Above 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 Wilkins Health & Rehabilitation Community during CMS and state inspections, most recent first.
The facility did not complete significant change assessments within 14 days for two residents who experienced major changes in condition, including removal of a feeding tube and initiation of hospice care. Delays were due to inconsistent communication from nursing staff to the MDS coordinator.
A resident with dementia and a history of exit-seeking was able to leave the facility through an unsecured courtyard gate, despite being identified as high risk and having a wander guard in place. Staff were unaware the resident was missing until notified by a transportation driver. Documentation and staff interviews showed that only the main entrances were equipped with wander guard systems, while other exits remained unsecured, and care plans did not address the risk of elopement through these doors.
A facility failed to provide adequate supervision and interventions for two residents, resulting in multiple falls and elopement incidents. One resident, with a high risk for falls, experienced several falls, including a serious incident leading to a head injury. Another resident, initially assessed as low risk for wandering, eloped twice despite being fitted with a WanderGuard device. The facility's policies on fall prevention and elopement were not effectively implemented, leading to these deficiencies.
Failure to Complete Timely Significant Change Assessments
Penalty
Summary
The facility failed to complete comprehensive significant change assessments within 14 days for two residents who experienced major changes in their conditions. For one resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's disease and diabetes, a feeding tube was removed after the resident expressed a desire to eat by mouth and signed a dietary waiver. Although the feeding tube was discontinued per physician order, the significant change assessment was not initiated until several weeks later, as the MDS coordinator was not promptly notified of the change. In another case, a resident with moderate cognitive impairment began receiving hospice services for sarcopenia, as documented by a physician's order and hospice plan of care. However, the significant change assessment was not completed within the required timeframe because the MDS coordinator was not informed of the initiation of hospice services until days after they began. In both cases, the delay in completing the assessments was attributed to inconsistent communication from nursing staff to the MDS coordinator regarding significant changes in residents' conditions.
Failure to Prevent Elopement for High-Risk Resident Due to Inadequate Supervision and Unsecured Exits
Penalty
Summary
A deficiency occurred when the facility failed to provide adequate supervision and interventions to prevent elopement for a resident identified as high risk for wandering and elopement. The resident, who had diagnoses including dementia, agitation, and acute kidney failure, was admitted with moderate cognitive impairment and a history of exit-seeking behavior. Despite being assessed as high risk and having a wander guard in place, the resident was allowed into the courtyard unattended, where all exit doors were observed to be unlocked and not equipped with a wander guard system. The resident exited through a gate on the southeast corner of the facility, which was secured only with a chain and clip that could be easily removed, and staff were unaware the resident was missing until notified by a transportation driver who found the resident outside the facility. Documentation revealed that the resident had previously eloped from the facility and had multiple incidents of attempting to exit through doors not equipped with the wander guard system. Progress notes and incident reports indicated repeated exit-seeking behavior, including attempts to leave through both secured and unsecured doors. However, there were no documented interventions specifically addressing the risk of elopement through doors not equipped with the wander guard system, and care plans did not reflect changes or additional measures after these incidents. Visual checks on the resident were inconsistently performed and not always documented, and staff interviews confirmed a lack of awareness regarding the resident's exit-seeking through unsecured doors. Staff interviews further revealed that only the front doors were equipped with the wander guard system, while other exits, including those to the courtyard, were not secured. Staff members believed the courtyard was secure, but it was not, allowing the resident to leave the premises undetected. The lack of comprehensive interventions and supervision for a resident with a known history of elopement and exit-seeking behavior through unsecured doors directly led to the deficiency.
Inadequate Supervision Leads to Falls and Elopement
Penalty
Summary
The facility failed to provide adequate supervision and interventions to prevent falls for a resident with a high risk for falls. This resident, who had diagnoses including schizophrenia, Parkinson's disease, and chronic obstructive pulmonary disease, was admitted with a documented high risk for falls. Despite this, the resident experienced multiple falls, including one incident where they were found on the floor after attempting to go to the bathroom unassisted, resulting in a head injury and subarachnoid hemorrhage. The resident's care plan included measures such as frequent checks and reminders to use the call light, but these interventions were insufficient to prevent the falls. Additionally, the facility did not provide adequate supervision and interventions to prevent elopement for another resident with cerebral infarction and chronic atrial fibrillation. This resident, assessed as low risk for wandering, was found walking down the street on two separate occasions. Despite being fitted with a WanderGuard device after the first incident, the resident managed to elope again, and the device was not located. The facility lacked documentation of the required 30-minute checks and an incident report for the second elopement. The facility's policies on identifying and protecting residents at risk for wandering and elopement, as well as falls prevention and management, were not effectively implemented. The deficiencies in supervision and intervention led to repeated incidents of falls and elopement, indicating a failure to ensure the safety of residents at risk for these behaviors.
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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 25 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
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 Duncan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elk Crossing | 2.3 mi | ★★★★★ | 6 | 0 |
| Meridian Nursing Home | 5.6 mi | ★★★★★ | 0 | 0 |
| Gregston Nursing Home, Inc. | 10.4 mi | ★★★★★ | 9 | 0 |
| Marlow Nursing & Rehab | 10.5 mi | ★★★★★ | 10 | 0 |
| Temple Manor Nursing Home | 22.3 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.