Heritage Park
6912 Northwest 23rd Street, Bethany, OK 73008 · For profit - Corporation · 55 certified beds · (405) 789-7208 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- it has citations for mishandling residents’ money or property (F0567, F0569)
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (1/5)
- nursing-staff turnover (70%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 13.2% | 13.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.0% | 3.3% | 5.4% | check this* — see note marked star below the table |
| Long-stay residents with a catheter left in their bladder | 1.1% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 2.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 8.6% | 3.4% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.3% | 4.7% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.0% | 13.7% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 27.8% | 25.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 97.6% | 94.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.5% | 4.7% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 12.1% | 17.1% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 28.7% | 17.5% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 12.5% | 1.8% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 88.9% | 74.1% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 25.0% | 27.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 12.1% | 16.6% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.51 | 2.31 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 2.55 | 2.96 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 40.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 6.9–15.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 40.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 31.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 45.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 96.8% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.11 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 55 beds and averages 46.3 residents a day — about 84% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.83 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.19 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.80 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.74 hrs/resident/day on weekends vs 2.86 on weekdays — 4% thinner on weekends. RN hours go from 0.20 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 70% is well above the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · E2024-10-23 · tag F0567 — failed to protect residents' money held by the home — patternHonor the resident's right to manage his or her financial affairs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure residents had access to their trust account money on nights and weekends for three (#9, 10, and #26) of three sampled residents reviewed for access to their trust account money. The BOM identified 33 residents who had money in the trust account. Findings: The Policy and Procedure of Resident Trust Fund, last updated 03/01/24, read in part, .The management of the trust shall be managed by the business office or it's designees and ensure that proper accounting principals are followed .but not to exclude State and Federal regulations . A review of the trust account ledgers for Resident #9, Resident #10 and Resident #26 contained no entries of money being withdrawn at night or on the weekends. On 10/20/24 at 2:21 p.m., Resident #26 stated they could not get funds on the weekends. They stated if they wanted money they would need to request it and get it on Friday. On 10/22/24 at 8:25 a.m., the BOM stated they worked at the facility Monday through Friday and resident funds were kept in a safe in the administrators office.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-23 · tag F0569 — patternNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure residents received notification when they were within $200 of the Medicaid resource limit of $2,000 for four (#5, 9, 10, and #26) of four sampled residents reviewed for notifications of trust balances. The BOM identified 33 residents who had money in the trust account. Findings: The Policy and Procedure of Resident Trust Fund, last updated 03/01/24, read in part, .The management of the trust shall be managed by the business office or it's designees and ensure that proper accounting principals are followed .but not to exclude State and Federal regulations . 1. Resident #5's face sheet documented they had a payer source of Medicaid. Resident #5's trust account ledger, dated 10/21/24, documented a current balance of $2,444.21. 2. Resident #10's face sheet documented they had a payer source of Medicaid. Resident #10's trust account ledger, dated 10/21/24, documented a current balance of $2,152.88. 3. Resident #9's face sheet documented they had a payer source of Medicaid. Resident #9's trust account ledger, dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-23 · tag F0692 — failed to prevent malnutrition and dehydration — patternProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to: a. monitor fluid input and output for one (#93) of one sampled resident reviewed for fluid restrictions; and b. provide nutritional interventions for weight loss of providing nutritional supplements and double portions at meals for two (#3 and #5) of two sampled residents reviewed for nutritional. The DM identified four residents who were on a pureed diet. The ADON identified one resident on a fluid restriction, 13 residents who had physician orders for double portions, and 23 residents who had orders for health shakes with meals. Findings: An undated policy Encouraging and Restricting Fluids , read in part, .restricting fluids .record the amount of fluid .intake and output . 