York Manor Nursing Home: Assessment Failures - OK
The citation, issued September 15, 2025, falls under a category regulators call Resident Assessment and Care Planning Deficiencies. The specific failure was straightforward. Each resident in a nursing home is supposed to receive an accurate assessment, a documented, current picture of who they are, what they need, and what risks they carry. York Manor was not doing that reliably.
Regulators assigned the violation a scope and severity level of D, meaning inspectors identified it as isolated, with no actual harm documented at the time they were on site. But the regulatory designation also carries a second clause that tends to get lost in summaries: potential for more than minimal harm. Those are not the same thing as harmless.
An assessment is not paperwork for its own sake. It is the document that drives every subsequent decision about a resident's care. When a nurse checks whether someone is at risk for falls, when a dietitian decides whether a resident needs a modified diet, when a physician reviews whether a medication is still appropriate, they are working from what the assessment says. If the assessment is wrong, or out of date, or incomplete, the decisions that follow it are built on a false foundation.
That gap between what the record says and what is actually true about a resident is where harm tends to find its opening.
York Manor reported to regulators that the problem would be corrected by November 17, 2025, roughly two months after inspectors left the building. Whether the corrections made were sufficient is not something the September inspection report can answer. That determination belongs to a future visit.
What the September visit does show is a facility carrying a substantial deficiency load. Eighteen citations in a single inspection is not a minor housekeeping list. It suggests inspectors moved through the building and found problems in multiple departments, across multiple categories of care. The assessment failure was one thread in that larger fabric.
The inspection was triggered by a complaint, which means someone, a resident, a family member, a staff member, someone with knowledge of conditions inside the building, contacted regulators before inspectors arrived. Complaint inspections are not random. They begin with a specific concern, and inspectors follow that thread while also conducting a broader review of the facility. The full picture of what prompted the complaint, and whether the assessment deficiency was connected to it, is not detailed in the citation summary.
York Manor is a nursing home in Muskogee, a city of roughly 36,000 in eastern Oklahoma. For residents there, and for families who placed someone in the facility's care, the September inspection is a matter of public record. The 18 deficiencies are documented. The assessment failure is documented. The correction date the facility set for itself, November 17, is documented.
What is not documented is what any individual resident experienced in the time between when their assessment was inaccurate and when inspectors arrived. The D-level severity designation means no harm was confirmed. It does not mean nothing was missed. It means inspectors could not point to a specific resident and show a direct line between the flawed assessment and an injury, a missed diagnosis, a medication error, a fall. That line is often invisible until something goes wrong.
Nursing home assessments are required to be comprehensive and updated at regular intervals, and also whenever a resident's condition changes in a significant way. A resident who develops a new wound, loses weight, shows signs of cognitive decline, or starts refusing medications is supposed to trigger a reassessment. The system depends on staff noticing changes and acting on them, and on the documentation reflecting reality.
When that system breaks down, the resident it fails most is often the one whose change was subtle, whose decline was gradual, whose needs shifted in ways that were easy to overlook until they were not.
The facility has since reported its correction. Eighteen deficiencies were cited. One of them was this one.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for York Manor Nursing Home from 2025-09-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 20, 2026 · Our methodology
YORK MANOR NURSING HOME in MUSKOGEE, OK was cited for violations during a health inspection on September 15, 2025.
The citation, issued September 15, 2025, falls under a category regulators call Resident Assessment and Care Planning Deficiencies.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.