The Grand At Bethany Skilled Nursing And Therapy

Location & what’s nearby

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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

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.

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.

57.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 97 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 12.8% 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 39 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

Staffing

How full it usually is: this home is certified for 161 beds and averages 110.3 residents a day — about 69% occupied, or roughly 51 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.10 hrs/resident/day on weekends vs 3.93 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.29 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

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 fewer than at the previous inspection — improving. 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.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · J2025-02-27 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure staff could identify a resident's code status in an emergency. Resident #1 became unresponsive while in the whirlpool tub and CPR was initiated before the resident's code status was confirmed. The resident had a DNR in place. On [DATE] at 5:56 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On [DATE] at 6:09 p.m., the administrator and regional RN were notified of the IJ situation and provided the IJ template. On [DATE] at 5:29 p.m., the administrator was notified of an amended IJ template related to Resident #1's code status via telephone. On [DATE] at 5:49 p.m., an amended IJ template was provided to the administrator and the regional RN via email. On [DATE] at 11:03 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated [DATE], read in part, Plan of removal of IJ…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-02-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure a resident was supervised while in the whirlpool. Resident #1 became unresponsive while in the whirlpool tub alone and was pronounced deceased at 9:40 p.m. On [DATE] at 5:56 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On [DATE] at 6:09 p.m., the administrator and regional RN were notified of the IJ situation related to supervision in the whirlpool tub and provided the IJ template. On [DATE] at 5:29 p.m., the administrator was notified of an amended IJ template related to resident supervision while in the whirlpool via phone. On [DATE] at 5:49 p.m., an amended IJ template was provided to the administrator and the regional RN via email. On [DATE] at 11:03 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility's plan of removal, dated [DATE], read in part, Plan of removal of IJ .[DATE] .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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 staff followed proper transfer technique to prevent accidents for one (#2) of three sampled residents reviewed for falls. The failure resulted in a fractured femur for Resident #2. The administrator identified 106 residents resided in the facility. Findings: A Fall Program policy, revised 05/2024, read in part, develop care plan using appropriate interventions. Resident #2 had diagnoses which incldued intracerebral hemorrhage, speech deficit, and convulsions. A care plan intervention, initiated 06/25/20, documented the resident needed the assistance of two staff for transfers. A progress note, dated 09/21/24 at 6:18 p.m., documented the resident was lowered to the floor during a transfer. It was documented the resident stated, Broke and pointed to their leg. It was documented a fracture was identified and the resident requested to be sent to the hospital. A progress note, dated 09/25/24 at 2:27 p.m., documented the resident returned from the hospital with 15 staples to their right hip and a dignosis of fracture of…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-07 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to refer a resident with a newly diagnosed mental illness to the OHCA for a level II PASARR evaluation for 1 (#4) of 1 sampled resident reviewed for PASARR.The ADON identified 110 residents resided in the facility. Findings:A level I PASARR, dated 03/22/16, showed Resident #4 had a primary diagnosis of cerebrovascular accident. The PASARR did not show Resident #4 had been diagnosed with a serious mental illness.An admission record, dated 03/11/25, showed Resident #4 was diagnosed with schizophrenia on 11/22/22.A quarterly assessment, dated 12/10/25, showed Resident #4 routinely received antipsychotic medication.A physician's order, dated 12/16/25, showed Resident #4 received olanzapine 2.5 mg (an antipsychotic medication) at bedtime. A review of Resident #4's health record did not show they were screened for a level II PASARR when they received the new diagnosis of schizophrenia on 11/22/22. On 01/05/26 at 12:10 p.m., corporate nurse #1 stated after Resident #4 was diagnosed with a serious mental illness the facility should…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-07 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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

