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Chickasha Nursing Center, Inc

2701 South 9th Street, Chickasha, OK 73018 · For profit - Corporation · 60 certified beds · (405) 224-3593 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Special Focus candidate (CMS is watching this home)Abuse/neglect citations on record (F0607, F0609) — most recent Jun 20262 immediate-jeopardy citations$16,355 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • CMS lists it as a Special Focus candidate — not on the watch list itself, but among the homes CMS is watching because of its recent inspection history
  • it has abuse, neglect, or exploitation citations (F0607, F0609) — most recent Jun 2026
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • 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
  • the CMS record shows $16,355 in federal fines (most recent 2026-06-10)
  • its independent health-inspection rating is low (1/5)
  • it did not file the payroll staffing data CMS requires — its 1 of 5 staffing rating is the rating CMS assigns for not reporting, not a measure of how many nurses are on the floor
  • its facility-reported quality-measure rating is low (2/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2100 W Iowa Ave · (405) 224-2100 · Call to confirm hours
Pharmacy
2120 S 4th St · (405) 222-0278 · Call to confirm hours
Grocery
Aldi0.5 mi
2318 S 4th St · (855) 955-2534 · Call to confirm hours
Park
2400 S 9th St · (405) 574-1028 · Typically dawn to dusk
Place of worship

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 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.0%13.6%15.4%better
Long-stay residents who lose too much weight17.9%3.3%5.4%worse
Long-stay residents with a catheter left in their bladder4.0%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection9.3%2.8%2.0%worse
Long-stay residents with depressive symptoms0.0%3.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury6.7%4.7%3.3%worse
Long-stay residents whose ability to walk worsened3.6%13.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication31.0%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine96.6%94.6%95.3%typical
Long-stay residents with pressure ulcers6.1%4.7%4.7%worse
Long-stay residents with worsening bladder/bowel control24.3%17.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table16.1%17.5%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents rehospitalized after admission42.8%27.3%22.6%worse
Short-stay residents with an outpatient ER visit12.0%16.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.292.311.67worse
Long-stay outpatient ER visits per 1,000 resident days6.612.961.80worse

* 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.

54.9% 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 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.9%U.S. median 51.5%
Got home and stayed home
12.5%U.S. median 10.7%
Went back to hospital

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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.9%CMS range 42.5–69.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.5%CMS range 6.9–17.410.7%Oct 2022–Sep 2024no 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS 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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened10.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 4.1–13.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.181.02Oct 2022–Sep 2024CMS 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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below; CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

8
deficiencies at the latest standard inspection (2024-09-06)
7
at the previous standard inspection (2023-08-10)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

ABCDEFGHIJKL

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 12 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · J2026-06-10 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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:a. implement their abuse policy to protect a resident,b. report within two hours,c. immediately investigate, andd. conduct assessments when an allegation of sexual abuse was received for 1 (#19) of 3 sampled residents reviewed for abuse.On 06/03/26, an IJ situation was determined to exist related to the facility's failure to implement their abuse policy to protect a resident, report within two hours, immediately investigate, and conduct a resident assessment when an allegation of sexual abuse was received.On 06/02/26 at 9:00 a.m., an incident report, dated 06/01/26, was faxed to the OSDH for a sexual abuse allegation. The incident report showed CNA #1 reported an allegation of sexual abuse for CNA #2 toward Resident #19.CNA #1 reported they observed CNA #2 sexually abusing Resident #19 on 06/01/26 around 11:20 p.m. CNA #1 reported the allegation to LPN #1. CNA #1 and LPN #1 failed to intervene and remove CNA #2 from the resident.LPN #1 stated they reported the sexual abuse allegation to the DON and was…

    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 · Deficient, Provider has plan of correction
  • Immediate jeopardy · J2026-06-10 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to report and investigate a reasonable suspicion of illegal drug use by an employee providing care for residents while on shift.On 06/04/26, an IJ situation was determined to exist related to the facility's failure to report and investigate reasonable suspicion of a crime, resulting in employees suspected of using or being under the influence of illegal drugs being allowed to continue to provide care to residents.On 03/30/26 around 2:00 a.m., RN #1 found a purse was found in an employee restroom that contained suspected illegal drugs and drug paraphernalia. RN #1 locked the suspected illegal substance in the DON's office, questioned CNA #3 and CNA #4 about the purse belonging to one of them, watched the two CNAs for any sign of being under the influence of an illegal drug, and allowed both CNAs to continue working their shift. The incident was not reported to police, and drug screens were not requested by RN #1. RN #1 did not immediately notify the DON and did not investigate the incident or report it to OSDH. RN #1 stated…

