Walnut Grove Care & Rehab Center
1001 South George Nigh Expressway, McAlester, OK 74501 · For profit - Limited Liability company · 80 certified beds · (918) 423-7373 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2025
- 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
- it has a citation for mishandling residents’ money or property (F0567)
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $31,460 in federal fines (most recent 2025-02-28)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (68%) runs well above the national median (45%)
- about 21% of its spending goes to commonly-owned related companies
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.1% | 13.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.7% | 3.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 2.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 40.6% | 3.4% | 6.5% | check this† — see note marked dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.3% | 4.7% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 4.8% | 13.7% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 27.3% | 25.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.4% | 94.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.0% | 4.7% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 26.1% | 17.1% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.2% | 17.5% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.8% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 63.4% | 74.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 28.7% | 27.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.7% | 16.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.90 | 2.31 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.98 | 2.96 | 1.80 | worse |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
‡ 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.
47.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 64.7% 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 34 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 47.3%CMS range 34.0–60.6 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.2%CMS range 7.8–15.8 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 64.7% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 61.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 50.0% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.4%CMS range 5.1–14.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.10 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 80 beds and averages 61.8 residents a day — about 77% occupied, or roughly 18 beds typically open. It usually has some room. 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 3.29 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 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 2.85 hrs/resident/day on weekends vs 3.47 on weekdays — 18% thinner on weekends. RN hours go from 0.25 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 68% 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 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.
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.
22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.
- Immediate jeopardy · J2025-02-28 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
On 02/27/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Resident #45 from verbal and psychosocial abuse. On 02/27/25 at 2:06 p.m., Resident #45 reported over the weekend staff blamed them for turning on the call light. Resident #45 stated CNA #1 came to their room to answer the call light and Resident #45 told CNA #1 they needed assistance with incontinent care. Resident #45 stated CNA #1 told them they were assisting another resident and would come back when they could. Resident #45 stated when CNA #1 returned they yelled at them and stated they would be there in a minute and to stay off the light. Resident #45 stated they had not activated the call light again, that CNA #1 had not turned the call light off from the first interaction. Resident #45 stated they were so upset they started crying. Resident #45 stated they called the nurses station and reported the occurrence to the charge nurse/ LPN #4. Resident #45 stated they were so upset they wanted to leave the facility. On 02/27/25 at 2:12 p.m., the administrator…
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.
- Potential for harm · Ecited before2025-02-28 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review, and interview, the facility failed to ensure the low temperature warewasher had the appropriate amount of chemical to sanitize dishes for the facility. The administrator identified 55 residents ate meals from the kitchen. Findings: On 02/24/25 at 11:26 a.m., the CDM was observed using test strips for sanitizer in the low temperature warewasher and the sanitizer was not pumping through to release the chemical into the warewasher. An undated chemical company instruction manual, read in part,Test paper must read at least 50 parts per million. A policy titled Warewasher revised date 12/18/24, read in part, The dish machine, if low temp, shall use a detergent, a rinse drying agent, and a sanitizer .The sanitizing temperature to activate the sanitizer per manufactuers' instructions .Low temperature dish machine log Sanitizer greater than 50 part per million. On 02/24/25 at 11:27 a.m., the CDM stated the sanitizer was reading 25 ppm and it should be at 50 ppm.
- Potential for harm · D2025-02-28 · tag F0567 — failed to protect residents' money held by the home — isolatedHonor the resident's right to manage his or her financial affairs.
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 had access to their trust account money on nights and weekends for 1 (#1) of 1 sampled resident reviewed for access to their trust account money. The BOM identified 12 residents who had money in the trust account. Findings: An undated Policy and Procedure of Resident Trust Fund, read in part, The management of the trust shall be managed by the business office or it's designees and ensure that proper accounting principals are followed .but not to exclude State and Federal regulations. A review of the trust account ledgers for Resident #1 contained no entries of money being withdrawn at night or on the weekends. On 02/24/25 at 12:26 p.m., Resident #1 reported over the weekend they wanted a coke and was told they did not have any money. On 02/27/25 at 10:04 a.m., the BOM stated they worked at the facility Monday through Friday. They stated if residents wanted money they would need to request it from them on Friday and keep it on their person. They stated the facility did not keep petty cash. They stated, I…
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.
