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Lindsay Nursing & Rehab

1103 West Cherokee, Lindsay, OK 73052 · For profit - Corporation · 106 certified beds · (405) 756-4334 Medicare & Medicaid certified

Call the home — (405) 756-4334 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Apr 2026
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)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • 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

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
409 S Main St · (405) 756-1240 · Call to confirm hours
Pharmacy
225 S Main St · (405) 756-4511 · Call to confirm hours
Grocery
212 SE 2nd St · (405) 756-2602 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
1101 W Cherokee St · (405) 756-3088

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 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 4 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 3 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 rating3★
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 increased13.9%13.6%15.4%typical
Long-stay residents who lose too much weight1.2%3.3%5.4%better
Long-stay residents with a catheter left in their bladder0.3%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%2.8%2.0%better
Long-stay residents with depressive symptoms3.7%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 injury1.8%4.7%3.3%better
Long-stay residents whose ability to walk worsened11.3%13.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.2%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine93.9%94.6%95.3%typical
Long-stay residents with pressure ulcers4.9%4.7%4.7%typical
Long-stay residents with worsening bladder/bowel control24.4%17.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table36.6%17.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication7.1%1.8%1.4%worse
Long-stay hospitalizations per 1,000 resident days2.002.311.67worse
Long-stay outpatient ER visits per 1,000 resident days2.322.961.80worse

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.

10.6%U.S. median 10.7%
Went back to hospital
81.8%U.S. median 56.6%
Met the expected recovery
0.03U.S. median 0.31
Therapy hours / resident / day
<0.01hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 81.8% 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 22 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 0.03 therapist hours per resident per day in 2026Q1 — more than 1% 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.

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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 6.8–19.110.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge81.8%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 discharge68.2%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 discharge50.0%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 identified96.5%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened0.0%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 hospitalization7.2%CMS range 4.1–13.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.691.02Oct 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

0.19
RN hours/ resident / day
0.78
LPN hours/ resident / day
2.42
Aide hours/ resident / day
3.39
Total nurse hours/ resident / day
0.20
RN hoursweekends
47.8%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 106 beds and averages 74.0 residents a day — about 70% occupied, or roughly 32 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.19 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.23 hrs/resident/day on weekends vs 3.46 on weekdays — 7% thinner on weekends. RN hours go from 0.19 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

1
deficiencies at the latest standard inspection (2024-12-18)
4
at the previous standard inspection (2023-09-19)

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

Inspection deficiencies

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

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 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · Ecited before2026-04-16 · 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 observation, record review, and interview, the facility failed to ensure portable oxygen cylinders were not stored unsecured in a resident's closet for 1 (#1) of 4 sampled residents reviewed for oxygen storage which had the potential to cause a severe fire hazard. The administrator identified 11 residents in the facility used oxygen. Findings:An undated Oxygen Storage and Safety policy, provided by the administrator on 04/14/26, showed full cylinders must be stored in a designated, well-ventilated area. The policy showed empty cylinders must be stored separately and labeled Empty. The policy showed oxygen in resident rooms must be secured to prevent tipping. The policy showed routine checks will be conducted to ensure proper storage and safety.An annual assessment for Resident #1, dated 01/13/26, showed the resident's cognition was intact with a BIMS score of 15. The assessment showed Resident #1 was independent with activities of daily living. The assessment showed Resident #1 received oxygen therapy and had diagnoses of chronic obstructive pulmonary disease 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · 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 observation, record review, and interview, the facility failed to ensure a resident's care plan was updated with interventions for safe storage of portable oxygen cylinders for 1 (#1) of 4 sampled residents reviewed for oxygen therapy. The administrator identified 11 residents used oxygen in the facility. Findings: On 04/14/26 at 9:20 a.m., Resident #1's room was observed to have 25 small cylinders of oxygen stored in their closet. The oxygen cylinders were observed standing up and tipped over on the floor of Resident #1's closet.On 04/14/26 at 1:30 p.m., the DON was asked to check the oxygen cylinders in Resident #1's closet to ensure they were empty. The DON was observed to check some of the oxygen cylinders. Two oxygen cylinders were observed to be full.A policy titled Care Plans, Comprehensive Person-Centered, dated 12/01/16, read in part, Assessments of residents are ongoing, and care plans are revised as information about the residents and the residents' conditions change.An annual assessment for Resident #1, dated 01/13/26, showed the resident's cognition was intact…