1. Resident #93 was admitted to the facility on [DATE] with diagnosis which included ESRD and acute kidney failure. Resident #93's October 2024 orders documented they had dialysis services every Tuesday, Thursday and Saturday. It documented they received a renal diet…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-23 · tag F0698 — failed to provide proper dialysis care — patternProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to complete pre and post dialysis assessments for one (#93) of one sampled resident reviewed for dialysis services. The administrator identified one resident who received dialysis. Findings: An undated policy Dialysis Care/ Arterial Fistula, read in parts, .All residents receiving dialysis will have monitoring before and after dialysis treatment to ensure condition is stable after treatment .The charge nurse prior to an upon return from dialysis shall evaluate the residents condition, including but not limited to vital signs and the graft/fistula site .check bruit and thrill . Resident #93 was admitted to the facility on [DATE] with diagnoses which included end stage renal disease and acute kidney failure. Resident #93's October 2024 orders documented they had dialysis services every Tuesday, Thursday, and Saturday. A dialysis communication form, dated 10/03/24, did not document a post assessment had been completed. There was no documentation a dialysis…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-23 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure a medication error rate of less than five percent during the medication pass observation. LPN #2 identified 41 residents resided in the facility. The ADON identified 21 residents with ordered blood pressure parameters. Findings: An Administering Medications, policy, revised 04/19, read in part, .Medications are administered in a safe and timely manner, and as prescribed .The following information is checked/verified for each resident prior to administering medications .vital signs, if necessary . 1. Resident #33 had diagnoses which included polyneuropathy and neurogenic bowel. A Physician Order, start date 09/10/24, documented Colace (laxative) give 100 mg by mouth two times a day related to neurogenic bowel. A fax transmission, dated 10/18/24 at 11:17 a.m., documented Resident #33's Colace order was faxed with an order category of pharmacy. On 10/21/24 at 9:20 a.m., CMA #1 was observed preparing Resident #33's medications for administration. They stated they were waiting for the resident's Colace to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-23 · tag F0868 — patternHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure the medical director was part of the quality assurance program. LPN #2 identified 41 residents resided in the facility. Findings: The undated Quality Assurance and Performance Improvement policy, read in part, .The administrator is responsible for assuring that the facilities QAPI program complies with federal, state, local regulatory agency requirements . A review of the facility list of committee members as listed in their QAPI plan indicated all department heads, the administrator, and DON were part of the committee. The list did not include a physician and/or medical director. A review of the sign in sheets for the QA meetings for January 2024 to October 2024 contained no signature medical director being part of of the committee. A review of the medical director contract documented they were to participate as part of the QA program. On 10/23/24 at 12:04 p.m., the administrator stated the facility had not had a physician or medical director that participated as part of the committee for all of 2024. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-23 · tag F0574 — isolatedThe resident has the right to receive notices in a format and a language he or she understands.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure contact information for filing a complaint with the State agency was available to the residents. LPN #2 identified 41 residents resided in the facility. Findings: On 10/21/24 at 1:06 p.m., both resident halls and the main living area were observed. There was no information regarding filing a complaint with the State agency. On 10/21/24 at 2:15 p.m., a confidential interview was held with the resident council group. On 10/21/24 at 2:33 p.m., the resident council group was asked if they had been informed of their rights, and given information on how to formally complain to the State about the care they were receiving. They stated, No. On 10/21/24 at 2:51 p.m., the administrator stated the facility had information on how to formally file a complaint with the State agency posted. The administrator walked out of their office and observed the wall next to their office and stated it was right by the ombudsman sign. They stated it was not posted, but it used to be.
- Potential for harm · D2024-10-23 · tag F0577 — isolatedAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review and interview, the facility failed to ensure the most recent survey results were readily accessible to the residents. LPN #2 identified 41 residents resided in the facility. Findings: On 10/21/24 at 1:01 p.m., binders with survey results for 2018, 2019, and 2022 were located on the wall between the medication storage room and the administrator's office. The survey results from the most recent survey were not located. On 10/21/24 at 2:15 p.m., a confidential interview was held with the resident council group. On 10/21/24 at 2:32 p.m., the resident council group stated the State survey results were not available to read without having to ask. They stated they did not even know that they post them. On 10/21/24 at 2:50 p.m., the administrator stated the latest survey results were supposed to be posted. They stated they never got posted back after the painting.
