Golden Age Nursing Home Of Guthrie, LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.2% 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 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.0% 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 75 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 125 beds and averages 108.9 residents a day — about 87% occupied, or roughly 16 beds typically open. It runs fairly full. 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 3.94 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 is at or above 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 3.46 hrs/resident/day on weekends vs 4.13 on weekdays — 16% thinner on weekends. RN hours go from 0.74 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

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

Inspection deficiencies

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

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · E2025-05-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure: a. a resident had a physician's order for oxygen administration for 1 (#98); and b. oxygen was administered as ordered for 1 (#11) of 2 sampled residents reviewed for respiratory services. The DON identified 28 residents received oxygen in the facility. Findings: 1. On 05/12/25 at 11:25 a.m., Resident #98 was observed to be on four liters of oxygen via nasal cannula. The oxygen tubing was dated 04/28. There was no documentation Resident #98 had an order for the use of oxygen. A policy titled Oxygen Administration, revised 10/10, read in part, Oxygen is administered under orders of physician, except in the case of resident with shortness of breath or respiratory distress, as needed. In such cases, oxygen is administered and orders for oxygen are obtained as soon as practicable. Resident #98's physician order report, dated 05/2025, showed the resident had diagnoses which included unspecified combined systolic and diastolic congestive heart failure and dementia. Resident #98's quarterly resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to prevent accidents for 1 (#54) of 3 residents sampled for accident hazards. The DON identified three residents ambulated with wheelchairs independently. Findings: On 05/13/25 at 9:00 a.m., Resident #54 was observed ambulating in a wheelchair. Resident #54's hands were observed to have bruising on their right and left knuckles and the back of their hands. A facility policy titled Accident and Incidents -Investigating and Reporting, dated 07/2017, read in part, All accidents or incidents involving residence, employees, visitors, vendors, etc. [et cetera], Occurring on premises shall be investigated and reported to the administrator.Incident/accident reports will be reviewed for trends related to accident or safety hazards in the facility and to analyze any individual resident vulnerabilities. Resident #54's admission record, dated 07/05/22, showed they were admitted with diagnoses which included edema, muscle weakness, and hyperlipidemia. Resident #54's care plan, dated 03/25/25, read in part, Approach: Xarelto…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-15 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management 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 a resident received pain medication in a timely manner for 1 (#315) of 2 sampled residents reviewed for pain management. The administrator identified 115 residents resided in the facility Findings: A policy titled Administering Pain Medications, revised 10/2022, read in part, Administer pain medications as ordered. Resident #315's medications administration history, dated 05/2025, showed the resident had diagnoses which included displaced intertrochanteric fracture of right femur, sequela and unspecified pain. Resident #315's physician's order, dated 05/05/25, showed tramadol (opioid pain medication) 50 mg oral, may take one tablet every four hours as needed by mouth for pain and diagnosis of displaced intertrochanteric fracture of right femur, sequela. A baseline care plan, dated 05/06/25, showed Resident #315's cognition was intact. Resident #315's medications administration history, dated 05/12/25, showed the resident received tramadol at 9:06 a.m. Resident #315's medications administration history, dated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-15 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to document side effect monitoring for the use of anticoagulants for 1 (#54) of 5 residents sampled for side effect monitoring of anticoagulants. The DON identified 22 residents were prescribed anticoagulants. Findings: On 05/13/25 at 9:00 a.m., Resident #54 was observed ambulating in a wheelchair. Resident #54's hands were observed to have bruising on their right and left knuckles and back of their hands. A facility policy titled High Risk Medications-Anticoagulants, read in part, The facility recognizes that some medication's, including anticoagulant, are associated with greater risk of adverse consequences than other medications.The residents plan of care shall alert staff to monitor for adverse consequences. Resident 54's admission record, dated 07/05/22, showed they were admitted with diagnoses which included edema, muscle weakness, and hyperlipidemia. Resident #54's TAR, dated 02/01/25 through 05/13/25, did not document bruising on the resident's hands related to side effect monitoring of anticoagulants…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-14 · 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 — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure incontinent care was provided to dependent residents at least every two hours for two (#4 and #5) of five dependent residents observed for receiving incontinent care. The DON identified 112 residents resided in the facility. Findings: 1. A Comprehensive Assessment for Resident #4, dated 06/10/24, documented they had impaired ROM to both lower extremities, was incontinent of bowel and bladder, and was dependent on staff for all ADL's. 2. A Comprehensive Assessment for Resident #5, dated 06/18/24, documented they had impaired ROM to both lower extremities, was incontinent of bowel and bladder, and was dependent on staff for all ADL's. On 08/13/24 at 11:30 a.m., Resident #4 and Resident #5 were observed in the facility dining room on the lower level. On 08/13/24 at 12:30 p.m., Residents #4 was escorted in their reclining geri-chair from the dining room to their room and placed beside their bed by CNA #1. On 08/13/24 at 1:12 p.m., Residents #5 was escorted in their reclining geri-chair from the dining room to their room…

