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Complaint Investigation

Wagoner Health & Rehab

February 25, 2026 · Wagoner, OK · 205 North Lincoln Avenue
Citations 4
CMS Rating 2/5
Beds 117
Provider ID 375369
Healthcare Facility
Wagoner Health & Rehab
Wagoner, OK  ·  View full profile →
Inspection Summary

WAGONER HEALTH & REHAB in WAGONER, OK — inspection on February 25, 2026.

Found 4 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

FF0755
Pharmacy Service Deficiencies

services of a licensed pharmacist.

medications was witnessed by 2 staff members for 1 (#5) of 3 sampled residents reviewed for

the facility.

Findings: An undated Discarding and Destroying Medications policy showed documenting the destruction of narcotics required the signatures of at least two witnesses.An admission record for Res #5, dated 08/20/24, showed the resident had diagnoses which included emphysema and heart failure.A physician's order for Res #5, dated 12/06/25, showed the resident was to receive oxycodone 10 mg (a narcotic pain medication) by mouth every six hours.A Controlled Drug Receipt/Record/Disposition Form, dated 02/2026, showed on 02/13/26 at 6:00 a.m. one 10 mg oxycodone tablet was wasted.

The form only included one signature.On 02/24/26 at 11:15 a.m., LPN #1 stated if they needed to waste a narcotic medication a nurse had to witness and sign off with the other employee.On 02/24/26 at 3:25 p.m., the infection preventionist stated two staff members had to sign off if a narcotic medication was wasted.

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

375369 02/25/2026

Wagoner Health & Rehab 205 North Lincoln Avenue Wagoner, OK 74467

identified 48 residents received meals from the kitchen.

Findings:On 02/23/26 at 12:50 p.m., a test

lukewarm, the turnip greens were lukewarm, the cornbread was cold and dry.1. An annual assessment for Res #4, dated 11/21/25, showed the resident had a BIMS score of 15 which indicated intact cognition.On 02/23/26 at 8:30 a.m., Res #4 stated when they ate in their room the food was always cold.

Res #4 stated the food did not taste good.2. A quarterly assessment for Res #6, dated 01/10/26, showed the resident had a BIMS score of 15 which indicated intact cognition.On 02/23/26 at 8:55 a.m., Res #6 stated the food was cold by the time it was delivered to their room.

Res #6 stated the food had tasted bad for a long time.On 02/24/26 at 7:50 a.m., Res #6 stated the potatoes they had for lunch the day before were undercooked, crunchy, and the meal was cold.3. A quarterly assessment for Res #7, dated 12/11/25, showed the resident had a BIMS score of 15 which indicated intact cognition.On 02/24/26 at 1:10 p.m., Res #7 stated they ate all meals in their room, and the food was almost always cold by the time it arrived.On 02/25/26 at 10:00 a.m., the DM stated they were working to get the trays out to the residents quicker and ensure the food was warm and palatable.

375369 02/25/2026

Wagoner Health & Rehab 205 North Lincoln Avenue Wagoner, OK 74467

serve food in accordance with professional standards.

the DM) of 2 dietary staff washed their hands immediately upon entry to the kitchen.The infection

a.m., dietary aide #1 was observed to enter the kitchen and begin working without washing their hands.On 02/23/26 at 11:59 a.m., dietary aide #1 was observed to enter the kitchen and begin working without washing their hands.On 02/23/26 at 12:00 p.m., the DM was observed to enter the kitchen and begin working without washing their hands.On 02/23/26 at 12:04 p.m., dietary aide #1 was observed to enter the kitchen and begin working without washing their hands.On 02/23/26 at 12:07 p.m., dietary aide #1 was observed to enter the kitchen and begin working without washing their hands.An undated policy titled Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices showed staff were required to wash their hands when entering the kitchen.On 02/24/26 at 8:00 a.m., the DM stated when someone entered the kitchen, they were to wash their hands.

375369 02/25/2026

Wagoner Health & Rehab 205 North Lincoln Avenue Wagoner, OK 74467

preventionist identified 23 residents were on EBP.

Findings:On 02/23/26 at 9:20 a.m., LPN #1 was

observed on the resident's door that showed Res #7 was on EBP.A facility Enhanced Barrier Precautions policy, dated 04/29/24, read in part, EBP requires donning of gown and gloves during high-contact resident/guest care activities.EBP is indicated for resident/guests with any of the following when contact precautions do not apply.Wounds or an indwelling medical device.Indwelling medical devices examples include central lines, urinary catheters, feeding tubes and tracheostomies.A care plan focus for Res #7, initiated 05/09/25, showed the resident was at risk of infection due to the presence of a PEG tube and EBP was to be utilized when providing care.On 02/23/26 at 9:25 a.m., LPN #1 stated they should have worn a gown while proving PEG tube care for Res #7.On 02/24/26 at 3:35 p.m., the infection preventionist stated gowns were to be utilized when care was provided to a resident on EBP.

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 WAGONER, 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 WAGONER HEALTH & REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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