Harrah Nursing Center

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.

61.2% 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 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.2% 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 46 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 100 beds and averages 66.1 residents a day — about 66% occupied, or roughly 34 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.85 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 3.19 hrs/resident/day on weekends vs 4.45 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.48 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 unchanged from the previous inspection. 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 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · D2026-05-01 · tag F0573 — isolated
  Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  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 medical records were provided to a resident's representative and legal representative within 48 hours of request for 1 (#1) of 3 sampled residents reviewed for release of medical records.The director of nursing identified 68 residents resided in the facility. Findings: A Release of Information policy, dated 11/01/09, read in part, All information contained in the resident's medical record is confidential and may only be released by the written consent of the resident or his/her legal representative, consistent with state laws and regulations.A resident may obtain photocopies of his or her records by providing the facility with at least forty-eight hours' advance notice of such request.A discharge summary for Resident #1, dated 11/16/26, showed the resident admitted to the facility on [DATE] with diagnosis of deep vein thrombosis. The discharge summary showed the resident discharged from the facility on 11/10/25.A release of confidential…

  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 before2026-01-14 · 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 ensure a resident's representative was notified of a newly prescribed medication for 1 (#2) of 3 sampled residents reviewed for notification of changes. The administrator identified 65 residents resided at the facility. Findings: An undated admission record for Resident #2 showed the resident had a family member listed as the power of attorney, the responsible party, and emergency contact #1. An annual assessment for Resident #2, dated 10/18/25, showed the resident had diagnoses which included non-Alzheimer's dementia and senile degeneration of the brain. The assessment showed Resident #2 was dependent on the staff for all activities of daily living and was severely cognitively impaired. A nurse practitioner's progress note, dated 11/20/25, showed Resident #2 was prescribed sertraline (an anti-depressant) 25 milligrams once daily for mood. A nurse's progress note, dated 11/21/25, showed Resident #2 continued on sertraline with no adverse reactions noted. There was no documentation Resident #2's representative had been…

  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 before2025-01-30 · 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 representative of changes with medications for one (#38) of one sampled resident reviewed for notification of change. The administrator identified 72 residents resided in the facility. Findings: Resident #38 had diagnoses which included anxiety disorder and osteoarthritis. A Third Party Facility Communication Form, dated 01/20/25, documented Resident #38's morphine (a narcotic) and Ativan (a benzodiazepine) was discontinued. There was no documentation the resident's representative was notified of the changes. On 01/27/25 at 2:56 p.m., Resident #38's family member stated the facility staff never contacted them with changes. On 01/30/25 at 8:33 a.m., LPN #1 stated they were to notify the resident's representative when there were medication changes. They stated if they received a third part communication form, they were to input the orders and notify the resident's representative. On 01/30/25 at 8:36 a.m., LPN #1 was asked to review Resident #38's third part communication form and was asked if 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · 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, record review, and interview, the facility failed to ensure residents were assisted with incontinent care for one (#19) of one sampled resident reviewed for ADL care. The administrator identified 72 residents resided in the facility. Findings: An ADL policy, dated March 2018, documented residents who were unable to carry out ADLs independently would receive services to maintain good personal hygiene. Resident #19 had diagnoses which included muscle weakness and need for assistance with personal care. A Care Plan, dated 10/31/24, documented to check Resident #19 every two hours and provide incontinent care as needed. An Admission assessment, dated 11/20/24, documented Resident #19 had moderate cognitive impairment. It documented they had impairments to both lower extremities, were frequently incontinent of urine, and was dependent on staff for toileting. On 01/28/25 at 8:14 a.m., Resident #19 was observed laying in their bed. They stated a staff member came in at 1:30 a.m., and stated they would be back to change them, but never came back. A strong urine odor…

