Claremore Skilled Nursing and Therapy
920 East 16Th Street, Claremore, OK 74017 · For profit - Partnership · 118 certified beds · (405) 943-6444 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0565)
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (67%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.0% | 13.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.4% | 3.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.7% | 2.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 3.4% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 14.4% | 4.7% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 16.0% | 13.7% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 28.0% | 25.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.6% | 94.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.4% | 4.7% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 13.2% | 17.1% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.8% | 17.5% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.8% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 95.9% | 74.1% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 44.0% | 27.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 25.0% | 16.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 3.30 | 2.31 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 6.06 | 2.96 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
54.3% 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 117 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 67.2% 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 58 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 28% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 54.3%CMS range 47.3–63.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.5%CMS range 6.1–13.5 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 67.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 56.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 48.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.5%CMS range 4.4–11.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.08 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 118 beds and averages 85.5 residents a day — about 72% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 3.27 hrs/resident/day on weekends vs 3.31 on weekdays — 1% thinner on weekends. RN hours go from 0.27 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 67% is well above the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
16 citations, most serious first. The 11 most serious are shown; the remaining 5 are one tap away and print in full.
- Actual harm · G2025-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
On 06/11/25, a past non-compliance situation was determined to exist related to the facility's failure to ensure staff provided supervision to prevent falls from lifts. A facility reported incident, dated 03/26/25, showed Resident #2 fell while being transferred by CNA #4 using a lift. 1. Immediate Action Taken: a. A quality assurance meeting was held to initiate a plan of action. b. all lifts and slings were inspected for wear and tear. 2. Systemic Changes Implemented: a. a schedule of inspection for slings and lifts to ensure all are in good working order. 3. Education and Training: a. All direct care staff were educated on safe use of lifts and slings. An initial incident report, dated 06/03/25, showed certain injuries for Resident #1 as a result of a sling failing during a transfer. 1. Immediate Action Taken: a. A quality assurance meeting was held to initiate a plan of action. b. Inspect all slings b. Discard all old slings and order new slings. 2. Systemic Changes Implemented: a. Method of laundering slings was changed to prevent excess wear by drying. 3. Education and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-03-04 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to respond to concerns and recommendations of the resident council.The administrator identified 87 residents who resided at the facility.Findings: A Resident Council Response Form, dated 01/08/26, showed: a. concerns from the resident council regarding the nursing department, including slow call light response. The form directs the department head to respond in writing to the council by 01/22/26. The form does not show a written response from the DON;b. concerns from the resident council regarding the dietary department, including wanting fresh fruit and a varied menu. The form directs the department head to respond in writing to the council by 01/22/26. The form does not show a written response from the dietary department; andc. concerns from the resident council regarding the housekeeping department, including wanting labels for clothes. The form directs the department head to respond in writing to the council by 01/22/26. The form does not show a written response from the housekeeping department.A Resident Council Response…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-03-04 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
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 bathing was provided according to the plan of care for 3 (#9, 11, and #74) of 3 sampled residents reviewed for ADL care.The administrator reported 87 residents who resided in the facility.Findings:1. An admission assessment, dated 12/10/25, showed Res #9 had a BIMS score of 15, which indicated intact cognition. The assessment also showed Res #9 required substantial/maximal assistance with bathing.A care plan, reviewed 12/16/25, showed Res #9 required substantial staff assistance with bathing and was dependent on staff to transfer to the shower.The task portion of Res #9's EHR showed the resident was to receive showers on Monday and Thursday. The EHR also showed that Res #9 had received a shower on 02/17/26. The EHR did not show Res #9 was given a shower on 02/02/26, 02/05/26, 02/09/26, 02/12/26, 02/19/26, 02/23/26 or 02/26/26. Res #9 received one shower out of eight opportunities for February 2026.Additional documentation of showers for Res #9 was requested, but none was provided by the end of the survey.On 03/03/26…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-03-04 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 sufficient staff to meet the needs of the residents for 3 (#9, 11, and #74) of 3 sampled residents reviewed for ADL care.The administrator reported 87 residents who resided in the facility.Findings:1. An admission record, dated 07/25/24, showed Res #9 had diagnoses which included respiratory failure and chronic kidney disease.An admission assessment, dated 12/10/25, showed Res #9 had a BIMS score of 15, which indicated intact cognition. The assessment also showed Res #9 required substantial/maximal assistance with bathing.A care plan, reviewed 12/16/25, showed Res #9 required substantial staff assistance with bathing and was dependent on staff to transfer to the shower.The task portion of Res #9's EHR showed the resident was to receive showers on Monday and Thursday. The EHR also showed that Res #9 had received a shower on 02/17/25. The shower on 02/17/25 was the only shower documented between 02/01/26 and 03/03/26.On 03/03/26 at 1:45 p.m., CNA #4 stated on 03/02/26 they were responsible to give Res #9 a bath, 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.
