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Complaint Investigation

Skiatook Nursing Home,llc

November 26, 2025 · Skiatook, OK · 318 South Cherry
Citations 2
CMS Rating 3/5
Beds 70
Provider ID 375293
Healthcare Facility
Skiatook Nursing Home,llc
Skiatook, OK  ·  View full profile →
Inspection Summary

SKIATOOK NURSING HOME,LLC in SKIATOOK, OK — inspection on November 26, 2025.

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.

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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 residents were free from abuse for 2 (#1 and #2) of 3 sampled residents reviewed or abuse.

The DON identified 32 residents resided in the facility.

Findings: An undated facility policy titled Policy and Procedure Regarding Prohibition of Resident Abuse Including Corporal Punishment, Neglect and exploitation, read in part, Definitions: Abuse is the willing infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. An incident report, dated 07/28/25, showed CNA #2 reported to the administrator CNA #1 got in Resident #1's personal space and forced them to sit on the toilet.

The report showed afterward Resident #1 pushed CNA #1, who then pushed the resident back.

The report showed CNA #2 reported to the administrator CNA #1 rolled Resident #2 into the wall while changing the resident's bedding.

The report showed Resident #2 hit their knees on the wall, causing some discoloration to their knees. 1.An undated admission form showed Resident #1 had diagnoses which included dementia and Alzheimer's disease. A quarterly assessment, dated 11/13/25, showed Resident #1 was severely cognitively impaired with a BIMS of 2.2. An undated admission form showed Resident #2 had diagnoses which included dementia, anxiety, and OCD.A quarterly assessment, dated 11/06/25, showed Resident #2 was moderately cognitively impaired with a BIMS of 9.On 11/18/25 at 11:02 a.m., the administrator stated CNA #2 called them on 07/28/25 and reported on the evening shift of 07/27/25 CNA #1 was rough with Resident #1 by forcing them down onto the toilet.

They stated Resident #1 pushed CNA #1 and CNA #1 pushed the Resident #1 back.

The administrator stated CNA #2 also reported that while changing Resident #2's bedding CNA #1 rolled Resident #1 into the wall causing bruising to the resident's knees.

The administrator stated when they attempted to interview CNA #1 over the phone regarding the incidents, they became belligerent, and stated they were quitting.

The administrator stated they did in-services with the staff regarding abuse.

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

11/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Skiatook Nursing Home,llc

318 South Cherry Skiatook, OK 74070

SUMMARY STATEMENT OF DEFICIENCIES

Based on record review and interview, the facility failed to recognize and submit a report of abuse within 2 hours for 2 (#1 and #2) of 3 sampled residents reviewed for abuse.

The DON identified 32 residents resided in the facility.

Findings: An undated policy titled Policy and Procedure Regarding Responsibility to Report Allegations of Resident abuse, suspected Criminal Acts, Injury of Unknown Source, Neglect, Misappropriations of Property, and Exploitation, 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 unknow source and suspected criminal acts which include reporting the allegations within the prescribed time frame to the appropriate authorities.An initial incident report made to the OSDH, dated 07/28/25, showed CNA #2 witnessed incidents of abuse on 07/27/25.

The report showed CNA #2 reported to the administrator CNA #1 got in Resident #1's personal space and forced them to sit on the toilet.

The report showed afterward Resident #1 pushed CNA #1, who then pushed the resident back.

The report showed CNA #2 reported to the administrator CNA #1 rolled Resident #2 into the wall while changing the resident's bedding.

The report showed Resident #2 hit their knees on the wall, causing some discoloration to their knees. On 11/18/25 at 12:00 p.m., the DON stated abuse incidents must be reported to OSDH within two hours. On 11/18/25 at 12:20 p.m., the administrator stated they expected the staff to report abuse immediately.

The administrator stated abuse must be reported to OSDH within 2 hours.

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 SKIATOOK, 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 SKIATOOK NURSING HOME,LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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