Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Skilled Nursing And Therapy during CMS and state inspections, most recent first.
During a meal service, food temperatures were not maintained in accordance with professional standards, as a chicken patty was served at 95.6°F in the dining area after being recorded at a much higher temperature in the kitchen. Staff acknowledged that food should be reheated if not at the desired temperature and attributed the temperature drop to food not being covered during serving. The facility lacked a formal policy on maintaining warm foods, and 86 residents were served meals during this time.
A resident with dementia passed away after being discharged to the ER, and their trust account balance of $1,282.09 was not conveyed to the family within the required 30-day period. The BOM attempted to resolve an SSA overpayment but lacked documentation of communications, resulting in a delay in closing the account as per policy.
Surveyors found a shower room door ajar and unattended on the 400 hall, with a spray bottle of QUAT STAT 5 disinfectant left unsecured inside. The chemical, which requires locked storage due to its hazardous nature, was accessible because the door was not fully closed, despite having an automatic lock and passcode entry. Facility leadership confirmed that chemicals are to be kept locked away from residents.
A resident identified as at risk for weight fluctuations did not have monthly weights obtained or documented for two consecutive months, despite physician orders and care plan requirements. Staff interviews revealed that both nursing and CNA staff were responsible for obtaining weights, and the MDS coordinator was responsible for ensuring compliance, but no documentation of weights or refusals was found in the clinical record.
The facility failed to ensure resident assessments were completed within the required timeframe for 10 out of 11 residents reviewed. The MDS Coordinator reported being pulled to the floor to cover staffing, which prevented timely completion of assessments.
The facility failed to ensure that oxygen and humidifier tubing was changed monthly for three residents with COPD. Observations revealed that the tubing and humidifiers were not changed as per the facility's policy, and the DON acknowledged issues with monitoring these changes.
The facility failed to provide adequate staffing, resulting in two residents missing several scheduled baths. One resident with end-stage renal disease and congestive heart failure missed four scheduled baths in May 2024, while another resident with COPD and a history of falling missed three. Both residents reported that staff cited insufficient staffing as the reason for not providing the baths.
The facility failed to administer Levothyroxine as ordered for a resident with hypothyroidism. The MAR for April and May 2024 showed multiple blanks for the 6:00 a.m. dose, indicating the medication was not given. A CMA confirmed that the night shift nurse was responsible for these doses.
Failure to Maintain Safe Food Temperatures During Meal Service
Penalty
Summary
The facility failed to serve food in accordance with professional food service safety standards during a meal service observed by surveyors. The cook recorded a chicken patty temperature of 192°F and a ground chicken patty at 141°F in the kitchen, but later, a dietary aide measured the chicken patty at only 95.6°F in the dining area. The dietary aide explained that food was tempted before leaving the kitchen, transferred in a hot box, and then placed on a steam table in the dining area, with temperatures to be recorded again. The aide acknowledged that if food was not at the desired temperature, it should be returned to the kitchen for reheating, and suggested that uncovered food during serving may have caused the temperature drop. The dietary manager confirmed the lack of a facility policy on maintaining warm foods and attributed the temperature drop to food not being covered while serving, stating that their personal practice was to check food temperatures before, during, and after serving. A total of 86 residents were identified as eating meals prepared in the kitchen during this observed meal service.
Failure to Timely Convey Resident Funds After Death
Penalty
Summary
The facility failed to ensure the timely conveyance of personal funds for a resident who had died, as required by policy and state guidelines. Record review showed that the resident had a remaining balance of $1,282.09 in the facility trust account at the time of death. Despite policy stating that a discharged or expired resident's trust account should be closed within 30 days, the funds were not conveyed to the resident's family within this timeframe. Documentation indicated that the business office manager (BOM) was aware of an overpayment from the Social Security Administration (SSA) and had made inquiries regarding the overpayment, but there was no documentation of communication with the SSA or the resident's family regarding the conveyance of the remaining funds. The resident involved had a diagnosis of dementia and was discharged from the facility after being sent to the emergency room, where they subsequently expired. Family members collected the resident's personal belongings, but the trust account balance remained unresolved. The BOM acknowledged attempts to address the SSA overpayment but lacked documentation of these efforts, and the administrator confirmed that funds are typically conveyed within 30 days, which did not occur in this case.
Unsecured Cleaning Chemical in Shower Room
Penalty
Summary
A deficiency was identified when cleaning chemicals were not properly secured in a shower room on the 400 hall. On two separate occasions, surveyors observed the shower room door ajar and unattended, despite the door being equipped with an automatic lock, passcode entry, and adequate spring tension to close. Inside the unsecured room, an opaque spray bottle labeled with "QUAT STAT 5" (a disinfectant) was found hanging from the whirlpool lift. The chemical's safety data sheet indicated it was a hazardous substance, requiring locked storage and warning of severe health risks upon contact. Interviews with the Director of Nursing (DON) and the administrator confirmed that facility policy required chemicals to be stored securely and inaccessible to residents. The administrator noted that the last safety check had been performed the previous month and acknowledged that the chemical would have been secured if the shower room door had been closed. No residents were observed wandering in the area at the time of the observations.