- Potential for harm · Dcited before2025-02-28 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 state agency for 1 (#45) of 1 sampled resident reviewed for abuse. The administrator identified 59 residents resided in the facility. Findings: An undated Abuse Prevention Program policy, undated, read in part, It is the policy of this facility to prevent resident abuse, neglect, mistreatment and misappropriation of resident property .Employees are required to report any incident, allegation or suspicion of potential abuse, neglect or mistreatment they observe, hear about or suspect to the Administrator .The Administrator is the Abuse Coordinator .IF YOU SUSPECT ABUSE .Notify a Supervisor/Nurse Immediately .Notify the Administrator and Director of Nursing .The Administrator or designee utilizing the state specific Incident Reporting System will immediately notify the Department of Health by the Incident Reporting System .Investigation .All incidents will be documented, whether or not abuse occurred, was alleged or suspected .Any incident or allegation involving abuse or mistreatment…
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.
- Potential for harm · D2025-02-28 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond 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 investigate an allegation of abuse for 1 (#45) of 1 sampled resident reviewed for abuse. The administrator identified 59 residents resided in the facility. Findings: There was no documentation that this incident even occurred. There were no progress notes, no staff or resident interviews, no facility-initiated report provided to Oklahoma Department of Health. An undated Abuse Prevention Program policy, undated, read in part, It is the policy of this facility to prevent resident abuse, neglect, mistreatment and misappropriation of resident property .Employees are required to report any incident, allegation or suspicion of potential abuse, neglect or mistreatment they observe, hear about or suspect to the Administrator .Any incident or allegation involving abuse or mistreatment will result in an abuse investigation .All personnel must promptly report any incident or suspected incident of abuse, mistreatment or neglect, including injuries of unknown origin. Resident #45 had diagnoses which included cognitive communication…
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.
- Potential for harm · D2025-02-28 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review and interview, the failed failed to ensure medication carts were secured when not in use for 2 of 7 medication carts observed. The administrator identified 59 residents resided in the facility. Findings: On 02/27/25 at 8:33 p.m., medication carts for halls A/B and E/F and on the North side of the nursing station were observed unlocked and unattended with keys in the lock. On 02/27/25 at 8:34 p.m., nursing was staff observed sitting at the nurses station and medication carts A/B and E/F were observed unlocked and unattended. An undated Medication Storage in the Facility policy, read in part,Medication rooms, carts, and medication supplies are locked or attended by persons with authorized access. On 02/27/25 at 8:35 p.m., the licensed practical nurse #3 stated medication carts A/B and E/F were supposed to be locked and attended by staff who were assigned to the medication carts. On 02/28/25 at 11:06 a.m., the director of nursing stated it was policy for medication carts A/B and E/F to be attended to and locked at all times.
- Potential for harm · Dcited before2025-02-28 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, and interview, the facility failed to ensure infection control was maintained and EBP were followed during the administration of medications. The administrator identified seven residents required enhanced barrier precautions. Findings: On 02/25/25 at 8:41 a.m., LPN #3 was observed providing crushed medications through a PEG tube to a resident that required EBP. LPN #3 washed their hands and wore gloves, but did not wear a gown while providing care to the indwelling device. An Enhanced Barrier Precautions policy, copyright date 2025, read in part, Many residents in nursing homes are at increased risk of becoming colonized and developing infections with multi-drug resistant organisms .This facility utilizes Enhanced Barrier Precautions .as a strategy to decrease transmission of CDC [Centers for Disease Control and Prevention]-targeted and epidemiologically important MDROs when Contact Precautions do not apply .Enhanced Barrier Precautions: An infection control intervention designed to reduce transmissions of multidrug-resistant organisms that…
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.
- Potential for harm · Dcited before2024-07-25 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure baths were provided as care planned for one (#2) of four sampled residents reviewed for ADL (activities of daily living) assistance. A facility resident report, dated 07/24/24, documented 61 residents resided in the facility. Findings: A facility ADL Care Bathing policy, dated 07/21/22, read in part, Nursing staff will assist in bathing Residents to promote cleanliness and dignity. A care plan focus, dated 06/16/24, read in part, BATHING/SHOWERING: Offer Bathing/Showering twice weekly and as necessary. Resident #2's bathing records were reviewed. Documentation stated the resident was offered baths 2 of 14 dates between 06/30/24 and 07/13/24. Of the two days the resident was offered baths, documentation indicated they had a bath on 07/02/24 and refused a bath on 07/11/24. On 07/25/24 at 9:33 a.m., CNA #1 stated they were assigned to work with Resident #2 that day. They stated after a bath was offered, they inform the charge nurse if the resident was given a bath or if they refused. They stated they then put 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.