- Potential for harm · E2026-03-04 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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, record review, and interview, the facility failed to ensure staff: a. served food in a manner to reduce the risk of cross contamination; b. kept the kitchen clean; c. wore hair and beard restraints when in the food preparation area; and d. discarded leftover food per facility policy during 1 of 2 kitchen observations. The dietary manager identified 87 residents received meals prepared by the kitchen. Findings: On 03/01/26 at 10:14 a.m., dietary aide #1 was observed standing by the stove in the kitchen. Dietary aide #1 had a beard and was not wearing a hair restraint or a beard guard. On 03/01/26 at 10:17 a.m., the deep fryer was observed to have dark grease and food particles floating in the grease and piled on the outer edges. On 03/01/26 at 10:22 a.m., a steam table pan labeled sausage was observed in the refrigerator and dated 02/26. On 03/01/26 at 10:28 a.m., there was a thick black substance observed around the wheels of the oven, and a brown substance had dripped down the outside of the stove. A tater tot was observed under the stove. A facility policy…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-04 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure quarterly care plan meetings were held for 1 (#1) of 17 sampled residents reviewed for care plans.The administrator identified 87 residents residing in the facility findings.Findings:An admission assessment, dated 07/03/25, showed Res #1 had been admitted to the facility on [DATE]. It further showed the resident had a BIMS score of 13 which indicated intact cognitive functioning.A review of Res #1's EHR showed a comprehensive care plan meeting had occurred on 07/11/25. No other care-plan meetings notes were found in the resident's EHR.On 03/01/26 at 11:36 a.m., Res #1 stated they did not recall attending any care plan meetings.On 03/03/26 at 10:34 a.m., MDS Coordinator #1 stated they were assigned to conduct the care plan meetings for the long-term care residents at the facility. They stated they had not known they were supposed to have quarterly care plan meetings with the residents or their representatives. They stated the only care plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-06-12 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
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 bathing was provided for 2 (#2 and #4) of 4 sampled residents who were reviewed for activities of daily living. The administrator identified 85 residents resided at the facility. Findings: 1. A significant change assessment for Resident #2, dated 04/03/25, showed Resident #2 had a BIMS of 7, which indicated they were moderately impaired for daily decision making. The assessment showed Resident #2 was dependent for showers. Task flow sheets for showers in April, May, and June of 2025 showed Resident #2 was to receive showers twice a week. The flow sheet for April 2025 showed one shower was given on 04/15/25 out of nine opportunities for showers. The flow sheet for May 2025 showed four showers were given on 05/07/25, 05/23/25, 05/28/25, and 05/30/25 out of nine opportunities in the month for showers. The flow sheet for June showed no showers had been given as of 06/10/25. On 06/10/25 at 12:38 p.m., Resident #2 stated they had only get one shower a week. 2. A quarterly assessment, dated 05/13/25, showed Resident #4 had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-12 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to thoroughly investigate an allegation of abuse for 1 (#3) of 3 sampled residents reviewed for abuse. The administrator identifed 85 residents resided in the facility. Findings: A undated facility policy titled Resident Abuse, Neglect and Misappropriation of Property, read in part, The administrator and or facility designee will report all allegations to the QAPI committee. The QA committee will monitor for compliance.A member of the administrative staff will then conduct a thorough investigation of the incident/allegation to obtain information about the incident and complete ODH-283 [Oklahoma Department of Health]. An undated Transfer/Discharge Report documented the resident had diagnoses which included major depressive disorder, chronic pain, anxiety disorder, and persistent mood disorders. A discharge return anticipated assessment, dated 12/01/24, did not show a BIMS for the resident. The assessment showed the resident was independent for daily decision making. An OSDH incident report, dated 