Monroe Manor

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.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 98 beds and averages 42.2 residents a day — about 43% occupied, or roughly 56 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 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 3.33 hrs/resident/day on weekends vs 3.71 on weekdays — 10% thinner on weekends. RN hours go from 0.54 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

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

Inspection trend

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

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

Inspection deficiencies

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

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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · J2024-09-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — 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) was determined to exist related to the facilities failure to provide appropriate tracheostomy care to include replacing a dislodged tracheostomy cannula. On [DATE] at approximately 5:30 a.m., agency nurse #1 entered Resident #1's room and discovered Resident #1's inner cannula had become dislodged and they were bleeding from the tracheostomy site. Agency nurse #1 failed to attempt to reinsert the inner cannula, provide oxygen, address the bleeding, and remain with the resident. On [DATE] at 12:13 p.m., the OSDH was notified and verified the existence of the IJ situation. On [DATE] at 12:23 p.m., the facility administrator was notified of the IJ situation. On [DATE] at 4:06 p.m., an acceptable plan of removal was submitted to the OSDH. The plan of removal documented: 1. Resident (name removed) expired, report sent to Oklahoma State Department of Health and Adult Protective Services. 2. Residents (names removed) tracheostomies were assessed by DON, (name removed) tracheostomy…

  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
• Actual harm · Gcited before2024-09-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 assess, monitor, and intervene for a resident who had increased pain from a fall resulting in a fracture of one (#2) of three sampled residents reviewed for falls. The DON identified the facility census was 38. Findings: An undated facility document titled Fall Prevention Policy, read in part, .If a resident experiences a fall, the charge nurse will complete an Incident Report and document the fall in the resident's record, as well as the 24-hour report. Daily entries regarding the status of the resident's condition will occur each shift for 72 hours following the incident . Resident #2 had diagnoses which included emphysema and muscle weakness. An admission assessment, dated 07/10/24, documented the resident was independent for daily decision making and required moderate assistance from staff with ADLs. It was documented the resident had not experienced pain during the look back period. A physician's order, dated 07/12/24, documented Resident #2 was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 resident with diabetes mellitus received necessary treatment and services that were consistent with the standards of practice for one (#1) of three residents reviewed for diabetic care. The administrator reported the census was 38. Findings: Resident #1 had diagnoses which included diabetes mellitus and cysts of the pancreas. A baseline care plan, dated 11/25/23, did not document the resident was diabetic. A physician order, dated 11/26/23, documented the resident was to be given glimepiride (a diabetic medication) 4 mg by mouth once a day. An admission MDS, dated [DATE], did not document the resident was diabetic. A review of the resident's medical record did not document the residents blood sugar was being monitored upon admission. A review of the resident's medical record did not document the resident's A1c was being monitored upon admission. An unwitnessed fall report, dated 12/13/23, documented the resident was found on the floor in his…

  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 · E2026-06-23 · 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

