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McLoud Nursing Center

701 South 8th Street, McLoud, OK 74851 · For profit - Individual · 80 certified beds · (405) 964-2961 Medicare & Medicaid certified

Call the home — (405) 964-2961 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Feb 2020Resident-funds citation (F0569)Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, 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 (F0569)
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
704 S 8th St · (405) 964-6463 · Call to confirm hours
Pharmacy
704 S 8th St · (405) 964-3956 · Call to confirm hours
Grocery
29501 Kickapoo Rd · (213) 684-1969 · Call to confirm hours
Park
Mcloud City Park · Typically dawn to dusk
Place of worship

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 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 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.

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 increased9.6%13.6%15.4%better
Long-stay residents who lose too much weight1.9%3.3%5.4%better
Long-stay residents with a catheter left in their bladder2.8%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.5%2.8%2.0%better
Long-stay residents with depressive symptoms0.0%3.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.0%4.7%3.3%better
Long-stay residents whose ability to walk worsened14.1%13.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.2%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine92.3%94.6%95.3%typical
Long-stay residents with pressure ulcers4.7%4.7%4.7%typical
Long-stay residents with worsening bladder/bowel control4.7%17.1%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table1.7%17.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine70.8%74.1%79.4%worse
Short-stay residents rehospitalized after admission35.6%27.3%22.6%worse
Short-stay residents with an outpatient ER visit27.1%16.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.342.311.67better
Long-stay outpatient ER visits per 1,000 resident days3.792.961.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. 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.

56.1% 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 44 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.1%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
0.15U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.1%CMS range 41.6–68.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 7.2–15.210.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified87.9%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 stay3.0%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 worsened6.1%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 hospitalization7.5%CMS range 4.2–11.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.071.02Oct 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

0.21
RN hours/ resident / day
0.91
LPN hours/ resident / day
2.69
Aide hours/ resident / day
3.80
Total nurse hours/ resident / day
0.13
RN hoursweekends
48.3%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 80 beds and averages 56.5 residents a day — about 71% occupied, or roughly 24 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 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.65 hrs/resident/day on weekends vs 3.86 on weekdays — 6% thinner on weekends. RN hours go from 0.24 to 0.13 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%.

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

15
deficiencies at the latest standard inspection (2024-06-13)
4
at the previous standard inspection (2023-05-05)

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

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

Inspection deficiencies

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

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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · F2024-06-13 · tag F0727 — failed to provide required RN coverage — widespread
    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 — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours a day, seven days a week. The administrator identified 43 residents who resided in the facility. Findings: A document titled, Nursing Department Schedule as Worked, dated 06/08/24, documented there was not an RN who had worked on the day, evening, or night shift. On 06/13/24 at 1:52 p.m., the administrator stated they did not have an RN scheduled to work on 06/08/24 and 06/09/24. They stated an RN had not worked on 06/08/24. The administrator stated they did not utilize staffing agencies.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-06-13 · 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 observation and interview, the facility failed to ensure proper food service sanitation and storage requirements were followed. The DON identified 43 residents who received their meals from the kitchen. Findings: The facility's undated, Food Storage policy, read in part, It is the policy .to follow all state and federal guidelines on food storage. The policy also read, Plastic containers with tight fitting covers must be used for storing .flour .Scoops must be provided for .flour .Scoops are not to be stored in food. The policy also read, Perishable food such as meat .fruits, vegetables and frozen products must be refrigerated immediately to ensure nutritive value and quality. Refrigeration temperatures should be thermostatically controlled to maintain food temperatures at or below 40 degrees F. The policy also read, Leftover food is used within 24 hours or discarded. The policy also read, Temperatures for refrigerators should be between 35-39 degrees Fahrenheit. Thermometers should be checked at least three times a day .Frozen meat .should be defrosted in a refrigerator…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-13 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to complete a SNF ABN for two (#1 and #42) of three sampled residents reviewed for beneficiary notices. The administrator reported 43 residents resided in the facility. Findings: The DON identified 17 residents who had been discharged from a Medicare Part A covered stay with benefit days remaining in the past six months. 1. Res #1 admitted to Part A skilled services on 03/26/24 and discharged from skilled services on 05/30/24. There was no documentation a SNF ABN was provided to Res #1 or their representative. 2. Res #42 admitted to Part A skilled services on 05/08/24 and discharged from skilled services on 06/06/24. There was no documentation a SNF ABN was provided to Res #42 or their representative. On 06/12/24 at 9:28 a.m. the social service director stated they were not aware the form SNF ABN needed to be completed for residents discharged from Part A services. The director stated the SNF ABN form had not been completed for resident #1 and #42.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-13 · tag F0644 — pattern
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure a new PASARR Level I screening was conducted when a new serious mental illness diagnosis was received for one (#13) and the PASARR level I included the mental health diagnoses for one (#14) of two sampled residents reviewed for PASARR assessments. The administrator identified 43 residents who resided in the facility. Findings: 1. Res #13 had diagnoses, dated 06/02/23, which included unspecified psychosis not due to a substance or known physiological condition. On 06/11/24 at 1:46 p.m., the MDS coordinator stated they were unaware they needed to submit a PASARR level I for a new diagnosis of serious mental illness. 2. Res #14 had diagnoses which included major depressive disorder single episode on 04/23/15 and psychotic disorder with delusions due to known physiological condition on 07/27/15. A PASARR Level I Screening, submitted on 08/17/15, documented Res #14 did not have a diagnosis of a serious mental illness. On 06/13/24 at 11:36 a.m., the DON stated Res #14 had diagnoses of depression and serious mental illness…

