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Facility profile · CCN 056283

Bixby Towers Post-acute Rehab

79 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $88,780.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
79
Total citations
65
Last 3 years
5
Actual harm+
4
Federal penalties
$88,780
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

79 on record
SurveyF-TagViolationSeveritySource
Aug 1, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Aug 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 1, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Aug 1, 2025F908Keep all essential equipment working safely.EStandard
Aug 1, 2025F880Provide and implement an infection prevention and control program.DStandard
Aug 1, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Aug 1, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Aug 1, 2025F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Aug 1, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 1, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 1, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Aug 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 1, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 1, 2025F610Respond appropriately to all alleged violations.DStandard
Aug 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 1, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 25, 2025F693Ensure 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.DComplaint
Jun 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 25, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 25, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
May 16, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
May 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
May 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 16, 2025F908Keep all essential equipment working safely.DComplaint
Apr 16, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Apr 16, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Mar 10, 2025F880Provide and implement an infection prevention and control program.EComplaint
Oct 21, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Oct 13, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
Oct 13, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
Oct 13, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEComplaint
Oct 13, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint
Oct 13, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Oct 13, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Oct 13, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 3, 2024F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Aug 15, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Aug 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 12, 2024F881Implement a program that monitors antibiotic use.DStandard
Jul 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Jul 12, 2024F814Dispose of garbage and refuse properly.DStandard
Jul 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 12, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Jul 12, 2024F791Provide or obtain dental services for each resident.DStandard
Jul 12, 2024F761Ensure 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.EStandard
Jul 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 12, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jul 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 12, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Jul 12, 2024F578Honor 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.EStandard
Jul 12, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jul 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Apr 8, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 8, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 8, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Apr 8, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Apr 8, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint
Mar 5, 2024F687Provide appropriate foot care.DComplaint
Dec 26, 2023F695Provide safe and appropriate respiratory care for a resident when needed.GComplaint
Dec 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Dec 7, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Dec 7, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Nov 2, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Jun 21, 2023F679Provide activities to meet all resident's needs.FComplaint
Mar 24, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 20, 2021F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Oct 20, 2021F865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard
Oct 20, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 20, 2021F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Oct 20, 2021F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Oct 20, 2021F761Ensure 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.EStandard
Oct 20, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Oct 20, 2021F730Observe each nurse aide's job performance and give regular training.EStandard
Oct 20, 2021F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Oct 20, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 20, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 20, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 20, 2021F578Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $88,780 and 1 payment-denial actions spanning 3 days.

DateTypeFinePayment denial
Aug 1, 2025Fine$36,767
Oct 3, 2024Fine$33,501
Jul 12, 2024Fine$18,512
Jul 12, 2024Payment DenialSep 11, 2024 · 3 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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