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

SAINT SIMEONS EPISCOPAL HOME

TULSA, OK · 109 certified beds · Last Life Safety survey January 24, 2025

CMS Certification Number 375554 · first certified June 2013

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

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

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within OK

10 citations — more than 67% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 4. 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 (March 2026 to June 2026), and past the point by which nine in ten OK facilities have been surveyed. This facility’s last Life Safety survey was January 2025. 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

Emergency preparedness

2 of the 10 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation 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 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

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 facility10OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0852023-1022025-01
Citations at each Life Safety survey
Survey dateCitations
August 18, 20223
October 24, 20235
January 24, 20252

Most-cited tags

Most-cited tags at this facility
K-02222K-03471E-00041K-03211E-00361K-09181K-03741K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
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.22023-10-24
K-0347Properly provide smoke detection systems in areas open to corridors.12025-01-24
E-0004Develop and maintain an Emergency Preparedness Program (EP).12023-10-24
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-08-18
E-0036Establish emergency prep training and testing.12023-10-24
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-10-24
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-01-24
K-0923Have proper medical gas storage and administration areas.12022-08-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Emergency Preparedness Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

January 24, 2025 — 2 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (March 27, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 27, 2025)

October 24, 2023 — 5 citations

Citations issued on October 24, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 31, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (May 31, 2024)
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 (May 31, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 31, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 31, 2024)

August 18, 2022 — 3 citations

Citations issued on August 18, 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 (September 18, 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 (September 18, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 18, 2022)

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