  Based on observation, record review, and interview, the facility failed to: a. ensure a chemical restraint was not used to prevent a resident from eloping from the facility for 1 (#21) of 2 sampled residents reviewed for abuse; and b. ensure an as needed antianxiety medication order was limited to 14 days for 1 (#28) of 5 sampled resident reviewed for unnecessary medication.The administrator identified seven residents had been assessed at risk for wandering and elopement and two residents as a high risk for wandering and elopement. The DON identified two residents were prescribed PRN antianxiety medications.Findings:1. A video recording of the dining room, dated 05/31/26 at 4:37 p.m. through 05/31/26 at 4:42 p.m., showed the following:a. At one minute and 18 seconds into the video recording, the video showed Resident #21 walking through the dining area when LPN #1 stepped in front of the resident causing them to stop;b. At one minute and 23 seconds, the video recording showed CMA #1 standing in front of Resident #21 blocking their movement around LPN #1;c. At one minute and 30…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2024-09-23 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to perform an assessment and notify the physician of a dislodged PEG tube for one (#5) of three sampled residents reviewed for feeding tubes. The DON identified three residents in the facility with feeding tubes. Findings: Resident #5 had diagnoses which included dysphagia and dementia. A care plan intervention, initiated 01/09/24, documented to monitor document and report any signs or symptoms of the tube becoming dislodged, infection, or malfunction of the feeding tube. A nurse's note, dated 01/12/24 at 7:55 p.m., documented Resident #5 pulled the PEG tube out approximately 2 inches and the nurse was unable to replace the PEG tube. It was documented they passed the information to the night nurse to report it to the day nurse. There was no documentation Resident #5 five was assessed or the physician notified. A nurse's note, dated 01/13/24 at 7:29 a.m., documented the nurse assessed Resident #5 and sent them to the hospital for evaluation and treatment. On 09/19/24 at 7:54 a.m., agency nurse #2 stated if a resident dislodged…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-14 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to: a) Ensure side effect monitoring was in place for one (#20) of five residents reviewed for unnecessary medications. b) Ensure PRN psychotropic medication orders are limited to 14 days for one (#26) of five residents reviewed for unnecessary medications. c) Ensure a gradual dose reduction recommendation was addressed by the physician for one (#9) of five residents reviewed for unnecessary medications. The DON identified 29 residents in the facility receiving psychotropic medications. Findings: 1. Resident #20 had diagnoses which included major depressive disorder and insomnia. A care plan intervention, implemented 04/08/22, documented Res #20 was to be given psychotropic medications as ordered and monitored for side effects every shift. A care plan intervention, implemented 11/28/23, documented Res #20 was to be given antidepressant medications as ordered and monitored for side effects every shift. An annual assessment, dated 05/25/24, documented the resident routinely received antipsychotic medication and an…

  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 · E2024-08-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure an unlocked container of ice was not utilized by residents and visitors. A facility Midnight Census Report, dated 08/10/24, documented 39 residents resided at the facility. Findings: An undated facility Ice Machine / Ice Chest Safety policy, read in part, All employees will use sanitary methods to obtain ice for themselves and for elders and visitors from any ice machine or ice chest. the policy further read in part, Only employees may obtain ice if the use of an ice scoop is needed. On 08/11/24 at 9:51 a.m. a ice chest was observed in the hallway across from the nurses station. The container was full of ice, had an ice scoop located next to it, and there was no lock on the container. On 08/13/24 at 7:33 a.m. a ice chest was observed in the hallway across from the nurses station. The container was full of ice, had an ice scoop located next to it, and there was no lock on the container. On 08/13/24 at 7:35 a.m., CNA #1 stated the ice in the chest was for anyone who needed it. They stated the residents can get their own…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-14 · 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

  Based on observation, interview and record review, the facility failed to: a) Have a system of surveillance and monitoring designed to identify and prevent Legionnaire's disease. b) Implement a policy and procedure related to enhanced barrier precautions. C) Ensure that infection control practices were followed during wound care for two (#32 and #15) of two residents reviewed for wound care. The administrator reported the census was 39. Findings: 1. On 08/13/24 at 11:40 am, the maintenance supervisor stated they were not aware of any monitoring of the water system related to Legionnaire's disease. On 08/14/24 at 9:56 am, the infection preventionist stated they did not have a program in place to prevent Legionnaire's disease. On 08/14/24 at 10:07 am, the DON stated they needed to implement a water management program at the facility. 2. Resident #32 had diagnoses which included pressure ulcer of the sacral region and diabetes mellitus. On 08/13/24 at 1:20 pm, CNA #1 was observed providing catheter care for Res #32, CNA #1 was not wearing a gown. On 08/13/24 at 2:40 pm, the DON was…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-14 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a care plan was revised after a resident with a history of elopement attempts was observed by staff opening the facility's locked lobby door for one (#25) of twelve residents reviewed for care plan accuracy. A facility Midnight Census Report, dated 08/10/24, documented 39 residents resided at the facility. Findings: An undated facility policy Monroe Manor Care Plan Policy, read in part, A comprehensive care plan must be developed within 7 days after the completion the comprehensive assessment and is periodically reviewed and revised by a team of qualified persons after each assessment. Resident #25 had diagnoses which included dementia. A care plan focus located in Resident #25's care plan, dated 05/20/24, read in part, I am an elopement/wanderer (SPECIFY) risk r/t History of attempts to leave facility unattended. The goal connected to the elopement focus was for the resident to remain safe through the next review date and was dated 05/20/24 with a revision date of 08/08/24. There were two interventions attached to…

