Riverside Health Services
Riverside Health Services in Arkoma, OK — inspection on April 29, 2026.
Found 2 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.
Inspection Findings
turned and positioned on the new cloth bed pad, the new bed pad became dirty and soiled. LPN #1
bed pad. LPN #1 stated they contaminated the wound bed when they used their gloved fingers to
used a tongue blade or applicator to apply the paste to the wound bed. LPN #1 stated they did not recognize Resident #3 was rolling back onto the soiled cloth bed pad between each step of the dressing change. LPN #1 stated the open pressure ulcer touching the bed pad could have potentially contaminated the ulcer. On 04/29/26 at 3:50 p.m., the DON was informed of the wound care observation.
The DON stated they needed to provide their staff with more training and skills checks.
On 04/29/26 at 4:30 p.m., Nurse Practitioner #1 stated the company they worked for provided wound care management to the facility residents.
Nurse Practitioner #1 stated they had concerns with the dressing change the surveyor described to them.
Nurse Practitioner #1 confirmed the DON was aware of the observation and stated they had training material which would be available to the DON and facility.
375371 04/29/2026
Riverside Health Services 1008 Arkansas Street Arkoma, OK 74901
Based on record review and interview, the facility failed to update the facility assessment as the
Findings: A facility assessment, dated 10/15/25, read in part, Nursing facilities will conduct, document, and review a facility-wide assessment, which includes both their resident population and the resources that facility needs to care for their residents (42CFR SS483.71).
The assessment will be reviewed annually and updated as needed.The purpose of the assessment is to evaluate the resident population and determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Use this assessment to make decisions about your direct care staff needs (including those who provide services under contract and volunteers), as well as your ability to provide services to the residents in your facility, at least annually and as necessary, for the above requirement.
Using evidence-based, data driven methods focus on ensuring that each resident is provided care that allows the resident to maintain or attain their highest practical physical, mental, and psychosocial well-being.The Facility assessment should drive staffing decisions and other resources and may include the operating budget necessary to carry out facility functions.A facility assessment, dated 10/15/25, showed one registered nurse needed for one day time shift per week (including weekends).
The facility assessment showed a total of 10 licensed practical nurses were projected to be needed to provide care in a 24-hour period.
The facility assessment showed seven licensed practical nurses were needed for the day shift, five licensed practical nurses for the evening shift, and four licensed practical nurses for the night shift. On 04/29/26 at 3:50 p.m., the DON stated the projected ten licensed practical nurses was not correct.
The DON stated the DON (RN), assistant director of nursing (RN), and the minimum data set coordinator (LPN) were available to assist with resident needs during business hours, five days a week.
The DON stated they assigned two LPNs to work the floor from 7a to 7p, and another two LPNs assigned to work the floor from 7p to 7a.
The DON counted the number of licensed staff members available and stated there were seven licensed staff members available.
The DON stated the acuity level of the residents was higher now than in October 2025 when the facility assessment was completed and they needed more staff to work directly with the residents.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.