York Manor Nursing Home: Medication Error Failures - OK
The deficiency, recorded under the pharmacy services category, documented that York Manor's medication error rate had reached 5 percent or higher. That is the line regulators draw. Below it, errors are still errors, but the rate is considered within a range the system can tolerate. At or above it, inspectors are required to cite the facility, because the volume of mistakes has grown large enough that harm to residents is no longer a remote possibility.
No actual harm to a resident was documented in this inspection finding. What inspectors recorded instead was potential for more than minimal harm. That distinction matters in how the federal government categorizes a deficiency, but it doesn't change what it means for a resident waiting on a medication, or receiving the wrong one, or missing a dose entirely. The errors happened. The rate was high enough to trigger a citation. The residents those errors touched are not identified in the inspection record.
York Manor was cited for 17 other deficiencies during the same inspection. The medication error finding was one piece of a larger picture inspectors assembled during their visit. The full scope of what those 18 deficiencies covered, and whether any of the others rose to a higher severity level, goes beyond what this inspection summary documents, but the number itself is notable. Eighteen citations from a single inspection is not a routine outcome.
The facility reported that it corrected the medication error deficiency as of November 17, 2025, roughly two months after inspectors cited it. Whether that correction involved retraining pharmacy or nursing staff, auditing medication administration records, or overhauling how the facility tracks and reconciles drug orders is not stated in the inspection record. The correction date is self-reported by the provider.
Medication errors in nursing homes take several forms. A resident can receive a drug intended for someone else. A dose can be skipped and not recorded as skipped. A medication can be given at the wrong time, in the wrong amount, by the wrong route. Any single one of those errors, depending on the drug and the resident's condition, can cause serious harm. The federal government's 5 percent threshold exists because regulators determined that a facility allowing errors to accumulate at that rate has lost meaningful control over one of the most basic functions of a nursing home: getting the right medication to the right person at the right time.
York Manor is a nursing home in Muskogee, a city of roughly 37,000 in eastern Oklahoma. The September 15 inspection was triggered by a complaint, meaning someone, whether a resident, a family member, or a staff member, contacted regulators with a concern serious enough to prompt a visit. What that original complaint alleged is not identified in this summary.
Complaint inspections are targeted. Inspectors arrive with a specific concern in mind. That they left with 18 deficiencies documented suggests they found problems that extended well beyond whatever prompted the initial call.
The medication error citation carries a scope and severity level of D, the lowest rung on the federal deficiency scale for findings where harm is possible but hasn't been documented. That classification means the finding was isolated, not a pattern spread across multiple residents or a widespread problem affecting the facility broadly. Isolated, in the regulatory sense, means inspectors found it in one instance or one narrow context. It does not mean it only happened once.
For the residents at York Manor, the correction date of November 17 represents a two-month window during which the facility acknowledged the problem existed and worked toward fixing it. What happened to medication administration during those two months, whether errors continued or declined, is not captured in what inspectors filed.
The facility's own report says it is corrected now. The inspection record says it was a problem in September.
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, recorded under the pharmacy services category, documented that York Manor's medication error rate had reached 5 percent or higher.
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.