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Complaint Investigation

Anadarko Nursing & Rehab

March 30, 2026 · Anadarko, OK · 300 West Washington
Citations 5
CMS Rating 1/5
Beds 92
Provider ID 375477
Healthcare Facility
Anadarko Nursing & Rehab
Anadarko, OK  ·  View full profile →
Inspection Summary

Anadarko Nursing & Rehab in Anadarko, OK — inspection on March 30, 2026.

Found 5 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0584
Resident Rights Deficiencies

limited to receiving treatment and supports for daily living safely.

comfortable, and homelike environment for the residents.The ADON identified 76 residents resided in

made: 1. A folded bed sheet was observed to be tacked up over the window in rooms W4, W6, and W8,2.

Room W6 was observed to be cluttered with items on the floor,3.

Room W12B was observed to have clutter on the shelves and in the corners.

The extra bed was not made up with linens. A TV was observed to be sitting on the floor.

The room had an odor of urine, and4.

Door facings and walls throughout the facility were observed to have chipped and peeled paint. 03/30/26 at 10:00 a.m., the following observations were made in the TV room::1.

Baseboard ledges had dirt and dust build up, 2. A box fan guard had dust and dirt collected on one side, and3.

The air return vent covers in the walls had dirt build up and were bent. 03/30/2026 at 10:39 a.m., Housekeeper #1 stated there was not a scheduled cleaning log or any type of check sheet.

Housekeepers clean the fans when residents ask, and the base board were cleaned when they could. 03/30/2026 at 10:45 a.m., the ADON stated they were working on ordering new blinds.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

375477 03/30/2026

Anadarko Nursing & Rehab 300 West Washington Anadarko, OK 73005

Based on record review and interview, the facility failed to ensure grievances were received and

at the facility.Findings: Facility's grievance binder was reviewed.

The binder contained several grievances filed by Resident #23 dated 01/07/26 and 03/19/26.

The grievance dated 01/07/26 had no investigation reports attached.An undated policy titled, Grievance policy and procedure, read in part, the administrator should inform the complainant of the findings of the investigation within ten days of receiving the written grievance report and actions that will be taken to correct any identified problems.On 03/24/26 at 9:30 a.m., Resident #23 stated that they had filled out multiple grievances against a nursing staff member. Resident #23 stated they had not heard back from facility's administrative staff regarding the grievances.On 03-26-26 at 10:43 a.m., CNA #1 stated that nursing staff are required to take grievances as soon as they are written to the administrator.On 03-26-26 at 11:31 a.m., CNA #2 stated they thought grievances were being placed in the DON's office, but they were not sure. On 03-26-26 at 12:16 p.m., ADON stated that grievances were placed by staff all over the facility and do not get to the administrative staff immediately. ADON stated they assumed staff knew what to do with the grievances and that staff had not received in-service training for grievances.On 03-26-26 at 12:18 p.m., ADON, DON, and administrator stated they did not know about the grievance filed on 01-07-26 due to systemic grievance review failure.On 03/26/2026 at 4:10 p.m., LPN #1 stated that they had assisted Resident #23 with the grievance form dated 01-07-26. LPN #1 stated they had made two copies of the grievance form and slid it under the office doors of the administrator and ADON.

375477 03/30/2026

Anadarko Nursing & Rehab 300 West Washington Anadarko, OK 73005

authorities.

Oklahoma State Department of Health within two hours of discovery of the alleged abuse, and;2

Oklahoma Board of Nursing for 1 (#23) of 3 residents sampled for abuse allegations.The ADON identified 76 residents resided in the facility.Findings:An Abuse Policy Procedure, undated, read in part, All allegations of resident maltreatment, including neglect, physical abuse, mental abuse, sexual abuse, involuntary isolation, verbal abuse, injuries of unknown origin, and/or misappropriation of property, shall be promptly reported to administrator and investigated by facility management.

Administrator will immediately report the allegation to the Oklahoma State Department of Health and local police.

The following person or entities will be notified by facility personnel: state registry if perpetrator is known.

When the allegation involves abuse or results in serious bodily injury you must report within 2 hours of notification of incident. A Grievance Form, dated 01/07/26, showed Resident #23 reported LPN #1 slugged them in the shoulder. Resident #23 stated they were, shaking like a leaf.

A Grievance Form, dated 03/16/26, showed Resident #23 stated that LPN #1 told them to get my ass back on my own hall.

Resident stated that they started crying after that. An employee disciplinary action form, dated 03/19/26, read in part, Due to several resident's concerns regarding your communication style . we are having a discussion today.

This will stand as a reminder for [LPN #1] to ensure that all resident interactions are characterized by empathy, active listening, and professionalism.

