Boyce Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Boyce Manor Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF689Dec 5, 2022

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents who had fallen had interventions put in place to prevent the recurrence of falls. Res #25 had experienced five falls in eight months with one fall resulting in a hematoma with a laceration requiring sutures to close. Res #40 experienced nine falls over the previous 12 months with several falls resulting in bruising, scrapes, and lacerations. Res #28 experienced 17 falls over the previous 12 months with one fall resulting in a fractured nose. On [DATE] at 2:14 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation related to falls. […]

• Immediate jeopardy, isolatedF600May 3, 2025

  On 04/29/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents were free from abuse. On 04/29/25 at 4:35 p.m., the Oklahoma State Department of Health verified the existence of an IJ situation. On 04/29/25 at 4:37 p.m., the administrator was notified of the immediate jeopardy situation. An immediate jeopardy template was provided to the administrator. On 05/02/25 at 9:40 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal showed: All staff will immediately be educated by facility Administrator on the facility updated policy regarding resident to resident altercations. […]

• Immediate jeopardy, isolatedF600Dec 17, 2024

  On 12/16/24 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Res #1's right to be free from abuse. Res #1 was assaulted by Res #2 resulting in stab wounds which required sutures. On 12/16/24 at 11:24 a.m., the Oklahoma State Department of Health verified the existence of an IJ situation. On 12/16/24 at 12:48 p.m., the administrator was notified of the immediate jeopardy situation. On 12/16/24 at 4:00 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal documented: a. all staff education - abuse and neglect policy and procedures and resident to resident conflicts. All staff will be educated with a sign in sheet that are currently working in the facility. […]

• No harm, potential for more than minimal, widespreadF727Aug 14, 2026

  Based on record review and interview, the facility failed to ensure a RN for at least 8 consecutive hours a day, 7 days a week and employ a DON during the months of 07/2026 and 08/2026. The administrator identified 45 residents resided in the facility. Findings: An undated facility policy titled STAFFING POLICY, read in part, A registered nurse will be employed full time on the day shift, with coverage 7 days a week, as the facility's director of nursing services. A calendar for 07/2026 showed no RN coverage on 07/13/26, 07/14/26, 07/15/26, 07/17/26, 07/20/26, 07/21/26, 07/24/26, 07/27/26, 07/28/26, 07/29/26, 07/30/26, and 07/31/26. The calendar showed no DON from 07/13/26 through 07/31/26. […]

• No harm, potential for more than minimal, widespreadF812Dec 7, 2023

  Based on observation, record review, and interview, the facility failed to ensure food was stored and prepared under sanitary conditions. The dietary manager identified 55 residents who received meals from the kitchen and one resident who received nutrition via tube feeding. Findings: On 12/04/23 at 8:30 a.m., an environmental tour of the kitchen was completed. The floors had dirt and food debris. There were five bowls of cereal, uncovered on tray, with cereal lying around the bowls on a shelf in the storage room. The grill had grease, food particles, and had a brown and black substance on the edges. The staff stated the grill had not been used today. […]