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Complaint Investigation

Nowata Nursing Center

January 30, 2026 · Nowata, OK · 436 South Joe
Citations 1
CMS Rating 3/5
Beds 65
Provider ID 375354
Healthcare Facility
Nowata Nursing Center
Nowata, 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

NOWATA NURSING CENTER in NOWATA, OK — inspection on January 30, 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.

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

authorities.

resident to OSDH and local law enforcement within 2 hours for 1 (#4) of 3 sampled residents reviewed

and Procedure Regarding Responsibility of Reporting Allegations of Resident Abuse, Criminal Acts, Injury of Unknown Source, Neglect, Misappropriation of Property, and Exploitation, dated 10/11/22, read in part, It is the policy of this facility to act on all allegations of abuse, neglect, misappropriation of resident property, exploitation, injuries of unknown source and suspected criminal acts which included reporting the allegation withing the required time frame to the appropriate authorities.A quarterly assessment for Res #4, dated 04/18/25, showed the resident had a brief interview for mental status score of 12, indicating moderate cognitive impairment.A Transfer to Hospital Summary, dated 06/24/25 at 1:45 p.m., was found in the progress note section of Res #4's EMR.

The summary, read in part, Note Text: Order received from [doctor name withheld] to transfer resident to hospital due to increased confusion, hallucinations, shortness of breath and abdominal breathing of 30 breaths per minute.

The summary showed the facility nurse on duty had called the local acute care hospital and informed their staff the resident had received one half of a Xanax (antianxiety medication/controlled substance) tablet from a family member of the resident. A review of Res #4's EMR including active and discontinued medications, and the June 2025 medication and treatment administration records showed the resident was not ordered Xanax.On 01/29/26 at 10:13 a.m., LPN #1 was asked if they had any information regarding Res #4 having received a Xanax tablet from a family member. LPN #1 stated during a lunch break on 06/24/25 a family member of Res #4 had informed them they had given Res #4 one of their own Xanax tablets because the resident was yelling out for their dead husband. LPN #1 was asked what they had done with that information.

They stated just after receiving the information about the Xanax, LPN #2 called them and told them Res #4 was going to be sent to the hospital. LPN #1 stated they informed LPN #2 during that call about the Xanax tablet having been given to the resident.

They stated the ambulance staff was notified about the Xanax.On 01/29/26 at 10:30 a.m., LPN #2 was asked if they had any information about a Res #4 having been administered a Xanax tablet by a family member.

They stated they did recall that had occurred but could not remember who had informed them of the incident.

They stated they recalled being told of the specific family member who allegedly gave the medication to the resident.

They stated they then called that family member who told LPN #2 that they had given the tablet to Res #4 and why they had done so.

They stated they could not recall.On 01/29/26 at 10:54 a.m., the administrator stated they did recall the incident as it happened shortly after they began working at the facility.

They stated the DON at the time, LPN #2, had informed them of the incident and that they had contacted the family member and confirmed the incident had occurred.

They stated they recalled having a discussion with LPN #2 and the corporate nurse about reporting the incident, but they did not believe it was a reportable incident because there was no place on the incident reporting form (ODH 283) for the incident.

The administrator stated if someone administered a resident their personal medication (controlled substance), they should have reported it as a criminal activity to OSDH.On 01/30/26 at 12:04 p.m., the administrator stated they had not fully followed their abuse policy.

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 NOWATA, 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 NOWATA NURSING 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.