    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 · Deficient, Provider has plan of correction
  • Potential for harm · F2026-06-10 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to have an administrator to ensure: a. a facility assessment was updated annually, b. a PBJ report was sent quarterly, c. criminal activity was investigated and reported to the OSDH, and other required entities. d. in-service training was done monthly, and e. QAPI meetings were conducted quarterly. The DON identified 25 residents resided in the facility. Findings: Refer to tags F607, F609, F838, F851, F868, F940, and F944 for additional evidence. On 06/04/26 at 2:10 p.m., the administrator stated the incident which involved suspected drug use was not thoroughly investigated or reported to the OSDH. The administrator stated suspected illicit drug and criminal activity should have been reported to the police, the OSDH, and the nurse aide registry. They stated all in services should have an explanation summarizing the content of the meetings and CNAs should receive two hours of training each month on various topics. On 06/10/26 at 4:15 p.m., the administrator stated a new medical director was employed to start attending…

    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.

    Administration Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · F2026-06-10 · tag F0837 — widespread
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to have a licensed administrator. The DON identified 25 residents resided in the facility. Findings: An Oklahoma Employment Security Commission Employee Response Statement showed the last date of employment for the previous administrator was 04/17/25. The facility staff list showed the current administrator was hired 05/08/26. The facility was without an administrator for over 365 days. Refer to tags F607, F609, F838, F851, F868, F940, and F944 for additional evidence. On 06/10/26 at 3:30 p.m., the administrator was unable to locate a governing body policy for the facility.

    Administration Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · Dcited before2026-06-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure 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, record review and interview, the facility failed to maintain clean and sanitary equipment during 3 of 3 dining observations. The dietary manager identified 25 residents utilized the ice machine daily. Findings: On 06/01/26 at 9:45 a.m., the following observations were made for the ice machine in the dining room: a. there was a black slimy substance on the inside walls of the ice dispenser area, and b. a rectangular type, damp piece of wood that replaced the ice grate, had a black substance on the bottom side. On 06/02/26 at 11:45 a.m., the ice dispenser on the ice machine remained with a black slimy substance visible. An undated facility cleaning schedule for kitchen and dining room showed the ice machine was wiped down on Saturdays. On 06/01/26 at 10:00 a.m., the dietary manager stated they wiped down the outside of the ice machine on Saturday, 05/31/26. On 06/05/26 at 1:30 p.m., the administrator agreed the ice dispenser was unsanitary. On 06/06/26 at 1:32 p.m., the maintenance director stated a new ice dispenser has been ordered.

    Nutrition and Dietary Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · F2024-09-06 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to submit PBJ data to CMS for the second quarter of the fiscal year for 2024. The DON identified 29 residents resided in the facility. Findings The PBJ Staffing Data Report documented the facility failed to submit data for the second quarter of 2024 (January 1 - March 31). On 09/05/24 at 2:13 p.m., the DOO stated they were unable to submit staffing data to CMS due to technical issues.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-06 · tag F0698 — failed to provide proper dialysis care — pattern
    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: a. have a current contract with a dialysis provider, b. ensure ongoing communication with the dialysis provider, and c. conduct routine assessments before and after dialysis treatments for one (#14) of one sampled resident reviewed for dialysis. The DON identified one resident who received dialysis services. Findings: A facility policy titled End-Stage Renal Disease, Care of a Resident with, dated September 2010, documented the agreement between the facility and the contracted ESRD facility included all aspects of how the resident's care would be managed including how the care plan will be developed and implemented and how information will be exchanged between the facilities. Res #14 had diagnoses which included dependence on renal dialysis, end stage renal disease, and chronic kidney disease. A care plan, dated 11/09/23, documented the resident needed dialysis treatment related to a diagnosis of renal failure. It was documented staff were to encourage the resident to attend scheduled dialysis appointments. It was…