  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 · D2024-08-14 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 influenza vaccinations were offered for two (#32 and #34) of five residents reviewed for immunizations. The administrator reported the census was 39. Findings: An undated Influenza and Pneumonia Immunization Policy read in part, .All residents, staff and volunteers will be offered the influenza vaccine annually .For resident immunizations, documentation of the administration of the vaccine, including education, type of vaccine, lot number and injection site will be documented in the residents' clinical record . 1. Resident #32 had diagnoses which included diabetes mellitus and hypertension. A review of Res #32's immunization record did not document the resident had received or been offered a flu vaccination. 2. Resident #34 had diagnosis which included cerebral palsy and hypertension. A review of Res #34's immunization record did not document the resident had received or been offered a flu vaccination. On 08/14/24 at 9:56 am, the infection preventionist stated no documentation regarding Res #32 or Res #34'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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-23 · 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 experiencing pain received treatment for pain for one (# 1) of four residents reviewed for pain. The administrator reported the census was 38. Findings: Resident #1 had diagnoses which included aftercare following joint replacement surgery and osteoarthritis. A baseline care plan, dated 06/27/24 at 12:34 pm, documented the residents pain level was an eight. A nurse note, dated 06/27/24 at 1:08 pm, documented Resident #1's left knee was swollen, and the resident rated their pain at an eight out of ten. A physician's order, dated 06/27/24 at 1:45 pm, documented Resident #1 could have oxycodone-acetaminophen (a pain medication) 7.5/325mg every six hours as needed for pain. The treatment administration record for June documented the resident received pain medication on 06/28/24 at 3:30 am. A review of the clinical record did not document the physician was contacted regarding the resident's pain level, or that any non-pharmacological interventions had been attempted. On 07/23/24 at 1:00 pm, RN #1 stated 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
• Potential for harm · D2024-05-28 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to report an allegation of abuse to the Oklahoma State Department of Health within the mandated time frame for one (#1) of three sampled resident reviewed for abuse. The DON reported the facility had a census of 39 residents. Findings: A facility policy titled, Prevention and Reporting of Abuse, Neglect, and Misappropriation of Resident Property, read in part, When possible the facility shall notify the State Department of Health within 12 hours of the incident. An incident report fax cover sheet documented a combined initial and final incident report regarding an allegation of verbal abuse by Resident #1 was faxed to OSDH on 05/20/24. The incident report documented the incident had occurred on 05/09/24. On 05/28/24 at 11:59 a.m., the DON stated they had witnessed a verbal interaction between Resident #1 and CMA #1 on 05/09/24. They stated the resident did not report feeling abused at that time and they did not believe what they had seen was abuse. They stated on 05/10/24 they received a phone call from the BOM who informed…

  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 · D2024-05-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to investigate an allegation of abuse and suspend an alleged perpetrator during the time of an investigation into the alleged abuse, for one (#1) of three sampled resident reviewed for abuse. The DON reported the facility had a census of 39 residents. Findings: A facility policy titled, Prevention and Reporting of Abuse, Neglect, and Misappropriation of Resident Property, read in part, It is the policy of [NAME] Manor to thoroughly investigate all allegations concerning resident abuse, neglect, and misappropriation of resident property, and to prevent further potential abuse, neglect, and misappropriation pending an investigation. An incident report, dated 05/20/24, documented an allegation of abuse by Resident #1 that allegedly occurred on 05/09/24. On 05/28/24 at 11:59 a.m., the DON stated they had witnessed a verbal interaction between Resident #1 and CMA #1 on 05/09/24. They stated the resident did not report feeling abused at that time and they did…

  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.

Fines & penalties

$31,773 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $23,755 — penalty dated 2024-07-23
• $8,018 — penalty dated 2024-01-23
• Medicare payment denial — starting 2024-02-15 for 8 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 5 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 77% 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.

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