    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 · E2024-06-13 · tag F0657 — failed to keep the care plan current — pattern
    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 care plan was updated to include oxygen therapy and enhanced barrier precautions for one (#14) of eight residents reviewed for care plans. The DON identified four residents who had catheters, two residents who had wounds, and seven residents who utilized oxygen. Findings: The facility's Care Plans, Comprehensive Person-Centered policy, revised 12/2016, read in part, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The care plan also read, The comprehensive, person-centered care plan will .Describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being .Incorporate identified problem areas. Res #14 had diagnoses which included asthma, urinary retention, and stage four pressure ulcer. A physician's order, dated 04/07/23, documented to administer oxygen at 3…

    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 · Ecited before2024-06-13 · 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 portable electric space heater was not utilized in resident rooms for one (#3) of one sampled resident observed with a portable electric space heater in their room. The DON identified 43 residents who resided in the facility and two residents who utilized electric space heater in their rooms. Findings: The facility's undated, Electrical Safety for Residents policy, read in part, The resident will be protected from injury associated with the use of electrical devices, including electrocution, burns and fire. The policy also read, Portable space heaters are not permitted in the facility. Res #3 had diagnoses which included psychotic disorder with hallucinations and dementia. On 06/10/24 at 9:15 a.m., Res #3 was asked why they were using a portable electric space heater. They stated because they were cold. Res #3 stated they covered the heat and air vent because it blew out cold air. On 06/10/24 at 11:03 a.m., a portable electric space heater was observed plugged in and turned on in Res #3's room. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-13 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to post the required staffing information. The DON identified 43 residents who resided in the facility. Findings: On 06/09/24 at 8:00 a.m., a white dry erase board was observed hanging on the wall at the nurses' station. The white dry erase board was not filled out. A schedule was observed in a book at the nurses' station. The schedule did not document the current census. On 06/10/24, 06/12/24, and 06/13/24 the white dry erase board was observed on the wall at the nurses' station. The dry erase board did not document the name of the facility, census or the hours worked for each staff member. On 06/13/24 at 3:04 p.m., the DON stated the required information was not documented on the dry erase board at the nurses' station.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-13 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure medication was necessary to treat a specific condition indicated in the clinical record for one (#42) and failed to ensure a rationale was documented for declining a gradual dose reduction for one (#3) of five sampled residents reviewed for unnecessary medications. The DON identified 30 residents who received psychotropic medication. Findings: The facility's Consultant Pharmacist Reports policy, dated 04/2018, read in part, Recommendations are acted upon and documented by the facility staff and/or the prescriber .Prescriber accepts and acts upon suggestions or rejects and provides an explanation for disagreeing. 1. Res #42 had diagnoses which included myocardial infarction, acute respiratory distress, muscle weakness, lack of coordination, acute on chronic systolic heart failure, chronic obstructive pulmonary disease, cognitive communication deficit, age-related physical debility, essential hypertension, and hyperlipidemia. A physician order, dated 05/11/24, documented the resident received Lexapro (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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-13 · 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 — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to guarantee the person designated to serve as the DM met the State requirement for DM. The administrator identified all 43 residents received their meals from the kitchen. Findings: The dietary manager was transferred to the kitchen on 11/16/20. There was no documentation provided the dietary manager had obtained their certification for dietary manager. On 06/12/24 at 12:41 p.m., the DON stated the dietary manager had finished their training and was waiting to take the test. On 06/12/24 at 4:57 p.m., the dietary manager stated they were not certified. The dietary manager stated they needed to take the test.