Complaint Investigation

Oak Hills Living Center

November 26, 2025 · Jones, OK · 1100 West Georgia

Citations 1

CMS Rating 1/5

Beds 160

Provider ID 375117

Healthcare Facility

Oak Hills Living Center

Jones, OK · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Oak Hills Living Center in Jones, OK — inspection on November 26, 2025.

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.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Potential for More Than Minimal Harm

Based on record review and interview, the facility failed to ensure a resident was free from abuse for 1 (#2) of 3 sampled residents reviewed for abuse.The DON identified 115 residents resided in the facility.Findings:An undated facility policy titled Abuse and Neglect Policy, read in part, The Abuse/Neglect Policy of this facility will be implemented to ensure all residents entrusted in our care will be free from mental, verbal, or physical abuse. It is our goal to provide quality care to our residents.1.An undated admission Record showed Resident #2 had diagnoses which included major depressive disorder and anxiety disorder.Resident #2's annual assessment, dated 09/18/25, showed the resident's cognition was intact with a BIMS score of 15. No behaviors were documented on the assessment.An Incident Report Form, dated 09/29/25, read in part, Resident [#2] went to kitchen to ask that [their] cup be washed out. [Certified Dietary Manager] told resident [ Resident #2] 'hang on a minute.' Resident [#2] began cussing and using profanity and called [Certified Dietary Manager] a [explicit] and [Certified Dietary Manager] reciprocated calling Resident [#2] a [explicit].

Cup was thrown by resident [Resident #2] towards employee.

Staff immediately intervened to cease altercation. No physical injuries noted to resident.

Employee suspended.

Investigation initiated .Investigation concluded.

Abuse substantiated.

Interviews with staff completed.

Interview with resident completed.

Interviewed other residents about this employee, no other reports of abuse noted.

Family member at drink station when incident happened, family member with statement of what was witnessed. No other residents witnessed incident.

After viewing facility camera footage, verbal abuse and incident confirmed. [Certified Dietary Manager] terminated.

Safe surveys completed and no other allegations reported.

Trauma assessment completed. [Name withheld} counseling to visit with resident.

Abuse Policy in-service completed with all staff.

Incident reviewed in morning meeting and will be reviewed at next scheduled QAPI meeting.On 10/22/25 at 3:09 p.m., Resident #2 stated, they went to the kitchen to ask for their cup to be washed, the certified dietary manager grabbed them and hit them in the arm with the door.

The certified dietary manager grabbed my hand, it was annoying.

They called me a [explicit]. I called them a [explicit] back.

They were just rude and ignored me. I did not like that. On 10/23/25 at 8:53 a.m., dietary aide #1 stated they had witnessed the resident get upset due to the certified dietary manager taking a minute to assist them. It was probably frustrating.

They both used the B word. I knew the resident said it first, but that did not make it right.

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.

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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 Jones, 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 Oak Hills Living Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

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.