- Potential for harm · D2024-10-23 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to provide a homelike environment for one (#10) of one sampled resident reviewed for homelike environment. LPN #2 identified 41 residents resided in the facility. Findings: A Homelike Environment policy, revised 02/21, read in part, .Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible .The facility staff and management maximizes, to the extent possible the characteristics of the facility that reflect a personalized homelike setting. These characteristics include .clean, sanitary and orderly environment . Resident #10 had diagnoses which included cardiomyopathy and acute respiratory failure with hypoxia. A Quarterly Resident Assessment, dated [DATE], documented Resident #10's cognition was intact. On [DATE] at 2:37 p.m., Resident #10 stated they had concerns with the wall spackle and the top of their wall. They stated they paid a lot of money to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-23 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed complete a discharge summary with a recapitulation of their stay for one (#41) two closed records reviewed. LPN #2 identified 41 residents resided in the facility. Findings: The undated policy, Discharge Summary and Plan , read in part, .a discharge summary and post discharge pan will be developed .the discharge summary will include the recapitulation of the resident's stay at this facility and a final summary of the residents status at the time of discharge . An incident progress note, dated 08/12/24 at 8:19 p.m., documented the emergency services arrived. It documented Resident #41 coded and the emergency services took over care. Resident #41's discharge assessment, dated 08/12/24, documented the discharge was due to a death in the facility. Resident #41's census report documented they were discharged from the facilty on 08/12/24. There was no documentation the facilty had completed a discharge summary for Resident #41. On 10/21/24 at 9:27 a.m., the DON was asked for the discharge summary for Resident #41. The DON looked…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · D2024-10-23 · tag F0800 — isolatedProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure pureed meals were served at the correct consistency for one of one pureed meal preparation. The DM identified four residents who had diet orders for pureed meals. Findings: An undated facility policy, Therapeutic Diets, read in part, .Therapeutic diets are reflected on the menu extension . The menu extension, dated 10/20/24, documented the noon pureed meal was to have baked meat loaf, scalloped potatoes, dinner roll, and pineapple cake. On 10/20/24 at 12:33 p.m., the DM was observed preparing the noon purred. The DM pureed meat loaf, potato salad, and cabbage. The DM added water to each of the items pureed. Once completed the pureed item was tasted by the DM and surveyor. Items were not smooth and had fine chunks of meat, cabbage, and potatoes. On 10/202/4 at 1:10 p.m., the dietary staff was observed serving four out of four pureed trays with the incorrect consistency. On 10/21/24 at 1:29 p.m., the DM stated pureed foods should be made to a smooth consistency. When asked about the consistency of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-23 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure menus were followed for pureed diets for one of one meal service observed. The DM identified four residents who had diet orders for pureed meals. Findings: An undated facility policy, Therapeutic Diets, read in part, .Therapeutic diets are reflected on the menu extension . The menu extension, 10/20/24, documented the noon pureed meal was to have baked meat loaf, scalloped potatoes, dinner roll, and pineapple cake. On 10/20/24 at 12:33 p.m., the DM was observed preparing the noon purred meal. The DM pureed single portions of meat loaf, potatoes salad, and cabbage. The dietary manager did not pureed any bread, or pineapple cake. On 10/20/24 at 1:10 p.m., the dietary staff was observed serving four out of four pureed trays without bread or pineapple cake. On 10/21/24 at 1:29 p.m., the DM stated the current diet orders were on each meal ticket for all diet types. They stated they prepared four pureed meals on Sunday afternoon and all residents were to receive their diet order and all menu items. They…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-23 · tag F0925 — failed to control pests — isolatedMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure the environment was free from pests for one (#13) of one sampled residents reviewed for pests. LPN #2 identified 41 residents resided in the facility. Findings: A Pest Control Policy, updated 01/01/24, read in part, .Pest control services treat the facility on a monthly and as needed basis for preventative and ongoing maintenance. Should staff at any time suspect pests/rodents in the facility, they are to communicate with the Maintenance Director/Administration immediately so the service can be initiated . Resident #13 had diagnoses which included multiple sclerosis. A Significant Change Resident Assessment, dated 09/26/24, documented Resident #13's cognition was intact. On 10/22/24 at 2:26 p.m., three flies were observed in Resident #13's room. Resident #13 stated the flies were very bad and they usually had three or four flies in the room during the day or evening. They stated they had reported it to staff many times, but nothing was ever done. On 10/22/24 at 9:06 a.m., Resident #13 was observed in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-19 · tag F0578 — failed to honor advance directives / code status — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents were offered the choice to formulate advanced directives for six (#20, 29, 10, 40, 4, and #52) of 20 sampled residents reviewed for advanced directives. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility. Findings: 1. Res #20 was admitted to the facility on [DATE] with diagnoses of Alzheimer's disease, unspecified psychosis, major depressive disorder, and hypertension. There was no documentation the resident and/or their representative was offered the choice to formulate an advanced directive. 2. Res # 29 was admitted to the facility on [DATE] with diagnoses of unspecified dementia, Crohn's disease, cerebral infarction, and pain. There was no documentation the resident and/or their representative was offered the choice to formulate an advanced directive. 3. Res #10 was admitted to the facility on [DATE] with diagnoses of unspecified psychosis, major depressive disorder, schizophrenia,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-19 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to perform annual nurse aid performance reviews. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility. Findings: An employee staff list documented six CNA s who had hire dates greater than one year. On 09/19/23 at 11:30 p.m., the annual nurse aid performance reviews were requested. On 09/19/23 at 12:52 p.m., the corporate nurse reported the annual nurse aid performance reviews were not completed.
- Potential for harm · E2023-09-19 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to maintain an infection prevention and control program to prevent the spread of infections. The facility failed to ensure: a. a water management system was in place to detect/prevent Legionella. b. COVID-19 transmission-based precautions were conducted for three (#3, 17, and #42) of four residents reviewed for transmission based precautions. c. COVID-19 testing was performed per policy for one (#3) of four residents reviewed for transmission based precautions. The Resident Census and Conditions of Residents form, documented 49 residents resided in the facility. Findings: A Legionella Water Management Program policy, revised July 2017, documented the water management program included the following elements: a. An interdisciplinary water management team. b. A detailed description and diagram of the water system in the facility. c. The identification of areas in the water system that could encourage the growth and spread of Legionella or other waterborne bacteria. d. The identification of situations that can lead…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-19 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure residents who were discharged from Part A skilled services, with benefit days remaining, were issued ABN and/or NOMNC notices for two (#150 and #151) of three sampled residents reviewed for beneficiary notices. The Beneficiary Notice worksheet identified five residents who were discharged from Part A skilled services with benefit days remaining in the previous six months. Findings: Res #151 was admitted to Part A skilled services on 03/21/23, discharged from skilled services on 06/25/23, and remained in the facility. Res #150 was admitted to Part A skilled services on 05/01/23, discharged from skilled services on 06/23/23, and remained in the facility. On 09/13/23 at 11:00 a.m., the ADON was asked to provide documentation that ABN and/or NOMNC notices were provided upon discharge from skilled services. On 09/13/23 at 1:05 p.m., Corporate Nurse #1 stated the ABN and/or NOMNC notices were not provided to Res #151 and only the NOMNC notice was provided to Res #150. They stated the correct notices were not provided as…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-19 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to update the care plan related to nutrition for one (#46) of one sampled resident whose care plan was reviewed. The Resident Census and Conditions of Residents documented one resident who received tube feedings. Findings: Res #46 had diagnoses which included dysphagia, ileus, and gastrostomy. An admission assessment, dated 03/24/23, documented Res #46 was moderately cognitively impaired, totally dependent with eating, and received 51% or more of total calories thru tube feeding. A care plan, dated 04/03/23, documented Res #46 was at risk for nutritional problem related to feeding pump use for all nutritional intake with interventions to infuse Isosource 1.5 calories at 65 milliliters per hour per PEG tube every shift. The care plan documented a NPO diet. A physician order, dated 04/20/23, documented a pureed texture, regular/thin consistency diet with small bites/sips at a time. The order documented meals under close nursing supervision and to encourage throat clearing. A dietary note, dated 04/20/23,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-19 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure the physician responded to a pharmacist MRR for one (#32) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 36 residents received psychoactive medications. Findings: A Medication Monitoring policy, dated 10/01/18, documented for non-urgent recommendations, the facility and attending physician must address the recommendation(s) in a timely manner that meets the needs of the resident - but no later than their next routine visit to assess the resident - and the attending physician should document what irregularity has been reviewed and what action has been taken to address the issue. The policy documented the pharmacy recommendation itself can be used as a tool to document in the medical record, or a notation may be indicated in the medical record. If the attending physician declines or otherwise rejects the consultant pharmacist's recommendation, an explanation as to the rationale for the rejection shall be documented in the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-19 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure proper kitchen sanitation was provided. The facility reported 49 of 49 residents received food from the dietary department. Findings: A facility policy documented if hair is long and not covered properly with a cap, a hairnet must be worn. On 09/14/23 at 2:00 p.m., an unknown dietary staff member was observed in the kitchen by the stove/oven. The female staff member had long hair with no hair net in place. On 09/14/23 at 2:12 p.m., the unknown dietary staff member was observed entering the kitchen from the dining room without a hairnet/cap. They reported they were the cook. They was asked if they are supposed to have a hairnet on before entering the kitchen. They reported they were. On 09/19/23 at 1:43 p.m., the DM was interviewed about employees wearing hairnets. The dietary manager was made aware of observations of the cook not wearing hairnet. They reported they all know to have them on.
- Potential for harm · D2022-10-13 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to develop comprehensive, person-centered care plans for three (#30, #31, and #37) of three residents sampled for comprehensive care plans. The facility Resident Census and Conditions of Residents form documented 48 residents resided in the facility. Findings: The facility Care Plans, Comprehensive Person-Centered policy, no date provided, documented in parts .The interdisciplinary team, in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident .the care planning process will include an assessment of the resident's strengths and needs identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident, are the endpoint of an interdisciplinary process .The comprehensive, person-centered care plan is developed within seven (7) days of the completion of the required comprehensive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-10-13 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to properly lock compartments, permit only authorized personnel to have access to keys, and to stored narcotics awaiting destruction. The facility Census and Conditions of Residents Report, documented 48 residents resided in the facility. Findings: The facility did not provide a policy related to storage of drugs and/or narcotics being stored in locked compartments. On 10/11/22 at 10:34 a.m., the Director of Nursing's (DON) office was observed to have a locked file cabinet with three separate padlocks attached to the file cabinet. The DON was observed to share the office with two other employees but stated she was the only one with a key to the locked cabinet. On 10/11/22 at 10:43 a.m., the DON reported narcotics to be destroyed are locked in the file cabinet until the pharmacist comes to the facility to destroy the narcotics with the DON. The DON stated destruction sheets are kept in the cabinet and narcotic count sheets are kept separately as a record of what is currently locked in the file cabinet. On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| EMPIRE CAPITAL INVESTMENT, LLC | Organization | DIRECT OWNERSHIP INTEREST | — | since 04/01/2024 |
| UNDERWOOD, ADAMSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 49% | since 04/01/2024 |
| HOLLAWAY, CHRISTIAN | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | — | since 04/01/2024 |
| JUDY M CRANE LIVING TRUST | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| PARK HOME PROPERTY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| VOYAGE MANAGEMENT OF OK, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| CRANE, JUDY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| HALL, SONYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 04/01/2024 |
| KHAN, MUNEER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| WRIGHT, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
CMS files one row per role, so the 20 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $84K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OK
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375511. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-23, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.