F
31/100

Lawton Post Acute & Rehab Inspection Report, Violations & Safety Grade (Lawton, Oklahoma)

1700 Northwest Fort Sill Blvd, Lawton, Oklahoma 73507

Phone: 5803551616

CMS Overall:1/5

Overview & Bed Count

Certified Beds
95
Avg Residents/Day
81.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Comanche
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityOklahoma AvgDifference
RN Hours per Resident per Day0.000.34-0.34
Total Nurse Hours per Resident per Day0.003.82-3.82
CMS Staffing Rating1/52.7/5-
Nursing Staff TurnoverN/A55.4%-

Health Citation History

34 health citations on record

DateCategoryDescriptionSeverity
2026-04-28Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K – Immediate Jeopardy
2026-04-28Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2026-04-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2026-04-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2026-04-28Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J – Immediate Jeopardy
2026-04-28Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.F – Moderate Harm Potential
2026-04-28Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2026-04-28Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-04-28Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-04-28Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2026-04-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-04-28Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2026-04-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-07-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-03-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-03-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2025-01-13Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2024-06-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-06-07Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E – Moderate Harm Potential
2024-06-07Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2024-06-07Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2024-06-07Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-06-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-06-07Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2024-06-07Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-06-07Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-06-07Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-06-07Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2024-06-07Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2024-06-07Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-04-27Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2023-04-27Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2023-04-27Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.E – Moderate Harm Potential
2023-04-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-28Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-04-28Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2026-04-28Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2024-06-07Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-06-07Smoke DeficienciesHave an alternate power supply for its alarm system.F – Moderate Harm Potential
2024-06-07Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2024-06-07Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-06-07Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2023-04-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2023-04-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-04-27Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2023-04-27Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).C – Minimal Harm Potential
2023-04-27Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential

Total Penalties & Fines

$124,185
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2026-04-28Fine$124,185-

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