- Potential for harm · Fcited before2023-10-24 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to properly inform visitors and staff of residents who were in isolation on transmission based precautions for three (#13, 19, and #48) of three sampled residents who tested positive for COVID. The IP identified 22 residents who tested positive for COVID. Findings: The Infection Control Manual, dated 5/11/23, read in part, .An isolation notice will be placed in plain view outside the entrance to the isolation/quarantine room . On 10/17/23 at 9:30 a.m., a white cross or plus sign was observed on the doors to Res #13, 19 and #48's rooms. On 10/18/23 at 8:00 a.m., a large letter Q was observed on the doors to Res #13, 19 and #48's rooms. The resident roster documented Res #13, 19 and #48 tested positive for COVID on 10/10/23. On 10/18/23 at 2:00 p.m., the corporate nurse reported the white cross was a plus sign meaning the residents were COVID positive and the letter Q was for quarantine, but acknowledged there would be no way for a visitor to know what the white plus sign or letter Q meant.
- Potential for harm · E2023-10-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — patternProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 assess residents for the continued need for indwelling urinary catheters for one (#2 ) of two sampled residents reviewed for an indwelling urinary catheter. The Resident Census and Conditions of Residents, dated 10/17/23, documented four residents who had an indwelling urinary catheter. Findings: Res #2's medical record documented diagnoses which included neuromuscular dysfunction of the bladder. Res #2 was re-admitted to the facility from the hospital on [DATE], the re-admission nursing note, dated 09/10/23, documented Res #2 had an indwelling urinary catheter in place upon re-admission. A significant change resident assessment, dated 09/17/23, documented Res #2 had an indwelling urinary catheter in place. On 10/17/23 at 10:45 a.m. and throughout the survey, Res #2 was observed to have an indwelling urinary catheter in place. There was no documentation Res #2 had been assessed for the continued need for their indwelling urinary catheter.…
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.
- Potential for harm · Ecited before2023-10-24 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 food was labeled and stored in a sanitary manner. The Resident Census and Conditions of Residents, dated 10/17/23, documented 57 residents receive their meals from the kitchen. Findings: A Refrigerator Storage policy, dated February 2010, read in part, .label all leftovers with recipe name and date (month, day, year) of storage. Discard refrigerated leftovers after 48 hours . On 10/17/23 at 9:30 a.m., an intial tour of the kitchen was conducted. The following was found in the refrigerator: a. Bologna in a ziplock bag dated 09/23. b. An unlabeled zip lock bag of hot dogs. c. Chopped eggs in a ziplock bag dated 9/4. d. [NAME] in a ziplock bag date 9/4. e. An unlabeled zip lock bag of a green herb. f. Cheese in a zip lock bag dated 10/7. g. An unlabeled bag of deli meat that was open and leaking juices onto a tray containing other food items. On 10/17/23 at 10:02 a.m., the dietary manager reported the refrigerator was a mess. The dietary manager reported refrigerator food storage was their responsibility and they hadn't…
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.
Show the remaining 11 citations
- Potential for harm · D2023-10-24 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, 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 assessment was accurate for one (#34) of 25 sampled residents whose assessments were reviewed for accuracy. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: Res #34 was admitted to the facility on [DATE] with diagnoses of frontotemporal neurocognitive disorder, major depressive disorder, post-traumatic stress disorder, sleep apnea, and hypertension. An MDS assessment, dated 09/13/23, documented the resident's cognition was moderately impaired. The MDS documented the resident had non-alzheimer's dementia. On 10/23/23 at 11:30 a.m., MDS #1 reported the assessment was inaccurate.
- Potential for harm · D2023-10-24 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to refer a resident with a new mental health diagnosis to OHCA for a PASRR level II evaluation for one (#48) of four sampled residents reviewed for PASRR. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: Res #48 was admitted to the facility on [DATE] with a diagnosis of impulse disorder. The resident's EHR documented the resident was diagnosed with delusion disorders on 05/11/22. The EHR did not contain documentation that OHCA had been contacted regarding a new mental health diagnosis On 10/24/23 at 12:00 p.m., the MDS coordinator reported she didn't know that the state needed to be contacted regarding new mental health diagnosis.
- Potential for harm · D2023-10-24 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop a comprehensive care plan for one (#54) of five sampled residents whose care plans were reviewed. The Resident Census and Conditions of Residents, dated 10/17/23, documented a census of 61 residents. Findings: A Comprehensive Interdisciplinary Plan of Care policy, dated July 2018, read in part, .Comprehensive Interdisciplinary Plan of Care will be developed and implemented no later than 21 days following the admission . Res #54 was admitted on [DATE] with diagnoses which included dementia, gastrostomy, neuromuscular dysfunction of the bladder and frontotemporal neurocognitive disorder. An admission resident assessment for Res #54 was completed on 09/15/23 which documented the resident received nutrition through a PEG tube, had an indwelling urinary catheter, and required extensive assistance with ADL's. A comprehensive care plan for Res #54 was not developed. On 10/23/23 at 11:45 a.m., the MDS Coordinator reported there was no comprehensive…
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.
