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Complaint Investigation

Checotah Nursing Center

February 20, 2026 · Checotah, OK · 321 Southeast 2nd Street
Citations 1
CMS Rating 1/5
Beds 82
Provider ID 375140
Healthcare Facility
Checotah Nursing Center
Checotah, OK  ·  View full profile →
Inspection Summary

CHECOTAH NURSING CENTER in CHECOTAH, OK — inspection on February 20, 2026.

Found 1 citation. 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

FF0689
Quality of Life and Care Deficiencies

Based on observation, record review, and interview, the facility failed to ensure hot liquids were

liquids.The assisted director of nursing identified four residents were at risk for burns with hot liquids.Findings:1.On 02/18/26 at 11:38 a.m., Res #1 was observed sitting at a table alone.

They were observed to drink an unknown fluid from a brown coffee cup without a lid, and there was no lid observed on the table. On 02/19/26 at 3:55 p.m., a physician visit with Res #1 was observed.

The physician described the wound as a 99% 1st degree and 1% 2nd degree burn.On 02/20/26 at 9:04 a.m., the surveyor obtained a temperature of the coffee as 160.9 degrees Fahrenheit. An undated Hot Liquid Safety policy, read in part, The temperature of hot liquids will be checked in the dietary department prior to distribution. If the temperature is greater than 140 degrees Fahrenheit hold the liquid in the dietary department until it reaches an appropriate temperature.A care plan for Res #1, dated 04/23/25, showed the resident had mildly impaired vision. An intervention showed to ensure Res #1 was aware of hot liquids and to provide lids as needed.A Food Temperature Record, dated 02/2026, showed the holding temperature for coffee on 02/07/26 and 02/10/26 was 180 degrees Fahrenheit.A quarterly assessment for Res #1, dated 02/05/26, showed the resident had a BIMS of 99 which indicated they were unable to complete the interview.

The assessment showed diagnoses which included vascular dementia with behavioral disturbance and unspecified psychosis not due to a substance or known physiological condition.A state incident report form, dated 02/07/26, showed the Oklahoma State Department of Health received the report on 02/12/26 at 10:40 a.m.

The form showed Res #1 spilled a hot fluid on themselves which caused scalding to their bilateral thighs and a blister to their left thigh.2.On 02/18/26 at 11:38 a.m.

Res #2 was observed in the dining room.

They were observed to drink an unknown fluid from a brown coffee cup, without a lid and there was no lid observed on the table.On 02/20/26 at 9:04 a.m., the surveyor obtained a temperature of hot water as 166.9 degrees Fahrenheit. A care plan for Res #2, dated 12/15/25, showed the resident received propranolol (beta-blocker to treat tremors). An intervention, dated 12/15/25, showed to report increased tremors to the physician.A quarterly assessment for Res #2, dated 01/21/26, showed the resident had diagnoses which included unspecified convulsions, other reduced mobility, cognitive functions and awareness, and muscle weakness.

The assessment showed Res #2 had a BIMS of 13 which indicated they were cognitively intact for daily decision making.A nurse's note for Res #2, dated 02/10/26, showed the resident alerted staff they had spilled hot tea on their lap before breakfast.

The note showed the wound measured 6.0 x 2.5 inches and the blistered section was 4.0 x 1.5 inches.

The note showed the physician was notified and an order for Silvadene (ointment for burns) was to be applied and covered with an abdominal pad.During a physician telehealth visit with Res #2 on 02/20/26 at 3:02 p.m., licensed practical nurse #1 obtained measurements of the wound for Res #2.

The wound measured 6 cm x 2 cm x 0.1 cm.

The physician stated the wound was a 2nd degree burn.On 02/18/26 at 2:42 p.m., cook #1 stated they did not temp the coffee or tea before serving to the residents. [NAME] #1 stated they gave the drinks to the certified nurse aides.On 02/20/26 at 9:21 a.m., the dietary manager stated they did not know the policy for serving hot liquids to the residents.

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

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 CHECOTAH, 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 CHECOTAH NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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