR) whether a bath was given or refused. However, the ADON discovered that the necessary button to document bathing in the EMR was missing, preventing aides from recording the information. Consequently, the resident did not receive the required number of baths, and the staff did not follow the facility's policy regarding bathing and documentation.
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Illustrative
What surveyors actually found near you
We read the 13 citations issued within 25 miles in the last 12 months — 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mcalester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| New Hope Retirement & Care Center | 3.5 mi | ★★★★★ | 8 | 0 |
| Mitchell Care & Rehab Center | 3.5 mi | ★★★★★ | 0 | 0 |
| Mcalester Nursing & Rehab | 3.6 mi | ★★★★★ | 2 | 0 |
| Heritage Hills Living & Rehabilitation Center | 3.7 mi | ★★★★★ | 3 | 0 |
| Beare Manor | 12.6 mi | ★★★★★ | 0 | 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.