12/17/24, showed an allegation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-06-28 · tag F0657 — failed to keep the care plan current — patternDevelop 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 two (#58 and #7) of two residents/representatives reviewed for care plans, were involved in the care planning process. The administrator identified 80 residents who resided at the facility. Findings: 1. Resident #58 admitted with diagnoses which included anxiety. On 06/25/24 at 8:32 a.m., Resident #58 stated they did not know when the care plan meetings were held. Review of progress notes revealed, no notes concerning care plan meetings. On 06/27/24 at 10:41 a.m., the MDS Coordinator stated they conducted the care plan meetings and invited the resident and resident representatives. They stated the invitations were not documented, however the representative for Resident #58 came. The MDS Coordinator stated they did not believe it was documented. On 06/27/24 at 10:59 a.m., the MDS Coordinator returned and stated they did not have anything the representative for Resident #58 had signed to indicate they had attended the care plan meeting. 2. Resident #7 was admitted with diagnoses which included hypertension,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-06-28 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
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 provide showers for four (Resident #7, 21, 33, and Resident #37) of four sampled residents whose clinical records were reviewed for ADL care to dependent residents. The facility Administrator identified 80 residents. Findings: A facility policy, effective date 10/01/01, documented showering was important because it rid the body of surface dirt, eliminated body odors, stimulated circulation, and provided an opportunity to inspect the resident's skin for any abnormalities or breakdown. A quality improvement report, dated 04/01/24, documented the facility identified showers as a problem and suggested they dedicate one to two staff to provide showers. 1. Resident #7 was admitted with diagnoses which included hypertension, depression, and over-active bladder. The care plan, revised 03/25/24, documented the resident required partial/moderate assistance with shower/bathing. The quarterly assessment, dated 06/07/24, documented the resident was mildly impaired in cognition and required partial/moderate assistance with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-06-28 · tag F0770 — failed to provide lab services — patternProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility failed to ensure lab work was completed as ordered for two (#39 and #33) of five residents reviewed for unnecessary medications. The administrator reported the census in the facility was 80. Findings: 1. Resident #39 had diagnoses which included diabetes mellitus and hypertension. A physician's order, dated 02/16/24, documented to repeat a lipid level in 3 months, April 2024. A review of Resident #39 records did not document a lipid level had been collected in April of 2024. On 06/27/24 at 2:40 pm, The ADON stated that the lab had not been completed in April of 2024. They also stated the lab had been completed on 06/27/24 and the results had been addressed by the physician. On 06/28/24 at 12:41 pm, The DON stated the ADON was responsible for ensuring lab work was completed as ordered. 2. Resident #33 had diagnoses which included atrial fibrillation and an unspecified coagulation defect. A laboratory report, dated 01.25.24, documented the resident had a critical low potassium level of 2.7 mEq/L (normal range 3.5-5.1 mEq/L). On the laboratory report was a hand written…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2024-06-28 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review, and interview, the facility failed to ensure the accuracy of an MDS assessment for one (#31) of five residents reviewed for MDS accuracy. The administrator reported the census was 80. Findings: Resident #31 had diagnoses including acute respiratory failure with hypoxia. A Medicare five-day assessment, dated 06/12/24, indicated the resident had required invasive mechanical ventilation while a resident at the facility. A review of Resident 31's orders did not document they had orders for a ventilator at the facility. On 06/27/24 at 2:19 pm, the DON stated they did not accept residents that required ventilators. On 06/27/24 at 2:30 pm, MDS coordinator #2 stated they had coded that Resident #31 required a ventilator because they required one before admission to the facility.