    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 · D2026-04-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 resident was free from verbal abuse by a staff member for 1 (#1) of 5 sampled residents reviewed for abuse.The administrator identified 76 residents resided in the facility. Findings:On 03/30/26 at 11:45 a.m., Resident #1 was up in a wheelchair and self-propelled into the dining room.An undated Abuse Prevention Program policy, read in part, As part of the resident abuse prevention, the administration will: 1. Protect our residents from abuse by anyone including, but not limited to: facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individuals.A quarterly assessment, dated 02/03/26, showed Resident #1's cognition was intact with a BIMS score of 15. The assessment showed Resident #1 was independent with most ADLs and they had an indwelling urinary catheter. The assessment showed the resident had a diagnosis of paraplegia.A grievance form, dated 02/26/26, showed Resident #1 approached RN #1 on…

    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 · Past Non-Compliance
  • Potential for harm · D2026-04-02 · 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 observation, record review, and interview, the facility failed to ensure an allegation of abuse was reported to OSDH within the required 2-hour timeframe for 1 (#1) of 5 sampled residents reviewed for abuse. The administrator identified 76 residents resided in the facility. Findings:On 03/30/26 at 11:45 a.m., Resident #1 was observed up in a wheelchair and self-propelled into the dining room.The Abuse Prevention Program policy, not dated, read in part, Investigate and report any allegations of abuse within timeframes as required by federal requirements.A quarterly assessment, dated 02/03/26, showed Resident #1's cognition was intact with a BIMS score of 15. The assessment showed Resident #1 was independent with most ADL and had an indwelling catheter. The assessment showed the resident had a diagnosis of paraplegia.An incident report form, dated 02/25/26, showed an allegation of abuse for Resident #1 was faxed to OSDH on 02/26/26 at 11:16 a.m.A grievance form, dated 02/26/26, showed Resident #1 approached RN#1 on 02/25/26 to discuss their catheter bag. The form showed RN #1…

    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 · Dcited before2025-07-03 · 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 ensure supervision to prevent an elopement for 1 (#6) of 3 sampled residents reviewed for elopement. The DON identified two residents at risk for wandering/elopement. Findings: On 06/30/25 at 2:05 p.m., Res #6 was observed ambulating independently in the hallway outside of their room. No exit-seeking behavior was observed. An undated policy titled Wandering and Elopement Prevention, read in part, It is the policy of facility to identify residents at risk for wandering and/or elopement and to implement appropriate interventions to ensure their safety. The facility will take reasonable steps to prevent unauthorized exits and promote a safe and secure environment for all residents. A medical diagnosis list, dated 05/29/25, showed Res #6 admitted to the facility with diagnoses which included hypertension and hyperlipidemia. A nursing note, dated 05/30/25, showed Res #6 had decreased awareness and required frequent redirection. The note showed Res #6 was wandering around the facility and looking for their truck in…

    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 · E2024-12-18 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) form to three (#13, #53, and #56) of three residents reviewed for beneficiary notification. The Administrator reported 63 residents resided in the facility. Findings: 1. Resident #56 was admitted to Part A skilled services on 05/07/24 and discharged from skilled services on 07/26/24. 2. Resident #53 was admitted to Part A skilled services on 09/19/24 and discharged from skilled services on 09/11/24. 3. Resident #13 was admitted to Part A skilled services on 11/18/24 and discharged from skilled services on 12/11/24. On 12/17/24 at 12:58 p.m., the MDS coordinator and DON provided documentation to be reviewed for beneficiary notification. The DON reported no SNF ABN form was provided to residents #13, #53, #56, and/or their representative. The DON reported the facility had not been completing a SNF ABN form for residents or providing this information in any form. On 12/17/24 at 1:03 p.m., RN #1 reported the SNF ABN form was previously…

    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 before2024-10-10 · 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 to prevent elopement for one (#1) of two sampled residents reviewed for adequate supervision to prevent elopement. The administrator stated one resident elopement in the previous 60 days. Findings: An Elopements policy, dated December 2007, read in part, .Staff shall promptly report any resident who tries to leave the premises or is suspected of being missing to the Charge Nurse or Director of Nursing .If an employee discovers that a resident is missing from the facility .Determine if the resident is out on an authorized leave or pass .initiate a search of the building(s) and premises .initiate an extensive search of the surrounding area .When the resident returns to the facility, the Director of Nursing Services or Charge Nurse shall .Examine the resident for injuries .Complete and file an incident report .Document relevant information in the resident's medical record . Resident #1 was admitted to the facility on [DATE] with diagnoses which…

