All citations for Stillwater Skilled Nursing and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Stillwater Skilled Nursing and Rehabilitation

Last standard health inspection on record

April 16, 2026

Showing 1 to 25 of 38 citations

No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).
No harm, with potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Widespread (many residents). CMS level F.
Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Have an alternate power supply for its alarm system.
Widespread (many residents). CMS level F.
Fire safety citation K-0344, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2019).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).
No harm, with potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Pattern (more than a few residents). CMS level E.
Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 23, 2026. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection.
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of November 26, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 23, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pattern (more than a few residents). CMS level E.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2019).
No harm, with potential for more than minimal harm
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0361, Smoke Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2019).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2019).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 3, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (November 29, 2019).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Isolated (one or a few residents). CMS level D.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 16, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 14, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.