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.
Record summary
Federal record · Q1 202679
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 1, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Aug 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Aug 1, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| Aug 1, 2025 | F908 | Keep all essential equipment working safely. | E | Standard |
| Aug 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 1, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Aug 1, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Aug 1, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Aug 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 1, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Aug 1, 2025 | F688 | Provide 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. | E | Standard |
| Aug 1, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 1, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Aug 1, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 1, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 1, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 25, 2025 | F693 | Ensure 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 | Complaint |
| Jun 25, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 25, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jun 25, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| May 16, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| May 16, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| May 6, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 16, 2025 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Apr 16, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Apr 16, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| Mar 10, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 21, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Oct 13, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint |
| Oct 13, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint |
| Oct 13, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Complaint |
| Oct 13, 2024 | F742 | Provide 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. | J | Complaint |
| Oct 13, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Oct 13, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint |
| Oct 13, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Oct 3, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Aug 15, 2024 | F758 | Implement 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. | D | Complaint |
| Aug 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Jul 12, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Jul 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 12, 2024 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Jul 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 12, 2024 | F803 | Ensure 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. | D | Standard |
| Jul 12, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jul 12, 2024 | F761 | Ensure 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. | E | Standard |
| Jul 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 12, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jul 12, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 12, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Jul 12, 2024 | F578 | Honor 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 | Standard |
| Jul 12, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jul 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Apr 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 8, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 8, 2024 | F585 | Honor 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. | D | Complaint |
| Apr 8, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| Apr 8, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Complaint |
| Mar 5, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Dec 26, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint |
| Dec 7, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Dec 7, 2023 | F688 | Provide 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. | D | Complaint |
| Dec 7, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint |
| Nov 2, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Jun 21, 2023 | F679 | Provide activities to meet all resident's needs. | F | Complaint |
| Mar 24, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 20, 2021 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Oct 20, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Oct 20, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 20, 2021 | F803 | Ensure 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. | D | Standard |
| Oct 20, 2021 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Oct 20, 2021 | F761 | Ensure 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. | E | Standard |
| Oct 20, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Oct 20, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Oct 20, 2021 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Oct 20, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 20, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 20, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 20, 2021 | F578 | Honor 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 | Standard |
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.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 1, 2025 | Fine | $36,767 | — |
| Oct 3, 2024 | Fine | $33,501 | — |
| Jul 12, 2024 | Fine | $18,512 | — |
| Jul 12, 2024 | Payment Denial | — | Sep 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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