- Potential for harm · D2023-10-24 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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 complete a discharge summary for two (#58 and #59) of two closed records reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: 1. Res #58 was admitted to the facility on [DATE] and had diagnoses which included right femur fracture, heart failure, and hypothyroidism. An admission assessment, dated [DATE], documented the resident was moderately cognitively impaired and required extensive assistance with most ADLs. A progress note, dated [DATE] at 11:42 a.m., documented the resident was found unresponsive in wheelchair and CPR was immediately initiated. The note documented the resident was transported via EMS to the hospital. A progress noted, dated [DATE] at 1:17 p.m., documented the resident was deceased at the hospital. There was no documentation of a discharge summary found in the medical record. 2. Res#59 was admitted to the facility on [DATE] with diagnoses of Alzheimer's disease,…
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.
- Potential for harm · Dcited before2023-10-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to provide nail care for a resident who was unable to carry out activities of daily living for one (#35) of 25 sampled residents. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: Res #35 was admitted to the facility with diagnoses of anorexia, cerebrovascular disease, dysphagia, and cerebral infarction. An annual assessment, dated 07/17/23, documented the resident required extensive assist with all ADL's. On 10/18/23 at 10:07 a.m., Rest #35 was observed resting in bed with eyes open. The resident's fingernails were observed to be long and starting to curve back under, nail polish was observed to missing from most of the nails. On 10/24/23 at 9:50 am the resident's fingernails were observed to be long and starting to curve back under, fingernail polish was observed to be missing from most of the nails. On 10/24/23 at 9:54 a.m., CNA #1 was asked who was responsible for the resident's nail care. CNA #1 reported another CNA was. On 10/24/23 at 9:57 a.m.,…
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.
- Potential for harm · D2023-10-24 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to implement a physician agreed upon pharmacist MRR recommendation for one (#31) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: A policy with regard to timeliness of pharmacist recommendation and response, dated 07/01/19, documented the physician and/or director of nursing are requested to acknowledge and act upon recommendation within 30 calendar days of the consultant pharmacist's drug regimen review/recommendation. Res #31 had diagnoses which included heart failure, acquired absence of leg below the knee, and atherosclerotic heart disease. An admission assessment, dated 04/01/23, documented Res #31 was cognitively intact and required extensive assistance with most ADLs. A pharmacist MRR, dated 08/01/23, read in part, .Based on current CDC recommendations and new CMS recommendations for opioid use disorder, opioid doses greater than 50 MME/day, or an ordered combination of benzodiazepines 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.
- Potential for harm · E2022-05-05 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview, and record review, the facility failed to provide sufficient staff for 11 of 183 shifts reviewed. The administrator reported a census of 61 residents. Findings: A staffing schedule, dated February 2022, documented on 02/12/22 and 02/26/22, 10 of 11 required staff members were on duty, and on 02/27/22 eight of 11 required staff members were on duty. A staffing schedule, dated March 2022, documented on 03/03/22, 03/04, 03/06, 03/08, 03/16, 03/20, 03/27, 03/30/22, three of four required staff members were on duty. On 05/05/22 at 9:14 a.m., CNA #2 reported they had worked short handed. On 05/05/22 at 10:07 a.m., LPN #1 reported they had worked short staffed. On 05/05/22 at 10:44 a.m., the administrator reported in March 2022 there were eight night shifts with three staff members on duty, and in February 2022 day shift was short staffed on three shifts. The administrator reported in February 2022, there were two days with 10 staff and one day with eight staff. The administrator reported the shifts should have been fully staffed.
- Potential for harm · Ecited before2022-05-05 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure pureed diets were prepared in a sanitary manner for seven (#55, 41, 31, 59, 210, 35, and #44) of seven residents reviewed for a pureed diet. The Resident Census and Condition, dated 05/03/22, documented seven residents received a pureed diet. Findings: a. On 05/03/22, from 10:15 a.m. to 10:28 a.m, [NAME] #1, stirred pureed carrots with spatula and placed spatula onto unsanitized surface three consecutive times. b. On 05/03/22 at 10:28 a.m., [NAME] #1 touched their face mask, eye glasses, and shirt, then plated pureed food without performing hand hygiene. On 05/03/22 at 10:33 a.m., [NAME] #1 reported the spatula was placed on an unsanitized surface and hand hygiene wasn't performed prior to plating pureed food. On 05/03/22 at 10:35 a.m., the dietary manager and registered dietician reported the pureed food had been prepared in an unsanitary manner.
