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Greenbrier Village Health and Rehabilitation

1119 East Owen K Garriott Road, Enid, OK 73701 · For profit - Corporation · 150 certified beds · (580) 233-0121 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0605, F0610) — most recent Jul 20251 immediate-jeopardy citation$14,819 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0605, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,819 in federal fines (most recent 2023-10-23)
  • 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)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
915 E Owen K Garriott Rd · (877) 576-8291 · Call to confirm hours
Pharmacy
1119A E Owen K Garriott · (580) 242-5252 · Call to confirm hours
Grocery
917 E Broadway Ave · (580) 234-0303 · Call to confirm hours
Park
1202 S 10th St · (580) 234-0400 · Typically dawn to dusk
Place of worship
1214 E Owen K Garriott Rd · (580) 242-0190

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 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.

Overall rating2★
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 increased16.2%13.6%15.4%typical
Long-stay residents who lose too much weight3.1%3.3%5.4%better
Long-stay residents with a catheter left in their bladder1.4%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection10.9%2.8%2.0%worse
Long-stay residents with depressive symptoms2.5%3.4%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.6%4.7%3.3%typical
Long-stay residents whose ability to walk worsened18.0%13.7%16.1%worse
Long-stay residents on antianxiety or hypnotic medication35.4%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine98.8%94.6%95.3%typical
Long-stay residents with pressure ulcers1.5%4.7%4.7%better
Long-stay residents with worsening bladder/bowel control18.8%17.1%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table22.8%17.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication4.5%1.8%1.4%worse
Short-stay residents given the seasonal flu vaccine90.3%74.1%79.4%better
Short-stay residents rehospitalized after admission17.2%27.3%22.6%better
Short-stay residents with an outpatient ER visit13.2%16.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.992.311.67worse
Long-stay outpatient ER visits per 1,000 resident days2.112.961.80worse

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.

50.1% 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 250 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.1%U.S. median 51.5%
Got home and stayed home
8.5%U.S. median 10.7%
Went back to hospital
54.0%U.S. median 56.6%
Met the expected recovery

Met the expected recovery: 54.0% 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 126 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.

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 SNF50.1%CMS range 42.8–54.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.5%CMS range 6.0–10.710.7%Oct 2022–Sep 2024better than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge54.0%56.6%Oct 2024–Sep 2025CMS 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 discharge47.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge30.2%50.0%Oct 2024–Sep 2025CMS 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 identified99.4%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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay1.1%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 worsened1.7%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 hospitalization7.7%CMS range 4.8–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 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. 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

6
deficiencies at the latest standard inspection (2025-07-03)
4
at the previous standard inspection (2024-03-29)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

  • Immediate jeopardy · K2023-02-10 · tag F0678 — failed to provide CPR when needed — pattern
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facilities failure to ensure Resident #100 received CPR; the facility failed to ensure a systemic approach was used to determine what a resident's code status was for four (#60, 75, 89 and #95) of four sampled residents. Resident #100 had a physician's order for CPR/full code on [DATE], no DNR was in place. On [DATE] at 9:48 p.m. Resident #100 presented with a cough. 22 minutes later at 10:10 p.m. per a late entry nurses note at 11:45p.m. Resident #100 was found with pupils fixed and dilated. The physician was notified at 10:15 p.m. and there was no documentation that CPR had been initiated. A physician's death note, dated [DATE] documented LPN #3 had seen Resident #100 approximately 30 minutes prior to 10:10 p.m. On [DATE] at 6:40 a.m., LPN #3 who found the resident at 10:10 p.m., stated CPR had not been provided. LPN #3 stated if CPR had been started it would have been documented. She stated there have been times when they…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-25 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 notify a family member of a resident's fall for 1 (#107) of 3 sampled residents reviewed for notification of falls. The DON identified 99 residents resided at the facility. Findings: A policy titled Change in a Resident's Condition or Status, dated 12/2025, read in part, A nurse will notify the resident's representative when the resident is involved in any accident or incident that results in an injury. A comprehensive admission assessment for Resident #7, dated 02/03/26, showed the resident was admitted on [DATE] for therapy services. A facility incident report, dated 02/12/26, showed Resident #107 fell on [DATE] at 4:27 p.m., obtained a large bruise, and a laceration which measured 1.75 cm over their right eye. There was no documentation Resident #107's family was informed until 02/13/26. On 06/24/26 at 10:23 a.m., a family member of Resident #107 stated they came to the facility on [DATE] at approximately 1:00 p.m., to visit Resident #107 when they…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed ensure 2 staff members were utilized to transfer a resident with a mechanical lift placing the resident at risk for falls for 1 (#65) of 5 sampled residents reviewed for falls. The DON identified 27 residents required the use of a mechanical lift for transfers.Findings: On 06/23/26 at 7:35 p.m., Resident #65 was observed sitting in a geriatric chair in the common area between the [NAME] and [NAME] halls. On 06/23/26 at 7:51 p.m., CNA #2 was observed to walk out of Resident #65's room with the mechanical lift. CNA #2 was observed to have been in the room alone and had transferred Resident #65 to the bed from their geriatric chair. A Using a Mechanical Lifting Machine policy, dated 07/01/17, read in part, At least two nursing assistants are needed to safely move a resident with a mechanical lift. A care plan intervention for Resident #65, dated 02/15/26, read in part, Per physical therapy for safety, the resident is only to be transferred…