  Based on observation, record review, and interview, the facility failed to ensure a comprehensive care plan was developed to include a hearing aid for 1 (#1) of 24 sampled residents reviewed for comprehensive care plans. The ADON identified 110 residents resided in the facility.Findings:On 12/30/25 at 12:02 p.m., Resident #1 was observed not wearing hearing aids.A Comprehensive Activity Assessment, dated 9/26/25, showed Resident #1's hearing in both the left and right ear was adequate when using hearing aids.A 5-day assessment, dated 09/27/25, showed Resident #1's cognition was moderately impaired with a BIMS score of 12. The assessment showed Resident #1 did not use hearing aids or other hearing appliances during the assessment.An admission assessment, dated 10/19/25, showed Resident #1 was wearing hearing aids and had minimal difficulty hearing during the assessment. The assessment showed Resident #1's cognition was moderately impaired with a BIMS score of 12. Resident #1's care plan, dated 11/05/25, did not have a focus, goal, and interventions to address hearing aids were used…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-07 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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 record review and interview, the facility failed to ensure a care plan for vision had interventions included for orientation, education, and guidance about the facility for a blind resident for 1 (#17) of 1 sampled resident who's care plan was reviewed. The ADON identified 110 residents resided in the facility.Findings:An admission assessment, dated 11/04/25, showed Resident #17's vision was Severely impaired-no vision or sees only light, colors or shapes; eyes do not appear to follow objects.An undated care plan did not show how the staff assisted Resident #17 with mobility or guidance about the facility.On 12/30/25 at 2:00 p.m., Resident #17 stated they had not been shown how to get around the facility. They stated the staff did not assist them to and from the dining room. Resident #17 asked other residents to assist them and felt like the staff were not aware of the assistance they needed. On 12/30/25 at 2:04 p.m., Resident #17 stated their vision was all black and could not see anything. On 01/02/26 at 2:39 p.m., MDS coordinator #1 stated the resident would gain…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide 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