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-06-13 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure: a. nebulizer masks were stored in a manner to prevent cross contamination for two (#12 and #32) of two sampled residents observed for infection control with breathing treatments; b. staff wore appropriate PPE and performed hand hygiene during wound care for one (#14) of two sampled residents who were observed during wound care. c. staff wore appropriate PPE during provision of care for two , (#17, and #38) of three sampled residents reviewed for enhanced barrier precautions; and d. IV tubing was changed per facility policy for intermittent use for one(#17) of one sampled resident who was reviewed for IV therapy. The DON identified seven residents who were placed on enhanced barrier precautions, five residents who received nebulizer treatments, and one resident who received IV medication. Findings: The facility's, Departmental (Respiratory Therapy)-Prevention of Infection, revised 11/2011, documented to remove nebulizer container after completion of therapy, rinse the container with fresh tap water,…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · D2024-06-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 the hot water was at a comfortable temperature for one (#12) of one sampled resident who was observed for hot water temperatures. The administrator identified 43 residents who resided in the facility. Findings: The facility's Water Temperatures, Safety of policy, revised 12/2009, read in part, Maintenance staff shall conduct periodic tap water temperature checks. The temperature logs were reviewed and revealed Resident #12's water temperatures had not been monitored in May and June 2024. On 06/09/24 at 11:49 a.m., Res #12's family member stated the resident did not have hot water at their sink faucet. On 06/09/24 at 11:49 a.m., the hot water was turned on the water felt cool and was not warm. On 06/12/24 at 12:50 p.m., the hot water temperature in Res #12's room was 71.2 degrees F. On 06/12/24 at 1:09 p.m., the maintenance supervisor obtained the hot water temperature in Res #12's room; the temperature was 68 degrees F. They stated they could adjust the water temperature. On 06/12/24 at 1:11 p.m., Res…

    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 · D2024-06-13 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 professional accepted standards of quality were met related to a mental health diagnoses given to one (#42) of five sampled residents reviewed for unnecessary medication and diagnoses. The administrator identified 43 residents who resided in the facility. Findings: Res #42 had diagnoses which included myocardial infarction, acute respiratory distress, muscle weakness, lack of coordination, acute on chronic systolic heart failure, chronic obstructive pulmonary disease, cognitive communication deficit, age-related physical debility, essential hypertension, and hyperlipidemia. A physician order, dated 05/11/24, documented the resident received Lexapro (a antidepressant medication) 20 mg by mouth one time a day for depression and anxiety. A physician order, dated 05/11/24, documented the resident received Buspirone (a antianxiety medication) 5mg by mouth three times a day for anxiety. An admission assessment, dated 05/15/24, documented the resident was cognitively intact and had no behaviors or potential indications of…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to complete a discharge summary with a recapitulation of stay for one (#47) of one sampled resident reviewed. The administrator identified 49 residents who had been discharged in the last six months. Findings: Res #47 A review of the progress notes, documented Res #47 was discharged home with medication and belongings on home health via family transport on 03/28/24. There was no documentation in the clinical record the facility completed a discharge summary for Res #47 with a recapitulation of their stay. On 06/11/24 at 2:35 p.m., the DON stated there was not a discharge summary for Res #47.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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

