Ranchwood Nursing Center
Inspection Findings
F-Tag F0580
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-09-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
F-Tag F0628
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
F-Tag F0641
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
F-Tag F0655
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Based on record review, and interview, the facility failed to develop and implement a comprehensive care plan for a. anxiety disorder for 1 (#70) of 5 sampled residents reviewed for unnecessary medication, and b. smoking for 1 (#16) of 3 sampled residents reviewed for smoking.The DON identified 15 residents in the facility were smokers.The DON reported 109 residents resided in the facility.Findings:1. A care plan policy, dated 02/12/20, showed it was the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident's rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment.Resident #70's physician's order, dated 03/20/25, showed the resident was to receive, sertraline (antidepressant) 50 mg one time daily for anxiety disorder and unspecified depression.duloxetine hcl (serotonin and norepinephrine reuptake inhibitor) 30 mg one by mouth every 12 hours for anxiety disorder and unspecified depression, andXanax (benzodiazepines) 0.25 mg one by mouth at bedtime for anxiety disorder.A quarterly assessment, dated 08/14/25, showed Resident #70's cognition was intact with a BIMS score of 15. The assessment showed a diagnosis of anxiety disorder and the use of antianxiety medication.A care plan, dated 09/09/25, showed no goals or interventions for Resident #70's anxiety disorder.On 09/17/25 at 12:32 p.m., the regional nurse consultant stated the resident's anxiety diagnoses should have been included in the care plan.2. A Resident Smoking policy, dated 08/01/22, showed the resident's care plan would include the resident's smoking designation (Supervised/Unsupervised) and include the amount of assistance the resident was to receive during smoking.A physician's order for Resident #16, dated 03/18/25, showed supervised smoking as needed for nicotine dependence. An annual assessment, dated 08/09/25, showed severe cognitive impairment with a BIMS score of 07. The assessment showed tobacco use and a diagnosis of nicotine dependence. A smoking risk assessment, dated 09/08/25, showed cigarette use. The assessment showed Resident #16 may smoke independently or with setup assistance and may request smoking material from staff. A care plan, dated 09/09/25, showed no goal or interventions related to smoking. On 09/17/25 at 11:10 a.m., the regional nurse consultant stated smoking should have been included in the resident's care plan.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ranchwood Nursing Center
824 South Yukon Parkway Yukon, OK 73099
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review, and interview, the facility failed to: a. ensure incontinent care was provided for 1 (#100), and b. ensure showers were provided for 1 (#127) of sampled 8 residents reviewed for activities of daily living.The DON identified 109 residents resided in the facility.Findings:1. A progress note showed Resident #127 was admitted to the facility on [DATE REDACTED] and discharged on 04/24/25.
Residents Affected - Some
Review of bath sheet forms for Resident #127 showed the resident received showers on 04/16/25, 4/20/25 and 04/23/25. There was no documentation to show showers were provided from 04/03/25 to 04/16/25.
On 9/10/25 at 2:45 p.m., an unidentified charge nurse stated there was a shower list displayed at the nurse's station indicating the room numbers and the days showers were scheduled. The charge nurse stated once showers were complete, the charge nurse signed off on the sheet. The unidentified charge nurse acknowledged sometimes showers were missed if staff did not show up to work.
On 9/10/25 at 4:00 p.m., CNA #1 stated residents sometimes refused showers. Residents were encouraged to shower by discussing the importance of hygiene and if they continued to refuse, it was reported to the charge nurse. CNA #1 stated there was enough staff to provide showers.
- 2. On 09/11/25 at 10:01 a.m., Resident #100 was observed in bed during a wound care observation. The
resident's brief was observed to be soaked with urine, and the resident had a foul odor of urine. The resident's hair was observed to be greasy and unwashed.
A care plan, dated 08/05/25, showed Resident #100 was incontinent of bowel and bladder. The care plan showed an intervention was to check and change the resident and keep them clean and dry.
An annual assessment, dated 08/09/25, showed Resident #100's cognition was severely impaired with a BIMS score of 07. The assessment showed the resident was frequently incontinent of urine and required partial to moderate assistance with activities of daily living. The assessment showed diagnoses of chronic obstructive pulmonary disease, diabetes mellitus, and dementia.
On 09/11/25 at 10:16 a.m., Resident #100 stated they had not received a brief change or a bath.
On 09/11/25 at 10:18 a.m., CNA #2 stated they had not been able to perform incontinent care for Resident #100 during this shift.
On 09/17/25 at 12:33 p.m., the regional nurse consultant reported incontinent care should be offered to this resident frequently, at least every two hours.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/17/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ranchwood Nursing Center
824 South Yukon Parkway Yukon, OK 73099
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
An emergency room note, dated 07/21/25, showed the Resident #128's family stated the right diabetic foot ulcer was worsening and they were unsure if the nursing home was performing wound care as prescribed.
The note showed the family stated the resident had become increasingly confused for the past couple of days, prompting the nursing home to send the resident to the hospital for further evaluation.
The emergency room note, dated 07/21/25, showed the resident's right plantar diabetic ulcer appeared grossly infected. The note showed to cefepime (antibiotic) was added to the IV vancomycin (antibiotic) and flagyl (antifungal) due to worsening infection. The note showed wound care team consulted and the resident was admitted to the hospital for further evaluation.
A podiatric surgery consultation, dated 07/21/25, showed ulceration #1 right plantar measurements 1.5 cm x 1.5 cm x 0.9 cm. The note showed debridement performed at bedside with wound measurements post debridement of 4.5 cm x 1.6 cm x 1.1 cm.
A vascular surgery consultation, dated 07/26/25, showed a non-healing right foot wound and the resident will need either a below the knee or above-the-knee amputation.
A postoperative note, dated 07/29/25, showed a right below-knee amputation procedure.
On 09/15/25 at 1:35 p.m., the resident's family member stated the resident was taken to the emergency room on [DATE REDACTED] when a wound was found on the resident's right foot. The family member stated the wound was so deep the bone was almost visible, and the wound was not found until that day in the emergency room. The family member stated the resident was treated for a wound infection in the hospital for several days and then sent back to the nursing home. The family member stated the resident was sent back to the nursing home for less than a week before having to be readmitted to the hospital. The family member stated
the last hospital admission resulted in an amputation of the right foot, then the resident was admitted to a hospice house until their passing on 08/06/25. The family member stated a nurse at the nursing home was not taking adequate care of the resident's wound. The family member stated they had called the nursing home and were told an investigation had been conducted related to the resident's wound and changes had been made and staff had been terminated.
On 09/15/25 at 2:15 p.m., the regional director stated there were no incident reports related to this resident other than a fall that did not require a state report.
On 09/15/25 at 2:57 p.m., the DON reported the issues with skin assessments not being completed accurately had been addressed and the employee had been terminated. The DON reported the resident's wound to the right foot was not documented before the emergency room visit on 07/07/25. The DON reported the resident's last skin assessment before 07/07/25 was completed on 06/24/25.
On 09/16/25 at 3:04 p.m., the DON reported the charge nurses were supposed to conduct weekly skin assessments on all residents. The DON reported they were working on a process to ensure skin assessments were conducted every week.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0686
Federal health inspectors cited Ranchwood Nursing Center in Yukon, OK for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-17.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Ranchwood Nursing Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-24.
Ranchwood Nursing Center in Yukon, OK inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Yukon, 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 Ranchwood Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.