York Manor Nursing Home: Care Plan Failures - OK
The inspection, conducted on September 15, 2025, was triggered by a complaint. Among the problems inspectors identified was a violation of a standard that sits at the center of how nursing homes are supposed to function: the requirement that every resident have a written care plan, specific enough to be measured, with timetables attached, covering all of that person's needs.
York Manor did not meet that standard.
The deficiency was classified at Scope/Severity Level D, meaning inspectors identified it as an isolated problem with no documented actual harm to residents. But the classification also carries a specific finding: there was potential for more than minimal harm. In nursing home inspection language, that distinction matters. A care plan is not paperwork for its own sake. It is the document that tells every nurse, every aide, every therapist who walks into a resident's room what that person needs, how to provide it, and when. Without one, or without a complete one, the coordination that keeps a vulnerable person safe can break down in ways that are not always visible until something goes wrong.
The facility reported a correction date of November 17, 2025, more than two months after inspectors flagged the problem.
The care planning deficiency was one of 18 total deficiencies cited during the same inspection, spanning the category of Resident Assessment and Care Planning. Eighteen deficiencies in a single complaint inspection is a substantial finding for any facility. The inspection report reviewed for this article does not detail the nature of the other 17 violations, but the volume alone signals a survey in which inspectors found problems across multiple areas of the home's operations.
York Manor Nursing Home serves residents in Muskogee, a city of roughly 36,000 in eastern Oklahoma. For residents and their families, a nursing home inspection report is often one of the few objective records available when trying to evaluate whether a facility is providing adequate care. The federal inspection system, run through the Centers for Medicare and Medicaid Services, is designed to surface exactly the kind of systemic failure that a care planning deficiency can represent.
Care planning violations, even when classified at the lower end of the severity scale, have a way of compounding. A resident whose care plan does not accurately reflect a swallowing problem may receive food of the wrong consistency. A resident whose care plan does not document a fall risk may not be placed near a call light. A resident whose care plan omits a wound may not receive the monitoring that keeps a small sore from becoming a serious infection. The inspection report does not specify which residents were affected or what needs were left out of their plans. What it records is that the problem existed, that inspectors found it, and that the facility was told to fix it.
The two-month correction window, from September 15 to November 17, is the timeline York Manor itself reported to regulators. Whether the underlying practices that produced the deficiency have changed is a question the inspection record cannot answer on its own.
For families with relatives at York Manor, the September inspection offers a specific, if incomplete, picture. Eighteen deficiencies were found. Care plans were among the failures. The facility said it corrected the problem by mid-November. Those are the facts the federal record contains.
What the record does not contain is what it felt like to be a resident at York Manor during the weeks and months before inspectors arrived, when whatever gaps existed in those care plans were shaping, quietly and without documentation, the daily experience of people who had no other place to be.
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 19, 2026 · Our methodology
YORK MANOR NURSING HOME in MUSKOGEE, OK was cited for violations during a health inspection on September 15, 2025.
The inspection, conducted on September 15, 2025, was triggered by a complaint.
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.