Pleasant Valley Health Care Center
1120 Illinois Street · Muskogee, OK · 74403 · 9186825391
101 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $20,049 |
Inspection citations (30 in the current record)
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Immediate jeopardy · J August 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · E August 20, 2024
The resident has the right to receive notices in a format and a language he or she understands.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · E August 20, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D August 20, 2024
Ensure each resident receives an accurate assessment.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 20, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 5, 2024 · Nursing and Physician Services
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Potential for harm · E August 20, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 5, 2024 · Pharmacy Service
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Potential for harm · E August 20, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 5, 2024 · Pharmacy Service
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Potential for harm · D August 20, 2024
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected September 5, 2024 · Administration
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Potential for harm · E August 20, 2024
Provide and implement an infection prevention and control program.
Corrected September 5, 2024 · Infection Control
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Potential for harm · E August 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 20, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 20, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 5, 2024 · Nutrition and Dietary
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Potential for harm · D July 18, 2023
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.
Corrected August 18, 2023 · Resident Rights
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Potential for harm · D July 18, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2023 · Quality of Life and Care
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Potential for harm · E July 18, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected August 18, 2023 · Quality of Life and Care
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Potential for harm · D July 18, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 18, 2023 · Pharmacy Service
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Potential for harm · D July 18, 2023
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.
Corrected August 18, 2023 · Pharmacy Service
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Potential for harm · E July 18, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 18, 2023 · Pharmacy Service
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Potential for harm · F July 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 18, 2023 · Nutrition and Dietary
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Potential for harm · E July 18, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 18, 2023 · Environmental
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Actual harm · G March 29, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 21, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 20, 2024 | Fine | $20,049 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375451 · certified since January 4, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.