  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 · D2024-02-07 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure an MDS was coded accurately for one (#23) of 24 sampled residents whose MDS assessments were reviewed. The Administrator identified 116 residents resided in the facility. The DON stated nine residents were receiving Plavix. Findings: Resident #23 had diagnoses which included atherosclerotic heart disease. An Order Summary report, dated 11/21/23, documented Resident #23 received Plavix once a day. An Annual assessment, dated 01/18/24, documented Resident #23 received an anticoagulant. A MAR, dated January for 2024, did not document Resident #23 received an anticoagulant. On 02/07/24 at 11:10 a.m., MDS Coordinator #1 stated medications were coded on the MDS if the resident took the medication in the seven day look back period. They stated Plavix was coded as an antiplatelet. MDS Coordinator #1 reviewed Resident #23's annual assessment dated [DATE]. They stated an anticoagulant was coded. They weren't able to locate an anticoagulant physician's…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-06 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to ensure staff locked medication/treatment carts prior to leaving carts unattended for two of two carts observed unlocked. The DON identified five medication carts and five treatment carts were in the facility. Findings: The facility's Storage of Medications policy, revised March 2019, read in part, .Compartments .containing drugs and biologicals shall be locked when not in use, and .carts used to transport such items shall not be left unattended if open or otherwise potentially available to others . On 02/01/23 at 10:16 a.m., an unlocked and unattended treatment cart was observed in the hallway, outside rooms [ROOM NUMBERS]. On 02/01/23 at 10:17 a.m., RN #1 was observed to come out of room [ROOM NUMBER], walked to the treatment cart, and locked it. On 02/03/23 at 7:52 a.m., CMA #1 was observed to leave the medication cart outside room [ROOM NUMBER]. CMA #1 was observed to walk down the hall to room [ROOM NUMBER] leaving the medication cart…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-06 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interview, the facility failed to ensure staff wore gloves while administering insulin to one (#252) of two sampled residents reviewed for insulin administration. The ADON identified 13 residents received insulin. Findings: The facility's Subcutaneous Injections policy, reviewed March 2011, read in part, .Put on gloves .inject needle quickly .remove gloves . Resident #252 had diagnoses which included type two diabetes mellitus. A Physician Order, dated 01/21/23, documented to administer Humulin insulin per sliding scale. On 02/01/23 at 7:54 a.m., RN #1 stated to Resident #252, You get two units. RN #1 was observed to administer an injection subcutaneously to Resident #252's left upper arm without wearing gloves. RN #1 was asked what was the protocol for administering insulin. They stated staff checked the blood sugar, checked the physician order, then administered insulin. RN #1 was asked if they wore gloves when administering insulin. They stated they hadn't been taught to wear gloves when administering insulin. On 02/03/23 at 8:48 a.m., LPN…

  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

Fines & penalties

$14,069 in federal fines across 1 penalty.

• $14,069 — penalty dated 2024-07-15

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

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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