01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-24 | 7 | 2024-10-24 | 1 |
| Cycle 2 | 2023-08-04 | 5 | 2023-08-04 | 1 |
| Cycle 3 | 2022-06-24 | 2 | 2022-06-24 | 5 |
CMS CCN 3755642026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Shattuck Nursing Center
211 North Alfalfa · Shattuck, OK 73858 · Ellis County
Certified beds60CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-10-24 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0640Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0642Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0686Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-11-202024-10-24 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-11-202023-08-04 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-04 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-04 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-04 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-04 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-04 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-01-052022-06-24 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2022-07-152022-06-24 · HEALTHF0727Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-07-222022-06-24 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2022-07-222022-06-24 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-07-152022-06-24 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2022-07-152022-06-24 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-07-152022-06-24 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-07-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BROWN, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/31/1990
- DOUT, ALEXANDERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2002
- FOGLE, KIMBERLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2002
- BOHNSACK, BERNICEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/15/1995
- HELFENBEIN, CANDICEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/22/2024
- HILL, DEBRAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/16/2007
- JACOBS, AMBERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/29/2016
- JACONS, BRADLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/17/2025
- KUHLMAN, GLENNELLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2015
- STUART, DANNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- WATSON, KASANDRAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/17/2022
- ALLSHIFTSOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2022
- FORVIS MAZARS LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/28/2015
- NUTRITION SYSTEMS CONSULTING INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/09/2024
- BROWN, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/31/1990
- KUHLMAN, GLENNELLIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/12/2025
- STUART, DANNAIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.67per resident day
RN hours0.25per resident day
Weekend nurse hours3.27per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Oklahoma ledger →Other published facilities nearby
No second facility in the same city met the directory rule.