Failure to Obtain and Document Monthly Weights as Ordered
Penalty
Summary
A deficiency occurred when the facility failed to obtain and document monthly weights for a resident as ordered by the physician. The physician's order specified that the resident was to be weighed monthly, but a review of the electronic health record showed that the last recorded weight was in June, with no weights documented for July or August. The resident's care plan identified them as being at risk for weight fluctuations and required weights to be taken per physician orders and facility protocol. The resident was cognitively intact and had a diagnosis of depression. Interviews with staff revealed that both nurses and CNAs were responsible for obtaining and documenting weights, and the MDS coordinator was tasked with ensuring weights were obtained according to orders. The MDS coordinator was new to the position, and the DON stated that if the resident had refused to be weighed, a progress note should have been made, but no such documentation was found. The lack of documented weights or refusals for two consecutive months constituted a failure to follow physician orders and facility protocol.
Failure to Complete Resident Assessments on Time
Penalty
Summary
The facility failed to ensure resident assessments were completed within the required timeframe for 10 out of 11 residents whose transmission reports were reviewed. The CMS Transmission Report documented that several resident assessments, including quarterly, annual, admission, and end of skilled assessments, were completed more than 14 days after the assessment reference date. The MDS Coordinator reported that they were pulled to the floor to cover staffing, which prevented them from completing the resident assessments on time.
Failure to Change Oxygen and Humidifier Tubing Monthly
Penalty
Summary
The facility failed to ensure that oxygen and humidifier tubing was changed monthly for three residents with COPD. Resident #11 had oxygen tubing dated 02/13/24 and an empty humidifier dated 04/30/24, which was still in use on 05/28/24 and 05/29/24. Resident #40 had oxygen tubing dated 02/13/24 and an empty humidifier dated 04/10/24, which was still in use on 05/28/24 and 05/29/24. Resident #78 had oxygen tubing dated 02/13/24, which was still in use on 05/28/24 and was only changed on 05/28/24 after the surveyor's observation. The Director of Nursing (DON) acknowledged that the tubing should be changed at least monthly and admitted that the facility had issues with monitoring the changes. The facility's policy, last revised on 11/11/19, required that oxygen humidifiers and cannulas be changed monthly, but this was not adhered to for the three residents observed. The administrator identified six residents in total who require oxygen, indicating a broader issue with compliance to the policy.
Inadequate Staffing Leads to Missed Baths
Penalty
Summary
The facility failed to provide adequate staffing to ensure residents received their scheduled baths. Resident #34, diagnosed with end-stage renal disease and congestive heart failure, was scheduled to receive baths on Mondays and Wednesdays. However, documentation showed that Resident #34 missed several scheduled baths in May 2024, specifically on 05/08, 05/13, 05/22, and 05/27. Resident #34 reported not receiving a bath on 05/27 and mentioned that staff often cited insufficient staffing as the reason for not providing assistance with activities of daily living. Similarly, Resident #71, diagnosed with COPD, a history of falling, and a left hip replacement, was scheduled to receive baths on Wednesdays and Saturdays. Documentation revealed that Resident #71 missed scheduled baths on 05/11, 05/22, and 05/25. Resident #71 reported that it had been nearly two weeks since their last shower and attributed the missed baths to inadequate staffing. The Director of Nursing (DON) acknowledged the expectation for missed baths to be made up but admitted that the process for accounting and documenting baths was disorganized, failing to explain the lack of documented baths for Resident #71.
Failure to Administer Medication as Ordered
Penalty
Summary
The facility failed to ensure a medication was administered as ordered for one of five sampled residents reviewed for medications. A physician's order dated February 8, 2024, documented that Levothyroxine Sodium Oral Tablet 88 MCG was to be administered once daily at 6:00 a.m. for hypothyroidism. However, the April 2024 Medication Administration Record (MAR) showed blanks for the 6:00 a.m. dose on multiple dates, indicating the medication was not given. Similarly, the May 2024 MAR also had blanks for the 6:00 a.m. dose on several dates. During an interview, a Certified Medication Aide (CMA) confirmed that blanks on the MAR meant the medication was not given and stated that the night shift nurse was responsible for administering the 6:00 a.m. medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Muskogee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brentwood Extended Care & Rehab | 1.5 mi | — | 0 | 0 |
| Muskogee Nursing Center | 4.7 mi | — | 1 | 1 |
| Broadway Care & Rehab Center | 4.8 mi | — | 0 | 0 |
| Pleasant Valley Health Care Center | 5.1 mi | — | 0 | 0 |
| York Manor Nursing Home | 5.5 mi | — | 24 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.