Seiling Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Jan 22, 2026

  Based on record review, and interview, the facility failed to ensure licensed nursing staff were working with a current valid license for 1 (LPN #1) of 4 employees files who required a licenses or certification. The administrator identified 20 residents resided in the facility. Findings:An undated policy titled Nursing Services Staffing, read in part, Shall have and maintain an organized nursing services for its residents which is under the direction of a professional licensed nurse.To provide adequate and properly supervised nursing services for each resident for 24 hours, 7 days a week.Review of the personnel file for LPN #1 did not show any current license verification.On [DATE] at 8:16 a.m., the Oklahoma Board of Nursing website was used to verify the license for LPN #1. […]

• No harm, potential for more than minimal, widespreadF727Jan 22, 2026

  Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours seven days per week.The administrator identified 20 residents resided in the facility.Findings:A PBJ Staffing Data Report, dated 07/01/25 through 09/30/25, showed the metric was suppressed as the PBJ had not been submitted for the required quarter.A review of the direct care staff schedule was conducted from 07/01/25 to 01/21/26. On the schedule the administrator documented on the paper what the letters and colors meant on the schedule:a. A - 6a-6p,b. N - 6p - 6a,c. red ink - request off, andd. highlights red - call out.There were seven days without 8 hours of RN coverage: 10/19/25, 11/08/25, 11/09/25, 11/29/25, 11/30/25, 01/17/26, and 01/18/26. […]

• No harm, potential for more than minimal, widespreadF851Jan 22, 2026

  Based on record review and interview, the facility failed to ensure the required PBJ staffing data was submitted to CMS within the mandated timeframe for the FY Quarter 4 2025. The administrator identified 20 residents resided in the facility. Findings:A PBJ Staffing Data Report, dated FY Quarter 4 2025 (07/01/25 through 09/30/25), showed the facility had not provided staffing data to CMS for the PBJ staffing data report for FY Quarter 2 2025. On 01/21/26 at 11:30 a.m., the administrator stated the PBJ was not submitted. They stated they attempted to submit it on the 16th of January, and it was not accepted. The administrator stated it showed it was late and was due on the 15th. […]

• No harm, potential for more than minimal, widespreadF880Jun 23, 2023

  Based on observation, record review and interviews, the facility failed to ensure: a. staff sanitized hands between dependent residents when feeding and meal assistance was provided for five (#5, 7, 10, 11, and #17) of six residents observed for meal assistance; and b. a water management program was in place to prevent water born illnesses for 17 residents that resided in the facility. The Resident Census and Condition of Residents, dated 06/20/23, documented one resident was dependent for eating and three residents required meal assistance. The census was 17. The DON identified six residents require cues and assistance for meals. Findings: 1. […]

• No harm, potential for more than minimal, patternF732Jun 13, 2024

  Based on observation and interview, the facility failed to post nurse staffing information included all the required components. The administrator identified 17 residents resided in the facility. Findings: On 06/13/23 at 12:20 p.m., a staffing board was observed in the hallway, outside the med room. It was not observed to contain the facility name, total number and actual hours worked by following the categories of licensed and unlicensed nursing staff, or the resident census. On 06/13/24 at 12:25 p.m., the DON reported she was not aware of all the components required.