Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
FORREST MANOR NURSING CENTER
DEWEY, OK · 116 certified beds · Last Life Safety survey September 11, 2024
CMS Certification Number 375501 · first certified July 2006
Ownership
Independently operated (no chain recorded by CMS) · For profit - Individual
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within OK
4 citations — more than 17% 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
When is the next survey likely?
Well past the typical window (October 2025 to January 2026), and past the point by which nine in ten OK facilities have been surveyed. This facility’s last Life Safety survey was September 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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Physical environment (health survey)
4 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 4 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 4 |
| Median facility in OK | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 12, 2019 | 4 |
| June 30, 2023 | 0 |
| September 11, 2024 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | 1 | 2019-12-12 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2019-12-12 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2019-12-12 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2019-12-12 |
What the citations cover
- Miscellaneous Deficiencies 2
- Smoke Deficiencies 2
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 2 |
| Smoke Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
December 12, 2019 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Deficient, Provider has date of correction (February 7, 2020) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (February 7, 2020) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (February 7, 2020) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (February 7, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.