  Based on record review and interview, the facility failed to perform an assessment before and after dialysis for 1 (#129) of 1 sampled resident reviewed for dialysis. The administrator identified seven residents received dialysis. Findings:A blank dialysis communication form was reviewed. The form consisted of two sections, section A and section B. The form showed the pre-dialysis section (section A) was to be completed by the nursing facility and sent with the resident to the dialysis unit. The form showed the post-dialysis section (section B) was to be completed by the dialysis facility's nursing staff and the form returned to the facility with the resident. The form did not provide a section for the facility to document their own post-dialysis assessment.A dialysis communication form, dated 10/15/25, showed the following: the resident's pre-dialysis weight was documented as taken on 10/13/25 and section B was empty of documentation. A dialysis communication form, dated 10/17/25, showed the following: the resident's pre-dialysis weight was documented as taken on 10/13/25; and 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 a resident received care and services to prevent pressure ulcers from developing or worsening for 1 (#1) of 3 sampled residents reviewed for pressure ulcer treatment.The administrator reported 103 residents resided in the facility.Findings: Resident #1s monthly physician orders showed resident was admitted to facility on 12/17/24, with the following diagnoses: history of cardiac arrest resulting in anoxic brain damage, congestive heart failure, hypernatremia, acute respiratory failure with hypoxia, acute kidney injury, and PEG tube status. A skin assessment, dated 12/17/24, showed sacrum with redness and superficial breakdown and had treatment order: cleanse bilateral buttocks with normal saline solution, pat dry, apply Triad cream twice daily and as needed for 14 days for wound prevention. A skin assessment, dated 12/22/24, read in part, Shearing to sacrum, with treatment order in place for wound management, which documented resident has pillow in place underneath 1 side to offload pressure. [Resident #1's family…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-24 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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 ensure assessments were accurate for 2 (#1 and #3) of 2 sampled residents reviewed for accuracy of assessments. The DON identified 94 residents resided in the facility. Findings: 1. Resident #1's care plan, dated 02/07/25, showed they were admitted on [DATE] and discharged on 03/08/25 with diagnosis which included unspecified dementia, hypotension, syncope and collapse, and arteriosclerotic heart disease of native coronary artery without angina pectoris. Resident #1's admission assessment, dated 05/07/24, showed their cognition was moderately impaired for decision making with a BIMS score of 10. The assessment showed the resident was at risk for pressure ulcers/injuries and did not have one or more unhealed pressure ulcers upon admission and did not have any unhealed deep tissue injuries upon admission. Resident #1's discharge assessment, dated 03/08/25, showed the resident had one unstageable pressure ulcer/injury that were present upon…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-08 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  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 appointments were scheduled for 1 (#1) of 3 sampled residents reviewed for appointments. ADON #1 identified 95 residents resided at the facility. Findings: A Procedural Visit note from a local eye specialty hospital, dated 10/15/24, showed to follow up in about four months (around 02/15/25). There was no documentation located in the resident's clinical record which showed the follow up appointment had been scheduled. Resident #1's annual assessment, dated 10/16/24, showed the resident's vision was highly impaired. The assessment showed the visual function care area was triggered related to the resident's diagnoses of glaucoma and macular degeneration. Resident #1's quarterly assessment, dated 01/07/25, showed the resident's vision was highly impaired. It showed the resident's brief score for mental illness was 15, which indicated the resident's cognition was intact. On 04/07/25 at 1:20 p.m., Resident #1 stated they had missed an eye appointment in February 2025. They stated they thought it was forgotten about, but…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-13 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 [NAME] from abuse and misappropriation for two (#1 and #2) of three sampled residents reviewed for abuse. The administrator identified 109 residents resided in the facility. Findings: The facility policy titled Resident Abuse, Neglect and Misappropriation of Property, last revised 01/01/22, read in parts, The resident has the right to be free from verbal, sexual, physical and mental abuse .the facilty will not tolerate mistreatment, neglect, or abuse of residents, including sexual or .misappropriation of property. 1. Resident #1 was admitted to the facility on [DATE] with diagnoses which included cerebral infraction, DM II; hyperlipidemia, cannabis use, anxiety, quadriplegia, and retention of urine. Resident #1's care plan, last revised 02/26/24, documented they had a decline in asssistance with daily living performance and required maximum asssistance with care. Resident #1's quarterly MDS assessment, dated 11/18/24, documented…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2024-10-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 were free from abuse for two (#5 and #6) of four sampled residents reviewed for abuse. The administrator identified 106 residents resided in the facility. Findings: An undated Resident Abuse, Neglect, and Misappropriation of Property policy, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse. The policy also read, If the alleged perpetrator is facility staff, removal of the alleged perpetrator's access to the alleged victim and other residents and assurance that ongoing safety and protection is provided for the alleged victim and other residents. 1. Resident #5 had diagnoses which included atrial fibrillation and anxiety. 2. Resident #5's significant change assessment, dated 08/26/24, documented the resident was severely cognitively impaired and was dependent with most ADLs. Resident #6 had diagnoses which included hemiplegia, bipolar, depression, anxiety, and spinal stenosis. Resident #6's significant change assessment, dated 08/17/24, documented 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2024-09-03 · tag F0578 — failed to honor advance directives / code status — pattern
  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.
  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: a. an Advance Directive DNR Consent admission Acknowledgement form was complete for two (#10 and #69) of 32 sampled residents reviewed for Advance Directives. b. the DNR order was properly executed for one (#77) of 32 sampled residents reviewed for Advance Directives. The DON identified 117 residents resided in the facility. Findings: A DNR, Advance Directives and End of Life Decisions Policy, revised [DATE], read in part, .It is the policy of this Facility to comply with a Resident's Advanced Directive and Do Not Resuscitate Consent .Upon admission the Facility will ask every new Resident and/or the Resident's Representative, if the Resident has a written advance directive, Durable Power of Attorney for Health Care, DNR Consent, or related form .If the Resident has one .the Facility should request a copy be brought to the Facility .it cannot act upon any document until a copy has been provided to the Facility .Advanced Directives .To be valid,…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$22,919 in federal fines across 2 penalties.

• $14,901 — penalty dated 2025-02-27
• $8,018 — penalty dated 2024-09-03

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to BRIDGES HEALTH — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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 73% 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 $570K 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