    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 · E2024-09-06 · tag F0730 — pattern
    Observe 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 aide competency reviews for two (CNA #3 and CNA #4) of two sampled employee files reviewed for annual competencies. The DON identified 29 residents resided in the facility. Findings: 1. An undated employee roster documented CNA #3 was hired on 09/20/18. There was no documentation an annual competency review was completed in 2023. 2. An undated employee roster documented CNA #4 was hired on 03/05/16. There was no documentation an annual competency review was completed in 2024. On 09/05/24 at 11:50 a.m., the DON was asked to provide documentation annual competencies were completed for CNA #3 and CNA #4. They stated they had no documentation an annual competency review was completed for CNA #3 in 2023. They stated an annual competency review had not been completed for CNA #4 in 2024.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-06 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure the kitchen and dining room were kept clean and maintained in good repair. The DON identifed 29 residents received services from the kitchen. Findings: On 09/03/24 at 11:03 a.m., a tour of the kitchen and the dining area was conducted. The following observations were made. a. there was brown water marks on the ceiling tiles, b. there was an accumulation of black and brown residue on the floor and the wall in the dish wash area, c. there was brown residue and/or rust on equipment in the dish wash area, d. the FRP board was not secure to the wall below the three compartment sink, e. the base board was missing off of the wall behind the cook line, f. there was an accumulation of food and grease on the floor and the wall behind the cook line, g. three of three gaskets were torn on the True three door reach in cooler, h. water was leaking from the pipe below the two compartment sink. There was standing water in the container below the sink, i. there was masking tape on the Formica counter near the two compartment sink, 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-06 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to clean the mechanical lift before or after each resident use and have a water management program to prevent Legionella. The DON identified 29 residents who resided in the facility. Findings: An undated facility policy titled Lifting Machine, Using a Mechanical documented to disinfect lift surfaces. On 09/03/24 at 12:33 p.m., CNA #1 was observed transferring Resident #4 to their bed with the use of a mechanical lift. The CNA did not clean the lift prior to transferring the resident or after the resident transfer. On 09/04/24 at 1:53 p.m., CNA #1 stated lifts were cleaned weekly by maintenance. They stated the CNAs did not clean the lifts. On 09/05/24 at 8:41 a.m., the DON stated lifts should be cleaned after each resident use. On 09/05/24 at 3:02 p.m., the administrator and the DON stated there was no policy or plan for Legionella.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-06 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — the official record, unedited, 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 baseline care plan was developed within 48 hours of admission for one (#7) of 14 sampled residents reviewed for care plans. The DON identified 29 residents resided in the facility. Findings: Res #7 was admitted to the facility on [DATE] with diagnoses which included COPD, Alzheimer's disease, unspecified dementia, anxiety, depression, chronic pain syndrome, and hypotension. There was no documentation a baseline care plan was developed. On 09/06/24 at 9:41 a.m., the DON was asked if a baseline care plan was developed for the resident when they were admitted on [DATE]. On 09/06/24 at 9:43 a.m., the DON stated a baseline care plan was not completed when the resident was admitted to the facility on [DATE]. They stated it should have been developed within 48 hours.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a resident had a physician order for O2 therapy for one (#8) of one sampled resident reviewed for respiratory care. The DON identified 16 residents who had orders for O2. Findings: Res #8 had diagnosis which included COPD. On 09/03/24 at 12:55 p.m., the resident was observed with O2 in place. The setting on the O2 concentrator was 2 1/2 LPM. There was no documentation the resident had a physician order for O2 therapy. On 09/03/24 at 1:04 p.m., LPN #1 was asked if the resident had an order to receive O2 therapy. They stated they only had orders to monitor O2 saturation. They were made aware of the observation.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-09-06 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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 assess and monitor a resident for the use of bed rails for one (#4) of one sampled resident reviewed for bed rails. The DON identified 11 residents who had bed rails. Findings: An undated facility policy titled Bed Safety and Bed Rails documented the use of bed rails was prohibited unless the criteria for use of bed rails had been met. It was documented maintenance staff were to routinely inspect all beds and related equipment to identify risks and problems including potential entrapment risks. Res #4 had diagnoses which included bipolar disorder, chronic pain, and acquired absence of right leg above the knee. The quarterly assessment, dated 06/04/24, documented the resident was severely impaired for daily decision making and was dependent for most ADLs. It was documented the resident did not use bed rails. On 09/03/24 at 12:33 p.m., staff was observed transferring the resident to bed. The resident was positioned for comfort and staff raised the bed rails on both sides of the bed before exiting the room. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-10 · 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 residents were offered the choice to formulate advance directives for 11 (#4, 8, 13, 14, 16, 17, 21, 25, 27, 30 and #134) of 11 sampled residents reviewed for advance directives. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 29 residents resided in the facility. Findings: The Advance Directive policy, revised 12/2016, read in part, .Advance directives will be respected in accordance with state law and facility policy .Upon admission, the resident will be provided with written information concerning the right .to formulate an advance directive if he or she chooses to do so . 1. Res #4 was admitted to the facility on [DATE] with diagnoses which included chronic kidney disease, COPD, and heart failure. There was no documentation the resident and/or their representative was offered the choice to formulate an advance directive. 2. Res #8 was re-admitted to the facility on [DATE] with diagnoses which included…