    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 · E2024-08-07 · tag F0585 — failed to handle grievances — pattern
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to issue a written grievance decision upon request and to address the grievance in its entirety for one (#4) of one sampled grievance reviewed. Findings: A Grievance Policy and Procedure, not dated, documented, the facility has adopted an internal grievance procedure providing a prompt and equitable resolution or complaints/grievances. A copy of the written summary of the report will also be provided to the resident, if requested, and the original copy will be filed in the Business Office. The investigation and report may include the following: Patient's account of the alleged incident; employees account of the alleged incident; recommendations for corrective action. A Grievance Form, dated 06/12/24, documented, [Staff member #1] was being rude about smokers past the line. He also stated [staff member #1] would push them past the line. Res #4 said if something wasn't done, they will move out though they prefer not too [sic]. Name/Title of person accepting this form: Activity Manager. Nature of resolution: [Staff member #1]…

    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 · E2024-08-07 · tag F0610 — failed to investigate and act on abuse reports — pattern
    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 conduct a thorough abuse investigation for one (#4) of three sampled residents reviewed for abuse. The Administrator reported 68 residents resided in the facility. Findings: The facility Abuse Policy and Procedure not dated, read in part, It recognizes resident rights to be free from physical, or mental abuse, corporal punishment, involuntary seclusion, and any chemical and physical restraints as defined by federal regulations. The policy also read, Immediate reporting. Facility employee or immediate supervisor, who will report incidents immediately to local police and report to the Oklahoma State Department of Health as required by State law or regulation. The policy also read, Identification and Investigation. The investigation should determine whether an incident has occurred, to what extent the resident was mistreated, by whom, and the measures needed to protect occupants from further incidents. The policy also read, Interviews. The investigator should consider interviewing persons listed below: facility employees,…

    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 · Ecited before2024-08-07 · 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 observation, record review, and interview, the facility failed to ensure a resident at risk for elopement did not elope from the facility for one (#1) of one sampled resident reviewed for elopement. The Administrator reported 68 residents resided in the facility. Findings: An Elopements policy, dated 12/01/2007, read in part Staff shall investigate and report all cases of missing residents .The facility will encourage each resident to sign themselves out of the facility so that the facility will remain informed .When the resident returns to the facility, the DON or Charge Nurse should complete and file an incident report . A form, dated 10/03/19, presented by the Administrator for the illicit drug policy and procedure, read in part It is the policy of the [facility name removed] to prohibit the use of alcoholic beverages or illicit drugs on facility property unless prescribed by a physician .There is a concern with interaction of prescribed medications and the use of alcoholic beverages and/or illicit drugs .Residents who have been found to be in violation of facility…

    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
Show the remaining 7 citations
  • Potential for harm · E2024-08-07 · tag F0727 — failed to provide required RN coverage — pattern
    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 — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the DON did not work as a charge nurse when the facility census was more than 60 residents. Findings: The Administrator reported 68 residents resided in the facility. A facility policy titled Staffing not dated, documented, RN must be on duty 8 hours a day 7 days a week. DON will not work as a charge nurse when census rises above 60 per regulations. A document titled, Quality of Care Monthly Report date period, June 2024, documented, a census greater than 60 residents on June 24th, 26th, 27th, 28th, 29th, 30th. The census ranged from 61 to 62 residents on these days. A document titled, Daily Census dated, July, 2024, documented a census over 60 on July 17, 2024 through July 31, 2024. The census ranged from 61 residents to 68 residents on these days. On 08/07/24 at 11:55 p.m., the DON reported they worked as the charge nurse on July 25th and July 31st. The DON reported they worked as the charge nurse on June 24th. On 08/07/24 at 12:15 p.m., the corporate consultant was asked if the facility had the DON working as…

