Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SENIOR SUITES HEALTHCARE

BROKEN ARROW, OK · 92 certified beds · Last Life Safety survey November 7, 2024

CMS Certification Number 375528 · first certified September 2008

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within OK

16 citations — more than 90% of the 283 certified nursing homes in OK. Compared within OK rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to March 2026), and past the point by which nine in ten OK facilities have been surveyed. This facility’s last Life Safety survey was November 2024. Facilities in OK are typically surveyed 14–16 months after the last one (median 15), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility16OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0272023-0962024-11
Citations at each Life Safety survey
Survey dateCitations
February 11, 20223
September 28, 20237
November 7, 20246

Most-cited tags

Most-cited tags at this facility
K-03242K-02222K-02932K-02912K-07411K-03531K-07611K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22024-11-07
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22024-11-07
K-0293Have properly located and lighted "Exit" signs.22024-11-07
K-0291Install emergency lighting that can last at least 1 1/2 hours.22024-11-07
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-11-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-09-28
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-09-28
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-09-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies6
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 7, 2024 — 6 citations

Citations issued on November 7, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 5, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 6, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 6, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 6, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (December 6, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 6, 2024)

September 28, 2023 — 7 citations

Citations issued on September 28, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 30, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 30, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 30, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 30, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 30, 2024)

February 11, 2022 — 3 citations

Citations issued on February 11, 2022
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 26, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 26, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 26, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.