    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
  • Potential for harm · E2023-08-10 · tag F0582 — pattern
    Give 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 three (#4, 14, and #135) of three residents reviewed for beneficiary notices. The Beneficiary Notice worksheet identified 15 residents who were discharged from Part A skilled services with benefit days remaining in the previous six months. Findings: 1. Res #4 was admitted to Part A skilled services on 02/06/23, discharged from skilled services on 03/24/23, and remained in the facility. 2. Res #14 was admitted to Part A skilled services on 03/22/23, discharged from skilled services on 04/29/23, and remained in the facility. 3. Res #135 was admitted to Part A skilled services on 03/02/23, discharged from skilled services on 05/02/23, and returned home. On 08/09/23 at 10:00 a.m., the MDS coordinator was asked to provide documentation that ABN and/or NOMNC notices were provided upon discharge from skilled services. On 08/09/23 at 10:48 a.m., the MDS coordinator stated the ABN and/or NOMNC…

    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
  • Potential for harm · E2023-08-10 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure nurse staffing information was posted on a daily basis in a prominent place readily accessible to residents and visitors. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 29 residents resided in the facility. Findings: On 08/08/23 at 10:00 a.m., a tour of the facility was conducted. There was no nurse staffing information posted. On 08/08/23 at 3:18 p.m., a tour of the facility was conducted. There was no nurse staffing information posted. On 08/09/23 at 9:50 a.m., a tour of the facility was conducted. There was no nurse staffing information posted. On 08/09/23 at 2:05 p.m., the DON was asked where nurse staffing information was posted. They stated it was posted on the white board next to the employee break room. They were shown where the nurse staffing information was not posted and they were made aware the nurse staffing information was not posted on 08/08/23. They stated staff should be posting the nurse staffing information.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-10 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 resident medications were administered according to physician ordered parameters and per best standard practices for three (#6, 21, and #30) of five sampled residents reviewed for unnecessary medications. The DON identified four residents who received digoxin and five residents who received sliding scale insulin. Findings: 1. Res #30 had diagnoses which included chronic systolic heart failure and chronic atrial fibrillation. An Adverse Consequences and Medication Errors policy, revised April 2014, documented residents receiving any medication that has the potential for an adverse consequence will be monitored to ensure that any such consequences are promptly identified and reported. The staff and practitioner shall strive to minimize adverse consequences by following relevant clinical guidelines and manufacturer's specifications for use, dose, administration, duration, and monitoring of the medication. A Digoxin Nursing Implications and Patient Teachings report, dated 02/01/22, documented not to administer digoxin…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure the kitchen and dining area was kept clean and maintained in good repair. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 29 residents resided in the facility. Findings: On 08/08/23 at 9:49 a.m., a tour of the kitchen and dining area was conducted. The following observations were made: a. end caps were missing off of the ceiling lights in the dry storage room, b. there were brown water marks on the ceiling tiles, c. base boards were missing, d. there was accumulation of black and brown residue on the floor and the walls, e. the brick wall behind the dish machine was not sealed, f. there was an accumulation of food debris and black residue on cold hold units, storage racks, sinks, the stove, dish machine, and steam table, g. there was black duct tape on the casing around the ice shoot located on the self dispensing ice machine, and h. there was brown residue on the inside area of the ice shoot located on the self dispensing ice machine. On 08/08/23 at 10:13 a.m., the CDM was asked how…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-10 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 accurate coding of MDS assessments for anticoagulant use for two (#3 and #14) of two sampled residents whose MDS assessments were reviewed. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 29 residents resided in the facility. Findings: 1. Res #14 had diagnoses which included benign neoplasm of the bladder. A physician order, dated 06/16/23, documented clopidogrel bisulfate (an platelet inhibitor) 75 mg give one tablet by mouth in the morning. An admission assessment, dated 06/27/23, documented the resident received an anticoagulant in the past seven days. On 08/09/23 at 1:48 p.m., MDS coordinator #1 was asked to review the resident's physician order and admission assessment for the use of an anticoagulant. They stated they coded clopidogrel bisulfate as an anticoagulant and they know now it is an platelet inhibitor. They stated the use of an anticoagulant on the admission assessment should not have been coded.2. Res #3 had diagnoses which included diabetes mellitus, cerebral…