  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 before2025-01-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the fall policy was implemented for one (#37) of three sampled residents reviewed for accidents. The administrator identified 72 residents resided in the facility. Findings: A Fall policy, dated March 2018, documented the physician would identify medical conditions affecting the fall risk. It documented the staff and the physician would identify possible causes of falls within 24 hours. It documented the staff and the physician would identify pertinent interventions to try and prevent further falls. It documented the staff and the physician would monitor and document the individual's response to interventions. Resident #37 had diagnoses which included dementia, anxiety, and concussion. An Annual assessment, dated 05/29/24, documented Resident #37's cognition was severely impaired. It documented they were independent with bed mobility and ambulation. It documented the resident had two falls since the prior assessment. A Fall Risk assessment, dated 10/19/24, documented Resident #37 was at high risk for falls. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-10-19 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure the resident's code status matched in the EHR and hard chart for one (#8) of 24 sampled residents reviewed for advance directives. The Resident Census and Conditions of Residents report, dated 10/16/23, documented 73 residents resided in the facility. Findings: Resident #8 had diagnoses which included personal history of transient ischemic attack. A DNR consent form, dated 08/22/22, was signed by Resident #8. A Physician's Order, dated 11/29/22, read in part, .Full Code . On 10/17/23 at 11:37 a.m., LPN #1 was asked how staff identified residents' code status. They stated the code status was in the hard chart and in the EHR. LPN #1 was asked what was Resident #8's code status. They were observed to look in the computer and stated the resident was a full code. LPN #1 was asked to look Resident #8's hard chart. They were observed to look in the resident's hard chart and stated the resident had a DNR. LPN #1 was asked if the code statuses matched. They stated No.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-10-19 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to refer a resident with a newly evident mental disorder to OHCA for a level II evaluation for one (#13) of one sampled resident reviewed for PASRR level II evaluations. The Resident Census and Conditions of Residents report, dated 10/26/23, documented 73 residents resided in the facility. Findings: The facility's Behavioral Assessment, Intervention and Monitoring policy, not dated, read in part, .new onset or changes in behavior that indicate newly evident or possible serious mental disorder .will be referred for a PASRR Level II evaluation . Res #13 was admitted with diagnoses of dementia. On 04/09/19 the resident was diagnosed with bipolar disorder. There was no documentation the OHCA had been notified of the resident's new diagnosis to see if a level II PASRR was required. On 10/19/23 at 1:52 p.m., the DON stated another PASRR should be completed when there was a change of diagnosis or a new diagnosis of a behavioral diagnosis. On 10/19/23 at 1:59 p.m., the DON stated the social worker would have been the first to review…

  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 · D2023-10-19 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide CPR for one (#69) of one sampled resident reviewed for death. The Resident Census and Conditions of Residents report, dated [DATE], documented 73 residents resided in the facility. Findings: A Do Not Resuscitate Order policy, revised [DATE], read in part, .Our facility will not use cardiopulmonary resuscitation and related emergency measures to maintain life functions on a resident when there is a Do Not Resuscitate Order in effect .Do not resuscitate orders must be signed by the resident's Attending Physician on the physician's order sheet maintained in the resident's medical record .Use only State approved DNR forms . Resident #69 had diagnoses which included dementia. A Physician's order, dated [DATE] at 3:27 p.m., documented Resident #69 was a Full Code. A Progress note, dated [DATE], documented the resident was admitted to hospice. A Progress note, dated [DATE], documented the resident had no apical pulse or respirations at 4:55 p.m. It…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation and interview, the facility failed to maintain safe water temperatures (less than 120 degrees) for: a. one (#25) of 57 sampled residents whose handwashing sink was checked for unsafe water temperatures, and b. one of three shower rooms checked for unsafe hot water temperatures. The DON identified 20 residents who used the shower on Hall A and 66 residents resided in the facility. Findings: A Water Temperatures policy, revised 2009, read in part, .Water heaters that service resident rooms, bathrooms, common areas, and tub/showers shall be set to temperatures of no more than 120 [degrees Fahrenheit] .If at any time water temperatures feel excessive to the touch (i.e., hot enough to be painful or cause reddening of the skin after removal of the hand from the water), staff will report this finding to the immediate supervisor . Res #25 had diagnoses which included muscle weakness, high blood pressure and anxiety. A quarterly assessment, dated 11/02/22, documented Res #25 was cognitively intact. A Hot Water Temperatures-Weekly Test, dated July 11-15,…

  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 · E2022-11-04 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  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 implement weight loss interventions for one (#55) of three sampled residents reviewed for weight loss. The Resident Census and Conditions of Residents report, dated 11/01/22, documented four residents with unplanned significant weight loss/gain. Findings: A Dietitian policy, revised October 2017, read in parts, .A qualified, competent, and skilled dietitian will help oversee the food and nutrition services in the facility . Res #55 had diagnoses which included, dysphagia and muscle weakness. A resident assessment, dated 07/07/22, documented Res #55 was cognitively intact. A Dietitian's Recommendations to Nursing and Dietary, dated 05/16/22, read in parts, .REC: house supplement TID d/t BMI 17 .notify PCP . A Post Radiologic Dysphagia Evaluation Orders, dated 05/25/22, read in parts, .noted: mild stasis, reverse peristalsis, and delayed emptying . Monthly Nutrition/Dietary Notes for June, August, and September 2022 were documented by the DM. There was no documentation Res #55 had been evaluated by the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 6 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.

About 79% 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 $229K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK