York Manor Nursing Home: Catheter Care Failures - OK
The deficiency was one of 18 cited during the same inspection visit. Inspectors classified the catheter and continence care failure as a pattern of conduct, meaning the problem was not isolated to a single resident or a single instance. No actual harm was documented, but inspectors determined there was potential for more than minimal harm to the people living at the facility.
Urinary tract infections are among the most common and serious complications in nursing home residents. They can progress rapidly in elderly patients, particularly those with catheters, moving from a localized infection to a bloodstream infection that requires hospitalization. For residents who are already frail or immunocompromised, a UTI that goes undetected or untreated can become life-threatening.
The inspection was triggered by a complaint, not a routine survey cycle. That distinction matters. Complaint inspections are initiated when someone, typically a resident, family member, or staff member, contacts regulators to report a specific concern. Inspectors arrived at York Manor because something had already prompted an outside report.
What they found extended well beyond whatever originally brought them through the door. Eighteen deficiencies across a single inspection is a substantial number. The catheter and continence care finding was tagged under Quality of Life and Care Deficiencies, a category that covers the most direct, hands-on aspects of what a nursing home is supposed to provide to the people who live there.
York Manor reported that it corrected the catheter and continence care deficiency as of November 17, 2025, roughly two months after inspectors documented it. Whether that correction addressed the underlying conditions that produced a pattern of failures, rather than the surface documentation of those failures, is not something the inspection record answers.
The facility has not responded publicly to the findings.
What the inspection record does not contain is the detail that would allow an outside reader, or a family member choosing a nursing home, to understand exactly what the pattern looked like. How many residents were affected? What, specifically, was being done wrong or not done at all? Were catheter insertion procedures not being followed? Were residents left in wet or soiled conditions for extended periods? Were signs of infection being missed or not reported? The regulatory citation establishes that a pattern existed. It does not describe what that pattern felt like for the people at the center of it.
For residents who depend on catheter care, the gap between adequate and inadequate is not abstract. A catheter that is not properly maintained, cleaned, or monitored becomes a direct pathway for bacteria. Incontinence that is not managed with consistent, attentive care leads to skin breakdown, infection, and a loss of dignity that is difficult to quantify but not difficult to imagine.
The scope and severity level assigned to this deficiency, the E level on the federal inspection scale, sits at the lower end of the harm spectrum. But scope and severity ratings measure documented harm at a specific moment in time. A pattern of inadequate catheter care does not stay static. It continues until something changes, either because a facility fixes it or because a resident becomes sick enough that the connection becomes undeniable.
York Manor says something changed in November. The inspection record says a pattern existed in September.
Eighteen deficiencies in a single inspection visit is the fuller context in which that claim of correction sits.
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 deficiency was one of 18 cited during the same inspection visit.
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.