Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 York Manor Nursing Home during CMS and state inspections, most recent first.
The facility failed to provide written notices of transfer for residents transferred to acute care hospitals. This deficiency was identified for three residents with various medical conditions, including Parkinson's disease, dementia, diabetes, heart failure, and paranoid schizophrenia. The facility's policy lacked procedures for written notification, and the DON was unaware of this requirement.
The facility did not post nurse staffing information in a prominent place accessible to residents and visitors. During a facility tour, it was observed that the staffing information was missing on two occasions. The DON was unaware of the requirement to post this information. The facility had 42 residents at the time.
The facility failed to clean the deep fryer after use and did not label or date refrigerated items, including boiled eggs and chocolate-covered cherries. The dietary manager confirmed the fryer had been used three days prior without cleaning, and the facility's policy on food storage and labeling was not followed.
The facility failed to ensure the medical director's participation in the QAPI program, as required. Despite the QAPI Plan's requirement for input from all disciplines, including the medical director, a review of meeting documents revealed the medical director did not attend any meetings throughout the year. The facility administrator confirmed the medical director's absence from the meetings, acknowledging the requirement for quarterly participation.
A facility failed to provide a NOMNC form to a resident within the required time frame, resulting in a deficiency. The form was signed by staff on the day before services ended, rather than two days prior as required. The ADON acknowledged the delay, and the DON noted the absence of a specific policy, relying instead on CMS guidelines.
An LPN failed to follow infection control practices during wound care for a resident with a stage four pressure ulcer. The LPN did not wash hands before or after glove use, did not change gloves between clean and unclean tasks, and placed supplies on an unclean surface without cleaning them before returning to the treatment cart.
Failure to Provide Written Notices of Transfer
Penalty
Summary
The facility failed to provide written notices of transfer for residents who were transferred to acute care hospitals. This deficiency was identified for three residents who were reviewed for discharges and hospitalizations. The facility's Transfer and Discharge policy did not include procedures for providing written notification prior to transfer, which is essential for ensuring safe and orderly transitions. The Assistant Director of Nursing (ADON) confirmed that nine residents had been transferred to acute care hospitals in the previous three months, but no written notices were provided. Resident #17, diagnosed with Parkinson's disease and dementia, was transferred to an acute care hospital twice, once following a fall and another time for altered mental status. Resident #27, with diagnoses of diabetes and heart failure, was transferred for confusion. Resident #45, diagnosed with paranoid schizophrenia, was transferred due to verbal and physical aggression. The Director of Nursing (DON) acknowledged that the facility had not been providing written notices of transfers and was unaware of the requirement until the day of the survey.
Failure to Post Nurse Staffing Information
Penalty
Summary
The facility failed to post nurse staffing information in a prominent place accessible to residents and visitors. During a tour of the facility, it was observed that the nurse staffing information was not posted on two separate occasions. The Director of Nursing (DON) stated they were not aware that the nurse staffing information was not posted or that it needed to be posted. The facility had 42 residents at the time of the observation.
Failure to Maintain Kitchen Cleanliness and Food Labeling Standards
Penalty
Summary
The facility failed to maintain proper cleanliness and labeling standards in the kitchen, affecting the quality of food service for residents. During a kitchen tour, it was observed that the deep fryer had not been cleaned after use, with dark grease and food particles present around its edges. Additionally, refrigerated items, including a sandwich bag containing six boiled eggs and an open box of chocolate-covered cherries, were found without proper labeling or dating. The dietary manager confirmed that the deep fryer had been used three days prior and was not cleaned afterward. Furthermore, the facility's policy required that food returned to storage after cooking be covered, labeled, and dated, with previously cooked foods not stored for more than 48 hours, which was not adhered to in this instance.
Medical Director's Non-Participation in QAPI Program
Penalty
Summary
The facility failed to ensure the participation of the medical director in the Quality Assessment and Performance Improvement (QAPI) program, as required. The QAPI Plan for the facility, dated 09/30/24, outlined the necessity for input from all disciplines, including the medical director, in performance improvement efforts. However, a review of thirteen QAPI Meeting & Agenda documents from 01/25/24 to 12/30/24 revealed that the medical director did not attend any of the meetings, as indicated by the blank signature line next to the pre-printed title 'Medical Director.' The facility administrator confirmed that the quality assurance committee met monthly and acknowledged the requirement for the medical director to participate in at least quarterly meetings, although the medical director was available for resident clinical issues throughout the year. This lack of participation by the medical director in the QAPI program constitutes a deficiency in the facility's compliance with regulatory requirements.
Failure to Timely Provide NOMNC Form
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) form to a resident within the required time frame, resulting in a deficiency. Specifically, the NOMNC form for a resident was signed by two staff members on 09/19/24, indicating the resident's unwillingness to sign, but the services were set to end on 09/20/24, making the notice late. The Assistant Director of Nursing (ADON) acknowledged that the NOMNC forms should be given at least two days prior to the end of services, but in this case, it was not done timely. Additionally, the Director of Nursing (DON) stated that the facility did not have a specific policy and procedure regarding beneficiary notices and instead relied on CMS guidelines.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to adhere to infection control practices during wound care for a resident with cerebral palsy, spina bifida, and a stage four pressure ulcer on the buttock. The LPN/charge nurse did not follow proper hand hygiene protocols as outlined in the facility's policy. Specifically, the LPN did not wash their hands before donning gloves or after removing them. Additionally, the LPN did not change gloves between handling unclean and clean areas during the wound care procedure. The LPN also failed to clean the bedside table or provide a barrier for the supplies, which were placed on an unclean surface. After completing the wound care, the LPN returned the supplies to the treatment cart without cleaning them. These actions were contrary to the facility's hand hygiene policy, which requires handwashing before and after glove use and cleaning of supplies before returning them to the treatment cart.
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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) |
|---|---|---|---|---|
| Broadway Care & Rehab Center | 0.7 mi | — | 0 | 0 |
| Pleasant Valley Health Care Center | 0.7 mi | — | 0 | 0 |
| Muskogee Nursing Center | 1 mi | — | 1 | 1 |
| Eastgate Village Care & Rehab Center | 1.2 mi | — | 0 | 0 |
| Brentwood Extended Care & Rehab | 4.2 mi | — | 0 | 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.