There were no signatures for this form. On 03/26/26 at 10:20 a.m., Resident #23 stated LPN #1 punched them in their left shoulder on 01/07/26 and then when the resident did not fall LPN #1 pushed their walker into them.

Resident stated that they did not know until they had a dime-size bruise from the punch until they took a shower that same day. Resident #23 stated they sustained a dime-sized bruise to their left shoulder. Resident #23 stated they were fearful of LPN #1 and shook with fear and anger.

They stated on 03/16/26 LPN #1 cussed at them and would not allow them access to a different hall in the facility. Resident #23 stated this made them upset and they cried all night. Resident #23 stated no one responded to their grievances until 03/25/26. On 03/26/26 at 12:14 p.m., the DON stated they were not aware of the abuse allegation from 01/07/26 until 03/25/25.

They stated they had not reported the abuse allegations from 01/07/26 or 03/16/26 because they believed they had 48 hours after discovery to report the allegations.

The DON stated they had not reported the allegation to OSDH or local police. On 03/30/26 at 11:57 a.m., the DON was asked for the notification of allegation of abuse that was sent to the Oklahoma Board of Nursing for LPN #1.

They stated they had not sent it because they did not know they had to send it before the investigation was completed.

375477 03/30/2026

Anadarko Nursing & Rehab 300 West Washington Anadarko, OK 73005

nurses on a full time basis.

hours seven days per week.The ADON identified 76 residents resided in the center.Findings:A Staffing

Data Report, dated 03/20/26, showed the facility did not have RN coverage for quarter 1 of 2026.

The dates identified were: a. 10/05/25,b. 10/12/25,c. 10/18/25,d. 10/19/25,e. 11/09/25,f. 11/15/25,g. 11/29/25,h. 11/30/25,i. 12/06/25,j. 12/07/25,k. 12/13/25, l. 12/14/25,m. 12/20/25,n. 12/21/25,o. 12/27/25, andp. 12/28/25. On 03/27/26 at 8:52 a.m., the business office manager stated the corporate human resource officer was responsible for inputting PBJ data and they confirmed the missing RN coverage from the PBJ report was accurate. On 03/27/26 at 8:57 a.m., the corporate human resource officer stated the RN hours listed as not covered for quarter 1 of 2026 were correct.

There was no RN coverage for those dates. On 03/27/26 at 9:02 a.m., the DON stated they were aware of the missing RN hours for quarter 1 of 2026.

They stated the facility had not had any missing RN hours since 12/28/25.

375477 03/30/2026

Anadarko Nursing & Rehab 300 West Washington Anadarko, OK 73005

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serve food in accordance with professional standards.

were properly sealed, dated, and labeled, b. condiment containers were dated when opened, c. dried

performed, e. dishes were air dried, and f. hand hygiene is practiced correctly,according to the standards of practice for 2 of 2 kitchen observations.

The ADON identified 76 residents were served from the kitchen.

Findings: 03/24/26 9:50 a.m., a tour of kitchen performed and the following were observed: a. an undated unlabeled bag of leftover pasta was observed to be in the refrigerator,b. an undated opened gallon container of mustard was observed to have dried spillage down the side onto the label,c. an undated opened gallon container of Ranch dressing with dried spillage down the side onto the label with the lid not secured properly,d. an open undated half package of sliced ham was observed to be in the refrigerator,e. stacked cups and plates were observed to have water droplets between them, and f. dietary aide #1 was observed to be tossing salad in a large bowl without wearing gloves. On 03/26/26 at 10:35 a.m., the following were observed: a. stacked cups and plates continued to have water droplets between them, b. an undated opened gallon container of mustard was observed to have dried spillage down the side onto the label,c. an undated opened gallon container of Ranch dressing with dried spillage down the side onto the label with the lid not secured properly,d. an undated unlabeled pitcher of white liquid observed to be in refrigerator. A facility policy, titled Kitchen Sanitation Policy revised 05/2023, read in part, Dishwashing machines must be operated using the following specifications: High-Temperature Heat sanitation or Low-Temperature Chemical sanitation.The policy also read in part, Food will be stored, handled, prepared and served so that risk of foodborne illness is minimized. On 03/24/26 at 10:10 a.m., the CDM stated the facility has not had the dietitian to visit in approximately a year, therefore no kitchen audits were available.

The CDM also stated the dietary aide should have washed their hands and donned gloves when touching the food. On 03/24/26 at 1:00 p.m., the administrator stated they do not know who does kitchen audits since the dietitian does not come to building.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Anadarko, OK, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Anadarko Nursing & Rehab or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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