Deficiency Index

Heavener Nursing & Rehab

Heavener, Oklahoma · CCN 375434

19 surveys since 2010. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
133
Surveys
19
Harm or worse
3
Immediate jeopardy
2
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
84
Ownership
For profit - Limited Liability company
Chain
BRADFORD MONTGOMERY
County
Le Flore · rural
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 68 for-profit facilities of 66–99 beds in Oklahoma.

Last survey on record

Jun 11, 2026

151 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.593.65
Registered-nurse hours per resident day0.18—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ25.7%K—L—
Actual harmG12.9%H—I—
No harm, potential for more than minimalD1440.0%E1748.6%F12.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 35 of the 133 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F7563×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F6362×

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • F6382×

    Assure that each resident’s assessment is updated at least once every 3 months.

  • F6402×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

In the surveyor’s words

From the most serious findings on record at Heavener Nursing & Rehab, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Nov 8, 2022

    On 11/07/22, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure the physician provided laboratory orders for routine monitoring for Res #63 who received Warfarin/Coumadin (an anticoagulant medication used as a blood thinner). On 11/07/22 at 4:30 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 11/07/22 at 4:45 p.m., the Regional Manager was notified of the IJ situation. On 11/08/22 at 11:30 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated 11/07/22, read in part: Plan of Removal Anticoagulant Therapy: Immediate Actions: 1. […]

  • Immediate jeopardy, isolatedF756Nov 8, 2022

    On 11/07/22, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure the pharmacist conducted a MRR (Medication Regime Review) specific to Warfarin/Coumadin (a blood thinner) and lab monitoring from 03/03/22 to 10/26/22 for Res #63 who received Warfarin. On 11/07/22 at 4:30 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 11/07/22 at 4:45 p.m., the Regional Manager was notified of the IJ situation. On 11/08/22 at 11:30 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated 11/07/22, read in part: Plan of Removal Anticoagulant Therapy: Immediate Actions: 1. […]

  • Actual harm, isolatedF600Jun 11, 2026

    Based on record review and interview, the facility failed to ensure a resident did not physically abuse another resident for 1 (#11) of 5 sampled residents reviewed for abuse. The DON identified 69 residents resided in the facility. Findings: An undated Abuse Policy and Procedure, read in part, We will endeavor to protect our occupants from maltreatment, which means any exploitation, neglect, physical abuse, sexual abuse, neglect, and the misappropriation of property. A nurse progress note, dated 12/22/25, showed Resident #11 tried to take a plate of food from another unnamed resident. The unnamed resident refused to release the tray. The note showed Resident #11 grabbed the unnamed resident's arm and clawed them. […]

  • No harm, potential for more than minimal, widespreadF812Dec 14, 2023

    Based on observation and interview, the facility failed to ensure the ice machine in the lobby remained locked. The DON reported 61 residents resided in the facility. Findings: On 12/11/23 09:20 a.m., the ice Machine is located in the lobby and observed to be unlocked. On 12/13/23 9:21 a.m., the ice machine which is in the dining room was observed to be unlocked. On 9:23 a.m., the regional director stated the ice machine should be locked and they get a tag for that every year.

  • No harm, potential for more than minimal, patternF880Jun 11, 2026

    Based on observation and interview, the facility failed to ensure infection control was maintained during finger stick blood sugar checks and insulin injections for 7 (#12, 13, 14, 15, 16, 17, and #18) of 7 sampled residents observed for infection control. The regional consultant identified 19 residents required finger stick blood sugar checks. Findings: On 06/10/26 at 12:02 p.m., LPN #1 was observed obtaining Resident #12's FSBS. LPN #1 lanced Resident #12's finger and obtained a blood sample using a glucometer. LPN #1 was not observed to have cleaned the glucometer after the procedure. On 06/10/26 at 12:04 p.m., LPN #1 was observed obtaining Resident #13's FSBS. LPN #1 lanced Resident #13's finger and obtained a blood sample using a glucometer. […]

Read 22 findings in full →The most serious and the most recent: 22 of 133 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 11, 2026Complaint3 findings · 1 harm
  • May 22, 2025Complaint1 finding
  • Apr 3, 2025Standard and complaint8 findings
  • Dec 14, 2023Standard11 findings
  • Oct 13, 2023Complaint1 finding
  • Nov 8, 2022Standard and complaint12 findings · 2 harm
  • Dec 6, 2021Complaint1 finding
  • Jun 24, 2021Standard12 findings
Show the 11 earlier surveys
  • Apr 18, 2019Standard8 findings
  • May 24, 2018Standard5 findings
  • Jun 22, 2017Standard2 findings
  • Apr 7, 2016Standard and complaint2 findings
  • Feb 5, 2015Standard21 findings
  • Mar 27, 2014Standard14 findings
  • Feb 7, 2013Standard14 findings
  • Jul 14, 2012—2 findings
  • May 2, 2012—2 findings
  • Jan 12, 2012—3 findings
  • Dec 9, 2010—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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