Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Willow Haven Nursing Home during CMS and state inspections, most recent first.
The facility failed to document physician rationale for declining pharmacy-recommended dose reductions for three residents. A resident with Alzheimer's and dementia, another with dementia and bipolar disorder, and a third with dementia and anxiety had their dose reduction recommendations disagreed by the physician without clinical rationale. The DON was unaware of the reason for the lack of documentation.
The facility failed to ensure kitchen staff properly contained their hair with restraints. The dietary manager and a cook were observed with unsecured facial hair while preparing and serving meals, affecting 26 residents. The facility's policy requires all hair on the head and face to be covered, which was not adhered to.
A facility failed to complete a discharge summary for a resident who was discharged. Although discharge planning and the actual discharge were documented, the discharge summary was missing from the progress notes. This was confirmed by the DON during a review.
A resident with a history of stroke and dysphagia experienced significant weight loss due to the facility's failure to document meal intake percentages. The resident was on a dietary order for Glucerna 1.5 via gastrostomy tube if they ate less than 50% of a meal, but the lack of documentation made it difficult to determine when supplemental feedings were necessary. The DON confirmed the absence of meal percentage records, which were crucial for addressing the resident's nutritional needs.
Lack of Physician Rationale for Declining Dose Reductions
Penalty
Summary
The facility failed to obtain documentation of physician rationale for declining pharmacy-recommended gradual dose reductions for three of five sampled residents reviewed for unnecessary medications. Resident #14, diagnosed with Alzheimer's disease and dementia, had a medication regimen review form dated 04/26/24, where the pharmacist recommended a dose reduction for quetiapine, an antipsychotic. The physician disagreed with the recommendation but did not provide a clinical rationale for this decision. Similarly, Resident #20, with diagnoses of dementia and bipolar disorder, had medication regimen review forms indicating pharmacist-recommended dose reductions for mirtazapine and sertraline on multiple occasions. The physician disagreed with these recommendations without providing a clinical rationale. Resident #25, diagnosed with dementia and anxiety, also had pharmacist-recommended dose reductions for morphine, Norco, and mirtazapine, which the physician disagreed with, again without offering a clinical rationale. The Director of Nursing (DON) was unaware of why the physician had not provided the required clinical rationales.
Failure to Use Proper Hair Restraints in Kitchen
Penalty
Summary
The facility failed to ensure that kitchen staff members properly contained their hair with hair restraints, as observed during a survey. Two kitchen staff members, including the dietary manager and a cook, were seen with unsecured facial hair while preparing and serving meals. The dietary manager was observed wearing a facial guard that covered the beard but left the mustache hair unsecured. Similarly, cook #1 was seen with a facial guard that only partially secured the beard, leaving other facial hair and head hair unsecured. These observations were made during meal preparation and service, affecting the meals of 26 residents. The dietary manager confirmed that the facility's policy required all hair on the head and face to be covered, indicating a failure to adhere to this policy.
Failure to Complete Discharge Summary
Penalty
Summary
The facility failed to complete a discharge summary for a resident who was discharged on 12/13/24. Upon review of the clinical record, it was found that there was no documentation of a discharge summary for this resident. The Director of Nursing (DON) confirmed that while discharge planning was documented and the charge nurse recorded the actual discharge, the discharge summary was missing from the progress notes. This oversight was identified during a review conducted on 02/26/25.
Failure to Document Meal Intake for Resident with Weight Loss
Penalty
Summary
The facility failed to document the meal intake for a resident who was experiencing weight loss. The resident, who had a history of stroke and dysphagia, was on a dietary order that included Glucerna 1.5 via gastrostomy tube if they consumed less than 50% of a meal. Despite this order, there was no documentation of meal percentages since the resident resumed oral feedings. This lack of documentation made it difficult to determine when supplemental feedings were necessary, potentially contributing to the resident's weight loss. The resident's weight decreased from 172.4 pounds to 159 pounds over a period of three months, indicating a 7.8% weight loss. The Director of Nursing (DON) confirmed that the nursing staff documented when supplements were administered but did not record meal percentages, which were essential to decide on the need for supplemental feedings. The absence of this documentation was a critical factor in understanding the resident's nutritional intake and addressing their weight loss.
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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 Tonkawa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillcrest Manor Nursing Center | 6.9 mi | ★★★★★ | 0 | 0 |
| Ponca City Nursing & Rehabilitation Center | 11.4 mi | ★★★★★ | 0 | 0 |
| Shawn Manor Nursing Home | 13.9 mi | ★★★★★ | 0 | 0 |
| Bradbury Commons | 14.8 mi | ★★★★★ | 0 | 0 |
| Perry Green Valley Nursing Center, Llc | 28.2 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.