    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 no plan of correction
  • Potential for harm · F2025-07-03 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours seven days per week.The administrator identified 81 residents resided in the facility.Findings:A PBJ [Payroll Based Journal] Staffing Data Report, dated 01/01/25 through 03/31/25, showed no RN hours on 03/30/25. A Timecard Report, dated 03/30/25, did not show RN coverage for eight consecutive hours.A Timecard Report, dated 06/01/25 through 06/30/25, did not show RN coverage for eight consecutive hours on 06/07/25.On 07/03/25 at 9:49 a.m., the administrator stated they had an RN scheduled for the dates above, but they called in. The administrator stated they replaced the RN with a license practical nurse.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-03 · tag F0605 — failed to not use drugs as a restraint — pattern
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure:a. ongoing side effects and behavior monitoring were completed for residents on psychotropic medications for 4 (#2, 9, 26, and #28); andb. a PRN order for psychotropic medication was limited to 14 days for 2 (#9 and #28) of 4 sampled residents reviewed for unnecessary medication review.The administrator identified 62 residents received psychotropic medications resided in the facility.Findings:An undated facility policy Behavior and Psychotropic Drug Use, read in part, Anytime PRN antianxiety medication is given, Nurses Note must be placed in [system name withheld] under behavior Note. Medication follow up. All behaviors will be documented in a behavior note .Behaviors will be monitored by charge nurse and documented in [system name withheld] by exception under behavior notes .Physician evaluation to be completed every 14 days for any PRN psychotropic medications .Ongoing monitoring is essential to evaluate the effectiveness of the medication,…