    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 · D2023-08-10 · 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 observation, record review, and interview, the facility failed to update the care plan related to significant weight loss for one (#2) of one resident whose care plan was reviewed. The Resident Census and Conditions of Residents documented three residents with unplanned significant weight loss/gain. Findings: Res #2 had diagnoses which included altered mental status, bipolar disorder, gastroesophageal reflux disease, and hypokalemia. A care plan, revised 08/23/16, documented Res #2 had an alteration in nutrition related to hypokalemia and gastroesophageal reflux disease. The care plan documented the resident would receive adequate nutrition and not exhibit a significant weight change. A physician order, dated 12/16/22, documented to provide a house supplement in the morning with breakfast. A physician order, dated 04/01/23, documented to administer Megace 40 mg twice daily for appetite stimulant. The clinical record documented Res #2 had a body weight loss of 14.7 lbs or 9.15% from February 2023 until May 2023. A quarterly assessment, dated 05/31/23, documented the resident…

    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 · E2022-08-25 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure residents were offered a pneumococcal immunization for four (#14, 15, 16, #25) of five residents reviewed for immunizations. The Resident Census and Conditions of Residents form, dated 08/23/22, documented 35 residents resided in the facility. Findings: No documentation was available to show residents (#14, 15, 16, #25) had been offered and educated on the pneumococcal immunization. On 08/25/22 at 9:45 a.m., the Infection Preventionist (IP) reported the pneumococcal immunization had not been offered to residents admitted to the facility by previous staff. At 12:15 p.m., the IP and the Director of Nurses reported the facility did not have a policy or consent/education form for the pneumococcal immunization.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-25 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure 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 the ice machine was clean and sanitary. The Resident Census and Conditions of Residents form, dated 08-23-22, documented 35 residents resided in the facility. The ice machine cleaning log documented the last cleaning was conducted on 07/31/22. On 08/24/22 at 11:24 a.m., the facility ice machine dispenser was checked on the inside for cleanliness with a gloved hand. The inside of the dispenser was wiped with the glove and had black slimly residue present. At 11:30 a.m., the dietary manager reported the ice machine was cleaned monthly on the weekend and the inside of the dispenser should be included in the cleaning. The Dietary Manager was shown the black, slimy residue, and agreed the dispenser needed to be cleaned and sanitized. The Dietary Manager reported the ice machine would be cleaned today, and would make sure dietary staff sanitized the inside of the dispenser with each months cleaning.

    Nutrition and Dietary 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$16,355 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $16,355 — penalty dated 2026-06-10
  • Medicare payment denial — starting 2024-12-06 for 42 days

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.

Who owns this facility

Owner / managerTypeRoleShareSince
ALLEN, JANETIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER11%since 01/16/2013
BRUNT, ACIEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER33%since 01/16/2013
SHROPSHIRE, PAMELAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE17%since 10/01/2010
STEPHENS, JOHNNAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST17%since 10/28/2015
BRUNT, SHARIIndividualW-2 MANAGING EMPLOYEEsince 07/19/2016
CHOCKPOYAH, SERETTAIndividualW-2 MANAGING EMPLOYEEsince 07/19/2016

CMS files one row per role, so the 12 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$2.8M
Net patient revenuemost recent cost report
-11.0%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 81%Medicare 11%Other / private 7%

About 81% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$278per resident / day
operating cost
$8,457per month
≈ monthly operating cost
$251per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Oklahoma
$7,026/mo
Nursing home (semi-private)
$7,756/mo
Nursing home (private)
$6,150/mo
Assisted living

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 375541. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-06, 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.

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