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Complaint Investigation

Grace Skilled Nursing And Therapy Jenks

September 3, 2025 · Jenks, OK · 711 North 5th Street
Citations 3
CMS Rating 2/5
Beds 187
Provider ID 375358
Healthcare Facility
Grace Skilled Nursing And Therapy Jenks
Jenks, OK  ·  View full profile →
Inspection Summary

Grace Skilled Nursing and Therapy Jenks in Jenks, OK — inspection on September 3, 2025.

Found 3 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

FF0620
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Based on record review and interview, the facility failed to ensure a resident's damaged personal property was replaced for 1 (#66) of 1 resident sampled who was reviewed for personal property.The administrator identified #107 residents resided in the facility.

Findings: A quarterly assessment, dated 07/16/25, showed Resident #66 had a BIMS of 14 which indicated the resident's cognition was intact and diagnosis which included stroke.

Review of the grievance log showed no grievance for Resident #66 regarding their television. On 09/02/25 at 9:49 a.m., Resident #66 stated after a power outage at the facility, their television would not come on.

They stated he screen would stay black and they only had sound. Resident #66 stated the facility took their television and loaned them one of theirs to use, but did not replace their television.

They stated the administrator told them the facility would not replace their television. On 09/02/25 at 10:41 a.m., the administrator stated they were not aware of an issue with the television for Resident #66.

They stated if a power outage had fried their television the family would have to replace it because the facility did not replace personal property.

The administrator stated it was in their admission agreement.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Grace Skilled Nursing and Therapy Jenks

711 North 5th Street Jenks, OK 74037

SUMMARY STATEMENT OF DEFICIENCIES

noted to the forehead.

The note showed abrasions were noted to both knees with the fall mat in place.

The note showed neurological checks were initiated, and Resident #48 had complained of generalized pain.

The note showed an order was received to send Resident #48 to the hospital for evaluation and treatment. A care plan, revised 08/12/25, showed interventions for falls to include ensure a baby doll was in bed with Resident #48, assist with toileting at night, concave mattress while in bed, educate to not remove oxygen, fall mat at bedside, sign in room to ask for help, keep call light in reach, keep bed in lowest position, and nonskid footwear before transfers. On 09/02/25 at 11:09 a.m., CNA #1 stated the interventions for Resident #48 were a fall mat and to keep the bed low. On 09/03/25 at 2:03 p.m., CNA #4 stated interventions in place for Resident #48 were a fall mat and low bed.

They stated they did not know why the fall mat was not there.

On 09/03/25 at 2:20 p.m., the DON stated they provided in-service and education to the staff and observed to ensure the interventions were in place. On 09/03/25 at 5:29 p.m., LPN #4 stated Resident #48 was observed partially on the fall mat when they fell.

They stated the event was so rushed they were trying to remember. LPN #4 stated they were not sure if Resident #48 hit their head on the nightstand, bed side table, or a clothes hamper that was close to them.

They stated they did not see blood on anything, so they were not sure, but were sure Resident #48 had the fall mat because they used it anytime Resident #48 was in bed.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Grace Skilled Nursing and Therapy Jenks

711 North 5th Street Jenks, OK 74037

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, record review, and interview, the facility failed to ensure sufficient staff to meet the needs of 1 (#110) of 1 sampled resident who was reviewed for sufficient staffing.The administrator identified 107 residents resided in the facility.

Findings: On 08/26/25 at 2:10 p.m., Resident #110 was observed to be calling out for help to the bathroom. CNA #2 came down the hall to get the dirty linen cart and did not check on Resident #110. Resident #110 continued to call out for help to the bathroom. A quarterly assessment, dated 06/05/25, showed Resident #110 had a BIMS of 06 which indicated severe cognitive impairment.

The assessment showed Resident #110 required supervision for sitting to standing and partial to moderate assistance with toilet hygiene. On 08/26/25 at 2:15 p.m., LPN #3 stated CNA #2 monitored the hall for residents who required assistance. LPN #3 was informed staff were not on the hall to monitor, and Resident #110 was yelling out for help to the bathroom. LPN #3 went down the hall and entered the room of Resident #110. On 09/03/25 at 5:26 p.m., CNA #6 stated they should get to call lights in a minimum of five minutes.

They stated they did not feel there was enough staff to answer call lights that fast.On 09/03/25 at 5:27 p.m., CNA #2 stated they had five minutes to answer a call light, and they did not have enough staff to answer them that fast.On 09/03/25 at 5:29 p.m., CNA #7 stated they had five minutes to answer call lights, and they did not have enough staff to answer them that fast.

Facility ID:

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 Jenks, 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 Grace Skilled Nursing and Therapy Jenks or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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