Ponca City Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ponca City Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF805Jul 6, 2026

  Based on observation, record review, and interview, the facility failed to ensure pureed foods were prepared to meet the needs of the residents for 1 (noon meal) of 1 meal observed during meal preparation.The dietary manger identified seven residents with a pureed diet.Findings:On 07/01/26 at 11:33 a.m., [NAME] #1 was observed to add seven pork chops, two slices of wheat bread, and beef broth to a blender.On 07/01/26 at 11 :36 a.m., [NAME] #1 blended the seven pork chops, two slices of wheat bread, and added two more slices of wheat bread to the blender.On 07/01/26 at 11:43 a.m., [NAME] #1 was observed to puree eight, four-ounce scoops of butter noodles and one slice of wheat bread.On 07/01/26 at 11 :54 a.m., [NAME] #1 was observed to puree eight, four-ounce scoops of mixed vegetables and… […]

• No harm, potential for more than minimal, patternF812Jul 6, 2026

  Based on observation, record review, and interview, the facility failed to ensure opened perishable food items were dated for 2 (drink and salad refrigerators) of 3 refrigerators.The dietary manager identified 88 residents received meals from the kitchen.Findings:On 06/29/26 at 10:53 a.m., a kitchen visit was made. The drink refrigerator contained three opened gallon containers of 2% milk with no opened on or use by date.On 06/29/26 at 10:55 a.m., the following observations were made during the kitchen visit. The salad refrigerator contained:a. an opened bag of lunch meat with no opened on or use by date,b. a half a container of tea with no opened on or use by date, andc. […]

• No harm, potential for more than minimal, patternF880Jul 6, 2026

  Based on observation, record review, and interview, the facility failed to ensure staff utilized personal protective equipment during the provision of catheter care for 1 (#3) of 6 sampled residents reviewed for incontinent care. The DON identified six residents had indwelling urinary catheters. Findings: On 07/01/26 at 5:08 a.m., Resident #3 was observed to have an indwelling urinary catheter in place. CNA #7 was observed wearing gloves to drain the catheter tubing while the resident was seated on the toilet. CNA #7 then placed the urine filled container onto the edge of the sink. CNA #7 was observed to wipe Resident #3's buttock. Using the same soiled gloves, CNA #7 was observed to place a clean brief and pull up the resident's pants. CNA #7 transferred Resident #3 to their recliner. […]

• No harm, potential for more than minimal, isolatedF692Jul 6, 2026

  Based on observation, record review, and interview, the facility failed to ensure a resident had fluids at bedside for 1 (#30) of 3 sampled residents reviewed for hydration.The administrator identified 88 residents resided in the facility. Findings:On 06/30/26 at 9:50 a.m., no fluids were observed in Residents #30's room. On 07/02/26 at 8:51 a.m., Resident #30 was observed to have a clear, small, plastic cup in their hand with water. A 5-day scheduled assessment for Resident #30, dated 04/08/26, showed a BIMS score of 14, which indicated the resident's cognition was intact for daily decision making. […]

• No harm, potential for more than minimal, isolatedF695Jul 6, 2026

  Based on observation, record review, and interview, the facility failed to ensure a resident had a physician's order for oxygen administration for 1 (#87) of 2 sampled residents reviewed for respiratory care.The DON identified 11 residents on oxygen resided in the facility. Findings:On 06/29/26 at 1:48 p.m., Resident #87 was observed on oxygen at a rate of two liters per minute via nasal cannula.On 07/01/26 at 10:39 a.m., Resident #87 was observed to have oxygen on via a nasal cannula.A care plan for Resident #87, dated 06/26/26, showed the resident used oxygen continuously. […]