Ranchwood Nursing Center

In the surveyor’s words

From the most serious findings on record at Ranchwood Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Apr 13, 2026

  Based on record review and interview, the facility failed to ensure the physician and family were notified when a resident had a change of condition for 1 (#6) of 3 sampled residents reviewed for a change of condition which resulted in death. Resident #1 had low blood pressure of 73/47, 81/59 and a pulse of 41 without notification to the physician of the change. The MDS coordinator identified 105 residents resided in the facility.On 04/10/26, an IJ situation was determined to exist related to the facility's failure to notify the physician and family of a change in condition for Resident #6 who was reported to have a low blood pressure and pulse which resulted in death.On 04/10/26 at 11:55 a.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ… […]

• Immediate jeopardy, patternF684Apr 13, 2026

  Based on record review and interview, the facility failed to promptly assess, identify, and intervene when a resident experienced an acute emergent change in condition for 1 (#6) of 3 sampled residents reviewed for changes in conditions when facility staff failed to notify the medical provider of critical emergent vital signs/symptoms and identify hypoglycemia on a resident with known history of diabetes and known recent history and hospitalizations for hypoglycemia resulting in transfer to the acute care hospital and subsequent death.Specifically, the facility failed to:a. Identify, monitor, intervene, and provide continuing assessments for Resident #6 who was admitted with a known history of diabetes and hypoglycemia experiencing signs and symptoms of hypoglycemia.b. […]

• Immediate jeopardy, isolatedF684Sep 17, 2025

  On 09/16/25 at 2:02 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation related to the facility's failure to assess and identify a wound for Resident #128. This likely resulted in an infected diabetic foot ulcer which caused the resident to be admitted to the hospital and resulted in a right below-knee amputation.On 09/16/25 at 2:15 p.m., regional director was notified of the IJ and provided the IJ template.On 09/17/25 at 8:25 a.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part,Plan Of Removal 09/16/2025:What measures will be put into place or what systemic changes will be made to ensure that the deficient practice does not occur. Resident #128 was discharged . […]

• Immediate jeopardy, isolatedF686May 12, 2021

  On 05/10/21, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to prevent the development and worsening of avoidable unstageable pressure ulcers (PU's), to consistently and thoroughly assess the resident's skin, and to notify the physician and intervene in a timely manner for the PU's. The resident did not have a thorough skin assessment on admission on 02/04/21, did not have weekly skin assessments conducted and developed four unstageable pressure ulcers, one to the right lateral ankle, one to the left lateral ankle, one to the right buttock and one to the sacrum. All required surgical debridement. The right lateral ankle required debridement to bone and tendon. […]

• Immediate jeopardy, isolatedF600Jan 19, 2021

  On 01/14/20, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure a cognitively impaired female resident (resident #2) was not abused by another resident (resident #1). The facility documented incidents of resident #1 being found in bed with resident #2, who was cognitively impaired. She was diagnosed with alcohol dementia and Alzheimer's disease. On one occasion resident #2 was observed pulling her pants up after being caught in bed with resident #1. The facility did not document prompt notification of the administrator, investigation of possible sexual abuse and how they protected the resident or other residents from potential further sexual abuse by resident #1. […]