    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 date of correction
  • Potential for harm · E2025-07-03 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure all components of the daily staffing information was posted and was readily accessible to residents and visitors for 1 of 1 observation. The administrator identified 81 residents resided in the facility. Findings: On 07/02/25 at 10:30 a.m., a staff roster with unit name, staff names, a date of 07/02/25, and shift schedule was on a clip board at the nurse's station on the skilled unit. There was no posted staffing with all required components on the skilled unit. On 07/02/25 at 10:49 a.m., there was a white board with the name [NAME] and [NAME] (halls) and it showed names of staff, and a date of 07/02/25. The whiteboard did not have all the required components of the posted staffing. On 07/02/25 at 10:54 a.m., the [NAME] hall had a whiteboard with staff names and titles. The whiteboard did not have all the required components of the posted staffing. On 07/02/25 at 11:16 a.m., the administrator and assistant administrator observed [NAME] hall,…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-03 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure:a. EBP was followed during wound care observation for 1 (#13) of 2 sampled residents reviewed for pressure ulcers; b. dryer lint compartments were clean and free of excess lint for potential prevention of thorough drying and fire hazard observed during infection control observation of laundry room; andc. contact isolation procedure was followed during the provision of incontinent care for 1 (#32) of 3 sampled residents reviewed for incontinent care.The administrator identified 81 residents resided in the facility.Findings:1. On 07/01/25 at 10:44 a.m., the wound care nurse entered Resident #13's room to perform sacrum wound care treatment. They donned gloves. CNA #1 was in the resident's room. They had on gloves. On 07/01/25 at 10:55 a.m., the wound care nurse completed Resident #13's sacrum wound care and skin treatment with the assistance of CNA #1. The wound care nurse and CNA #1 did not have on gowns during the wound care 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a PASARR level 1 was completed after a new mental health diagnosis for 1 (#9) of 5 sampled residents reviewed for PASARRs.The administrator identified 81 residents resided in the facility.Findings:A PASSAR Level 1, dated 06/15/21, showed Resident #9 had a primary diagnosis of cerebrovascular accident due to thrombosis and a secondary diagnosis of dementia without behaviors. A Behavior Note, dated 08/31/21, read in part, CNA told this nurse that resident was not acting [their] usual self et attempting to get out of bed by [themselves]. This nurse went to resident to assess et speak with [them] on how [they] was feeling. Resident responding with verbal aggression, body language very tensed as if [they] was going to hit this nurse. Resident demanded to get up, explained the use of hoyer lift to [them] et asked if we could assist [them] with the hoyer lift. Resident agreed. Hoyer brought into room et when res saw sling [they] became very aggressive,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 documentation of a diagnosis on a PASARR form for a mental health illness for 1 (#73) of 2 sampled residents reviewed for the need of a level II screening. The administrator identified 81 residents resided at the facility. Findings: An undated policy titled Policy for completion of PASRR's, read in part, Evaluate residents/patient prior to admission to facility. Attempt to get good history and physical, including mental health history as well as any intellectual disabilities.Contact OHCA (LOCEU) if person coming to your facility with known intellectual disabilities or evidence or diagnosis of severe mental illness. A review of Resident #73's PASARR, dated 06/06/25, showed question #2 marked No for diagnosis of a serious mental illness for schizophrenic, paranoid, panic, mood or other severe anxiety or depressive disorder, somatoform disorder, personality disorder, or other psychotic disorder, or other mental disorder that may lead to a chronic disability. A review of the diagnosis list per electronic…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-08 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to notify a resident's responsible party when the resident had a fall for one (#1) of three sampled resident reviewed for falls. The Administrator identified 80 residents resided in the facility. Findings: A Doctor Calls form, undated, read in part, Assess residents for change in condition, disease processes, notify physicians and family. Resident #1 had diagnosis which included arterial fibrillation, acute respiratory infection, congestive heart failure. A progress note, dated 06/02/24 at 1:30 p.m., documented Resident #1 was on the floor in room, on their side with a skin tear to right elbow. The note did not document if the resident's representative was notified of the fall. On 10/08/24 at 10:33 a.m. The DON stated They stated they had reviewed Resident #1's progress note from 06/02/24 and did not find documentation anyone at the facility had notified the emergency contacts listed in Resdient #1's chart. On 10/08/24 at 11:21 a.m., LPN #1 was asked the policy for contacting family and/or resident representative for change…