- Potential for harm · D2022-05-05 · tag F0563 — failed to protect the right to visitors — isolatedHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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 one (#20) of 61 residents had the right to receive visitors of the resident's choosing. The Resident Census and Conditions of Residents, dated 05/03/22, documented 61 residents resided in the facility. Findings: On 05/02/22 at 11:46 a.m., Res #20 reported FM #1 had been banned from visiting by the administrator since 04/22/22. A Resident/Patient Concern Report, dated 04/22/22, signed by the administrator, read in parts, .was yelling down the hall, someone better get down here and help my mother.continued to be beligerent, refused to come and talk about the situation . Stated Res #20 had the call light on for an hour. Staff was afraid to enter the room due to (FM #1's) behavior. LPN charge nurse called police due to FM#1's threatening behavior. Police came and FM #1 was banned from facility .called FM #2 to inform them what had happened. FM #2 said FM #1 tends to be a hot head. Encouraged FM #2 to come to me if they have any more concerns. On 05/03/22 at 10:44 a.m., during a phone interview, FM #2 reported they felt…
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.
- Potential for harm · Dcited before2022-05-05 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 complete incident reports in a timely manner to the Oklahoma State Department of Health for two (#40 and #55) of two residents reviewed for falls. The administrator reported a census of 61. Findings: 1. Res #40 was admitted to the facility with diagnoses which included repeated falls. An incident report, dated 12/10/21 at 4:03 p.m., documented Res #40 had fallen and was sent to the emergency room. A progress note, dated 12/10/21 at 7:45 p.m., documented in part . remains at the emergency room at this time for left hip fracture. A Communication Result Report, dated 12/13/21, verified the incident report was sent by facsimile to the Oklahoma State Department of Health on 12/13/21 at 11:58 a.m. On 05/04/22 at 11:45 a.m., the administrator reported they had faxed an initial and combined incident report to the Oklahoma State Department of Health on 12/13/21. The Administrator reported since the Res #40 had a fall with major injury, the incident report should have been faxed within 24 hours of the incident. 2. Res #55 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.
- Potential for harm · Dcited before2022-05-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide bathing for one (#6) of two residents reviewed for bathing. The administrator reported 54 residents required assistance with bathing. Findings: An annual assessment, dated 02/01/22, documented Res #6 was incontinent of bladder and required assistance with bathing. A flow sheet, dated 03/01/22 to 03/31/22, documented Res #6 was scheduled for 14 baths and had received six baths. A flow sheet, dated 04/01/22 to 04/30/22, documented Res #6 was scheduled for 14 baths and had received five baths. On 05/02/22 at 10:15 a.m., Res #6 was observed sitting in a chair, upon entry to the resident's room, the surveyor detected an odor of urine. Res #6 reported they had not received a bath in over a week. The resident reported the staff did not offer a bath if the facility was short on staff. On 05/03/22 at 2:34 p.m., CNA #1 reported Res #6 was scheduled for a bath three days a week. CNA #1 reviewed Res #6's flow sheets and reported Res #6 had not received baths as scheduled. On 05/03/22 3:07 p.m., the DON reported…
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.
“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.
- 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.
Fines & penalties
$31,460 in federal fines across 1 penalty.
- $31,460 — penalty dated 2025-02-28
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.
Part of a chain
This home belongs to MGM HEALTHCARE — 27 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.3 | -0.3 vs chain |
| Health inspection | 2 of 5 | 2.4 | -0.4 vs chain |
| Staffing | 2 of 5 | 1.7 | +0.3 vs chain |
| Quality measures | 4 of 5 | 3.6 | +0.4 vs chain |
The other 26 homes this chain runs (chain average 2.3★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| OK SNF HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | since 05/14/2024 |
| OK SNF INVESTMENTS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | since 05/14/2024 |
| JFB OK TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 05/14/2024 |
| SOUTHEAST VENTURES TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | since 05/14/2024 |
| BENNETT, PEGGY | Individual | W-2 MANAGING EMPLOYEE | — | since 05/14/2024 |
| FRIEDMAN, NAFTALI | Individual | CORPORATE OFFICER | — | since 05/14/2024 |
4 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.
This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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
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
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.
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 375340. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-28, 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.