- Potential for harm · D2024-06-28 · tag F0655 — isolatedCreate 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
Based on record review and interview, the facility failed to ensure the resident and the resident's representative were given a summary of the baseline care plan for one (#7) of two residents whose baseline care plans were reviewed. The administrator reported the census was 80. Findings: 1. Resident #64 had diagnoses which included kidney failure and sleep apnea. On 06/25/24 at 9:23 a.m., Resident #7 stated they did not receive a summary of their baseline care plan. On 06/27/24 the Resident #7's clinical record was reviewed. There was no documentation of a baseline care plan. On 06/28/24 at 9:13 am MDS coordinator #1 stated that they did not give Resident #7 or their representative a copy of their baseline care plan because they were unaware that it was a requirement. On 06/28/24 at 12:41 pm, The DON stated that a summary of the baseline care plan should be given to all residents and their representatives.
- Potential for harm · D2024-06-28 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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 ensure appropriate communication between the facility and the dialysis provider for one (#16) of one resident reviewed for dialysis. The DON reported two residents received dialysis services. Findings: The Policy and Procedure Guidelines for Dialysis After Care policy, effective 07/11/12, read in part, .Schedule visits to dialysis center and coordinate care accordingly . A care plan intervention, revised on 05/15/24, documented to schedule dialysis every Monday, Wednesday, and Friday and to coordinate care with the dialysis center. A review of Resident #16's medical record did not document a Dialysis Communication Form had been completed for Resident #16 since 05/28/24. On 06/27/24 at 10:13 am, LPN #1 stated that until yesterday they were unaware that they were supposed to be filling out a Dialysis Communication Form and sending the form with the resident to the dialysis center. They also stated they had dropped the ball and from now on they would utilize the form. On 06/27/24 at 10:55 am, the DON stated the nurse on duty…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-12 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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 and staff were interviewed as part of a investigation into alleged abuse for one (#1) of four sampled resident reviewed for abuse. A Resident List Report, dated 06/12/24, documented 73 residents resided at the facility. Findings: A Resident Abuse, Neglect, and Misappropriation of Property policy, revised date 11/01/22, read in part, A member of the administrative staff will then conduct a thorough investigation of the incident/allegation to obtain information about the incident and complete ODH-283. An ODH-283, an incident reporting form, documented an allegation of abuse had been received by the DON on 05/24/24. The form documented an investigation had been conducted which included interviews with residents and staff. On 06/12/24 at 10:35 a.m., DON stated they could not recall if they had interviewed any residents about the alleged incident between CNA #1 and Resident #1. They stated they did not recall speaking to the nurse who worked the night of the alleged abuse about the incident itself. They 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.
- Potential for harm · Ecited before2023-04-20 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews, the facility failed to have sufficient staff to ensure residents received personal care and services in a timely manner for three (#17, 55, and #34) of three residents sampled for sufficient staffing. The Resident Census and Conditions of Residents report, dated 04/17/23, documented 74 residents resided in the facility. Findings: On 04/17/23 at 12:57 p.m., Resident #17 reported staff did not check on her regularly or at least every two hours. The resident reported she was not able to use her call light and sometimes when her daughter came to visit, the resident's brief would be full. The resident stated she felt the facility didn't have enough staff to check on residents as often as they should. On 04/17/23 at 3:07 p.m., Resident #55 reported the facility did not have enough staff and often worked with only two CNAs in the whole building. The resident stated she had complained and she was starting to see staff members coming out of the offices to assist on the floor. The resident stated she thought they had pulled nurses to 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.6 | -0.6 vs chain |
| Health inspection | 3 of 5 | 3.5 | -0.5 vs chain |
| Staffing | 2 of 5 | 3.4 | -1.4 vs chain |
| Quality measures | 3 of 5 | 3.0 | ≈ chain avg |
The other 32 homes this chain runs (chain average 3.6★, per CMS)
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
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 12/31/2020 |
| DEROIN, KRISTY | Individual | W-2 MANAGING EMPLOYEE | — | since 09/16/2015 |
| COBLE, WILLIAM | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 12/31/2020 |
| BRIDGES ESOP, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/31/2020 |
CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.
2 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.
This home reported $599K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OK
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375375. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-04, 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.