Deficiency Index

Southern Pointe Living Center

Colbert, Oklahoma · CCN 375469

23 surveys since 2010, 12 of them producing a finding at harm level or worse.

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

Citations on record
159
Surveys
23
Harm or worse
12
Immediate jeopardy
4
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/23

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

The facility

Certified beds
95
Ownership
For profit - Corporation
Chain
BGM ESTATE
County
Bryan · rural
Medicare-certified since
2004

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
1

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

Sep 18, 2025

417 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 day1.873.65
Registered-nurse hours per resident day0.24—
Annual nurse turnover72.5%55.0%

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

Enforcement

Fines
$38,445 across 1 penalty

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 jeopardyJ28.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1560.0%E832.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 25 of the 159 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5631×

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

In the surveyor’s words

From the most serious findings on record at Southern Pointe Living Center, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF609May 22, 2023

    On 05/17/23 at 3:05 p.m., an Immediate Jeopardy situation was determined to be in existence related to the facility failing to ensure background screenings were completed for 3 of 51 employees. On 05/17/23 at 3:12 p.m., the Oklahoma State Department of Health verified the existence of the Immediate Jeopardy situation. On 05/17/23 at 3:15 p.m., the Administrator was notified of the IJ situation. On 05/17/23 at 5:44 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: Completion Date 5-17-23 9:00 p.m. The Administrator and Business Office Manager will be educated on employee background checks and fingerprinting. […]

  • Immediate jeopardy, isolatedF600Apr 8, 2025

    On 04/07/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect a resident's right to be free from neglect. Resident #3 admitted to the facility on [DATE] with diagnoses which included diabetes mellitus type II and hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. There was no documentation upon admission of Resident #3 having any skin issues. Resident #3's quarterly assessment, dated 01/13/25, showed the resident required substantial/maximal assistance with all ADL's and had a Braden score of 16, placing them at increased risk of pressure ulcer/pressure injury development. […]

  • Immediate jeopardy, isolatedF686Apr 8, 2025

    On 04/07/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure a resident at risk for pressure ulcers was assessed and monitored to prevent pressure ulcers. Resident #3 admitted to the facility on [DATE] with diagnoses which included diabetes mellitus type II and hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. An admission assessment, dated 07/13/24, showed no skin concerns. Resident #3's quarterly assessment, dated 01/13/25, showed the resident required substantial/maximal assistance with all ADL's and had a Braden score of 16, placing them at increased risk of pressure ulcer/pressure injury development. […]

  • No harm, potential for more than minimal, widespreadF839May 22, 2023

    Based on observation, record review, and interview, the facility failed to ensure an LPN Charge Nurse was licensed to practice nursing in the state of Oklahoma. The Resident Census and Conditions of Residents, dated 05/17/23, documented a census of 35 residents. Findings: On 05/17/23 at 2:00 p.m., LPN #1 was observed to be working in the facility as a charge nurse. A review of LPN #1's employee file documented a hire date of 01/31/22. The file did not contain documentation to show LPN #1 was licensed to practice nursing in the State of Oklahoma. The facility did not provide an Oklahoma nursing license for LPN #1. On 05/17/23 a review of the Oklahoma State Board of Nursing website failed to show a nursing license for LPN #1. […]

  • No harm, potential for more than minimal, patternF727Sep 18, 2025

    Based on record review and interview, the facility failed to ensure RN coverage for 8 consecutive hours a day for 2 of 3 months of time details for registered nurses reviewed.The administrator identified 42 residents resided in the facility.Findings:A Time Detail Report, dated 07/01/25 through 07/31/25, showed no RN hours for Friday, 07/11/25; Monday, 07/14/25; Monday, 07/28/25; and Tuesday, 07/29/25. A Time Detail Report, dated 08/01/25 through 08/31/25, showed no RN hours for Thursday, 08/07/25; Tuesday, 08/26/25; Friday, 08/29/25; and Sunday, 08/31/25.No other RN documentation was provided at the time of the survey.On 09/18/25 at 12:15 p.m., the business office manager stated the DON's last day of employment was Thursday, 06/20/25.On 09/18/25 at 2:13 p.m., the regional director of… […]

Read 29 findings in full →The most serious and the most recent: 29 of 159 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 18, 2025Standard1 finding
  • Apr 8, 2025Complaint2 findings · 2 harm
  • Apr 4, 2024Standard and complaint11 findings
  • Jan 2, 2024Complaint3 findings
  • May 22, 2023Complaint3 findings · 1 harm
  • Jan 14, 2023Standard8 findings
  • Dec 29, 2021Complaint1 finding
  • Jul 22, 2021Standard and complaint12 findings
Show the 15 earlier surveys
  • May 25, 2021Complaint3 findings
  • May 9, 2019Standard8 findings
  • Apr 2, 2018Standard and complaint6 findings
  • May 25, 2017Standard5 findings
  • Apr 21, 2016Standard and complaint4 findings
  • Mar 4, 2015Standard12 findings · 2 harm
  • Mar 14, 2014Standard and complaint13 findings
  • Mar 29, 2013—4 findings · 1 harm
  • Feb 15, 2013—3 findings
  • Feb 8, 2013—11 findings · 2 harm
  • Nov 27, 2012—3 findings
  • Oct 24, 2012—3 findings
  • Mar 13, 2012—6 findings · 2 harm
  • Jan 28, 2012Standard and complaint18 findings · 1 harm
  • Dec 9, 2010—19 findings · 1 harm

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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