    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 · Dcited before2024-03-29 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure that the family was notified for one (#68) of one sampled residents who was sent out of the facility for a procedure. The DON stated 81 residents resided in the facility. Findings: An undated Physicians Appointments policy read in part .2. When a resident has a follow up or routine physician appointment always notify the family and arrange for transportation with the family, ie, personal car, Transfer, Senior Citizens . On 03/27/24 at 1:21 p.m., a nursing note, dated 01/26/24, read in part .resident #65 was sent out for a procedure. On 03/28/24 at 9:57 a.m., the DON reported that there is no documentation of family being notified when resident #65 was sent out for procedure. On 03/27/24 at 10:49 a.m., the LPN #1, stated the nursing notes do not show the family for resident #65 was notified.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · D2024-03-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to carry out activities of daily living for personal care and linen change for one (#68) of two sampled resident who was reviewed for adl care. The DON stated that 81 residents resided in the facilty. Findings: The Resident Care Services policy, read in part .II. Personal care included but not limited to: a. Keeping residents clean and free of odor. b. keeping residents bed linens clean and dry. Resident had a diagnosis of Parkinson's. On 03/27/24 at 8:56 a.m., Resident #68 was observed sitting in bed with pungent urine smell and yellow urine stains in bed linen. On 03/27/24 at 8:57 a.m., Resident #68 stated they want the bed linens changed and they wanted to take an shower. On 03/27/24 at 8:58 a.m. stated CNA #1 stated it appears that resident #68 linens need changed.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-29 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to obtain a physicians order for medication administered for one (#68) of #5 residents reviewed for medication administration. The [NAME] stated 81 residents resided in the facility. Findings: An Evaluations & Orders, undated, read in part, .Contact physician for order. If physician=s [sic] is indicated notify Dr. and follow through as with all Drs. Orders . Resident #68 had diagnoses which included atrial fibrillation and anemia. A Nurse Note, dated 03/26/24 at 4:36 p.m., read in part, .72 hour documentation continues for fall with neuro checks and fall with skin tear .large skin tears to underside of left forearm .TAO applie with telfa and roll gauze . On 03/27/24 at 10:15 a.m., Resident #68's physician orders were reviewed, there was no documentation of an order for the TAO. On 03/27/24 at 12:56 p.m., the DON stated there was not an order for TAO. On 03/27/24 at 1:00 p.m., the DON stated the facility had to have an order for any medication used.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-29 · tag F0948 — isolated
    Ensure that paid feeding assistants have the training they need.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure one (#8) of one employee reviewed for feeding assistant training had been trained. The [NAME] identified 11 residents required verbal cues, limited assistance, or total assistance with eating in the facility. Findings: A Rose Garden Cafe Policy and Procedure, undated, read in part, .Make sure residents are fed properly by either nursing staff, those trained to feed, or family members . Resident #8 had diagnosis which included Gerd. A Physician's Diet Order, dated 09/29/23, documented regular as tolerated texture, regular consistency for prophylaxis. A tray card, undated, utilized by the staff, documented diet as tolerated (puree). On 03/27/24 at 8:13 a.m., the Business Office Manager was observed to be feeding resident #8. On 03/27/24 at 9:49 a.m., CNA #4 stated Resident #8 had a puree diet with regular liquids. An Oklahoma State Department of Health feeding assistant certification documented the Business Office Managers certification had expired on 03/31/15. On 03/27/24 at 12:41 a.m., the DON 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-10 · tag F0604 — failed to not use physical restraints improperly — pattern
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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. Ensure residents were free from the use of restraints without medical symptoms and free from restraint use for staff convenience; B. Implement a gradual process to reduce restraints; C. Conduct re-evaluation of restraints in use; D. Ensure a physician order was in place; and restraint was care planned for three (#29, 80, and #154) of six sampled residents reviewed for restraints. The DON identified 21 residents with personal alarms and two residents with restraints. Findings: The Policy for Side Rails, undated, read in parts, .Full Side Rails when used for the purpose of keeping resident from getting out of bed and the resident wants to get out of the bed the side rails meet the definition of physical restraints . 1. Facility staff must assess the resident . 2. Inform resident/representative of risk involved. 3. Discuss alternative individual care practices that may be safer and appropriate for that resident. 4. If the resident/representative wants side rails to keep resident from getting out of bed the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-10 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to have an effective quality assessment an assurance program (QAA) in place to identify problems and develop and implement plans of action to correct quality deficiencies. The Resident Census and Conditions of Residents report, dated [DATE], documented 96 residents resided in the facility. Findings: 1. The facility failed to ensure residents were free from the use of restraints. 2. The facility failed to ensure an allegation of abuse had been thoroughly investigated and resident had been protected from further abuse. 3. The facility failed to ensure a resident's code status was followed and was provided CPR. The facility failed to have protocol and policies in place for identifying code status. This resulted in an immediate jeopardy situation. On [DATE] at 6:25 p.m., the facility had not QAA/QAPI documentation for review. On [DATE] at 6:26 p.m., the administrator and the DON were asked if the QAA committee was aware of the concerns of code…

    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 date of correction
  • Potential for harm · D2023-02-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond 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 an allegation of abuse had been thoroughly investigated and residents had been protected from further abuse for one (#47) of one sampled resident reviewed for an allegation of abuse. The Resident Census and Conditions of Residents report, dated 02/01/23, documented 96 residents resided in the facility. Findings: A Resident Abuse/Neglect/Misappropriation of Property and Involuntary Seclusion policy, undated, read in parts, ' .This policy concerns every employee working for Greenbrier Village. All employees, volunteers, residents, resident family members and visitors by law are to report abuse, neglect .Each resident has the right to be free from abuse .Residents must not be subjected to abuse by anyone .The investigation of abuse/neglect .will have a resident center focus. All suspected abuse, neglect .will be reported to your immediate supervisor and the administrator immediately upon knowledge of such occurrence .When abuse, neglect .of a resident is .suspected, the key is immediate intervention and reporting .A…

    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 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

$14,819 in federal fines across 5 penalties.

  • $3,176 — penalty dated 2023-10-23
  • $2,823 — penalty dated 2023-10-17
  • $2,470 — penalty dated 2023-10-10
  • $2,117 — penalty dated 2023-10-02
  • $4,233 — penalty dated 2023-09-11

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 / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

$11.6M
Net patient revenuemost recent cost report
+0.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 57%Medicare 20%Other / private 23%

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

$351per resident / day
operating cost
$10,675per month
≈ monthly operating cost
$352per 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 375353. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-03, 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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