    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 · D2024-08-07 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 notification of the bed hold policy was provided upon transfer/discharge for one (#1) of one resident reviewed for discharge. The Administrator reported 68 residents resided in the facility. Findings: A readmission to the Facility policy, dated 03/01/2022, read in part A Medicaid resident whose hospitalization or therapeutic leave exceeds the bed hold period allowed by the state will be readmitted to the facility upon the first availability of a bed in a semi-private room if the resident meets the admission criteria .Bed hold terminates after a resident is discharged for 30 days and would be considered a new admission .Any resident who is admitted to another long term care facility from an acute care hospital stay will be discharged from this facility . Resident #1 had diagnoses which included hypertension and diabetes mellitus. A nurse's note, dated 06/21/24, documented resident #1 requested to go to [name removed] hospital for complaints of 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-19 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    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 to ensure residents' privacy was maintained for three (#16, 24, and #47) of 14 residents reviewed for privacy. The Resident Census and Conditions of Residents form, dated 09/11/23, documented 49 residents resided in the facility. Findings: The facility policy Quality of Life - Dignity, dated 08/01/23, read in part, .Staff shall promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures including privacy curtains, blinds and etc . The facility policy Quality of Life - Homelike Environment, dated 08/01/23, read in part, .Rooms will be set so that privacy is maintained while providing care to resident including but not limited to privacy curtains, blinds and etc . 1. Res #24 was admitted to the facility on [DATE]. Res #24's cognition is severly impaired and requires total extensive care. On 09/12/23 at 9:47 a.m., the ADON and CNA #1 were observed providing peri care to Res #24. 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 · E2023-09-19 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 comprehensive care plans were developed and implemented to address the residents' needs related to: a. a pressure ulcer for one (#17), b. a history of falls for two (#28 and #34), and c. the use of antidepressant and antipsychotic medication and the related medical diagnoses for one (#43) of 14 sampled residents reviewed for care plans. The Resident Census and Conditions of Residents dated 09/11/23, documented 49 residents resided in the facility. Findings: A facility Care Plans, Comprehensive Person-Centered policy, revised date December 2016, read in part, .The comprehensive, person-centered care plan will: reflect currently recognized standards of practice for problem areas and conditions . 1. A Baseline Care Plan, dated 04/26/23, for Res #17 documented a heel protector, currently has wound located on rt. heel with blister & discoloration. An admission assessment, dated 05/03/23, documented the resident was cognitively intact,…

    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 · E2023-09-19 · tag F0801 — pattern
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    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 employee designated to be the dietary manager completed the required certification training within 1 year of hire. The Resident Census and Conditions of Residents, form, dated 09/11/23, documented 49 residents resided in the facility. Findings: The facility policy Food and Nutrition Services Staff, dated 10/01/22, documented The Food Services Department is staffed by food and nutrition services personnel who have demonstrated the skills and competency to carry out the functions of the department. The facility records documented the dietary manager was hired for the position on 06/21/21. On 09/11/23 at 9:38 a.m., the dietary manager reported they had been the dietary manager for two years. The dietary manager reported not being certified at this time. The dietary manager reported the facility contract to pay for the required training course needed for certification had been approved. The dietary manager reported the contract had not been signed and enrollment into the course had not been done. On 09/18/23 at…

    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 · D2023-09-19 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 Surveyor: [NAME], [NAME] Based on record review and interview, the facility failed to electronically transmit resident assessments, within 14 days after completion for one (#3) of three residents reviewed for discharge assessments. The Resident Census and Conditions of Residents, dated 09/11/23, documented 49 residents resided in the facility. Findings: A facility policy MDS Completion and Submission Timeframes, dated 07/01/23, read in part, Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes .The Assessment Coordinator or designee is responsible for ensuring that resident assessments are submitted to CMS QIES Assessment Submission and Processing (ASAP) system in accordance with current federal and state guidelines .Timeframes for completion and submission of assessments is based on the current requirements published in the Resident Assessment Instrument Manual.'' Resident #3 was admitted to the facility on [DATE] and discharged from 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-09-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 record review, observation, and interview, the facility failed to ensure: a. a refrigerator containing PHF was maintained at or below 41 degrees and b. kitchen staff did not handle food with their bare hands. The DON identified 37 residents resided in the facility and 37 residents received services from the kitchen. Findings: A Refrigerators policy, revised December 2014, read in part, .This facility will ensure safe refrigerator and freezer maintenance, temperatures .Acceptable temperature ranges are 35 [degrees] F to 40 [degrees] F for refrigerators . A Refrigerator Temperatures log, dated 09/12/22, read in part, .Temp .37 . On 9/12/22 at 9:14 a.m., a tour of the kitchen was conducted. A refrigerator, located in the back corner of the kitchen, had two thermometers inside of it. One thermometer read 50 degrees F and the other read 52 degrees F. Ambient air temperatures were taken inside the refrigerator and were 65 degrees F on one side of the refrigerator and 70 degrees F on the other. On 9/12/22 at 9:39 a.m., the CDM was asked if the current temperature reading of 55…

    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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to BRADFORD MONTGOMERY — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.2+0.8 vs chain
Health inspection 3 of 52.5+0.5 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 4 of 52.9+1.1 vs chain
The other 10 homes this chain runs (chain average 2.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
MONTGOMERY, BRADFORDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/08/2017
WHITE, JEFFERSONIndividualW-2 MANAGING EMPLOYEEsince 08/01/2019

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.

$3.6M
Net patient revenuemost recent cost report
-4.0%
Operating marginrevenue minus expenses
$460K
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 5%Other / private 11%

About 84% 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 $460K 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 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

$224per resident / day
operating cost
$6,805per month
≈ monthly operating cost
$215per 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 375206. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-18, 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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