    Based on observation, record review, and interview, the facility failed to ensure an indwelling urinary catheter was anchored to prevent dislodgement and injury for one (#14) of three sampled residents who had a urinary catheter. The administrator identified four residents who had urinary catheters. Findings: The facility's policy titled, Catheter Care, Urinary, revised 09/2014, read in part, Ensure that the catheter remains secured with a leg strap to reduce friction and movement at the insertion site. (Note: Catheter tubing should be strapped to the resident's inner thigh.) Res #14 had diagnoses of urinary retention. Res #14's ADL care plan, dated 11/24/23, documented to provide catheter care every shift. Res #14's annual assessment, dated 04/20/24, documented they had an indwelling catheter. On 06/09/24 at 10:15 a.m., Res #14 was observed in bed, the catheter bag was hanging off the bed below the bladder. On 06/13/24 at 10:22 a.m., LPN #3 was observed providing pericare to Res #14. Res #14's catheter tubing was not anchored. The resident had small amount of dark reddish colored…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure a medication had a diagnosis for use for one (#3) of five sampled residents reviewed for unnecessary medications. The DON identified 43 residents who resided in the facility. Findings: Res #3 had diagnoses which included MDD, dementia, and psychotic disorder with hallucinations. The DON identified 43 residents who resided in the facility. Findings: A physician's order, dated 05/14/24, documented to administer Lamictal 25 mg two times a day. There was not a diagnosis for the medication. On 06/13/24 at 9:10 a.m., the DON stated there was not a diagnosis for the Lamictal. They stated the nurse practitioner's note documented based on last week's assessment.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-01 · tag F0569 — pattern
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    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 convey remaining funds to the legal representatives of deceased residents within 30 days for two (#1 and #2) three sampled residents reviewed for finances. The assistant administrator identified 10 residents who had discharged from the facility with funds remaining. Finds: A policy titled Conveyance of Resident Funds documented .The resident's personal funds and a final accounting of funds are returned to the resident, the resident's representative or to the resident's estate (individual or probate jurisdiction per state law), as applicable, within thirty (30) days from the date of the resident's discharge or eviction from the facility, or death . 1) Res #1 was admitted to facility on [DATE] and discharged on [DATE]. A form documented invoice search with a check request date identified as [DATE]. The form documented an invoice amount of $1,010.62 and a check was sent on [DATE]. 2) Res #2 was admitted to the facility on [DATE] and discharged on [DATE].…

    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 · Ecited before2023-05-05 · 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 mechanical lifts were completed with two staff members for two (#25 and #26) of two sampled residents reviewed for accidents. The Resident Census and Conditions of Residents report, dated 05/04/23, documented 38 residents resided in facility. The DON identified 16 residents used a mechanical lift for transfers. Findings: A Using a Mechanical Lift policy, undated, read in part, .Two (staff members) are to be used when a mechanical lift is in use to ensure resident's safety . 1. Resident #25 had diagnoses which included unsteadiness on feet and other lack of coordination. A Care Plan, dated 12/20/21, read in part, .I require limited to extensive assist with ADL care .[two] person assist with Hoyer [mechanical] lift for transfer . A Resident Assessment, dated 02/19/23, documented Resident #25 was total dependent with two or more staff assistance for transfers. On 05/03/23 at 6:30 a.m., CNA #1 was observed to respond to Resident #25's call light. Resident #25 requested to get out of bed. CNA #1 was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-05-05 · tag F0725 — failed to have enough nursing staff — pattern
    Provide 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 — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure sufficient staff to complete mechanical lift transfers for two (#25 and #26) of two residents reviewed for staffing. The Resident Census and Conditions of Residents report, dated 05/04/23, documented 38 residents resided in facility. The DON identified 16 residents used mechanical lifts for transfers. Findings: A Using a Mechanical Lift policy, undated, read in part, .Two (staff members) are to be used when a mechanical lift is in use to ensure resident's safety . A Staffing policy, dated October 2017, read in part, .Our facility provides sufficient numbers of staff .to provide care and services for all residents in accordance with resident care plans . Resident #25's Care Plan, dated 12/20/21, read in part, .I require limited to extensive assist with ADL care .[two] person assist with Hoyer [mechanical] lift for transfer . On 05/03/23 at 6:30 a.m., CNA #1 was observed to transfer Resident #25 by using a mechanical lift. CNA #1 was the only staff member observed in the room during the transfer. 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-05 · tag F0577 — isolated
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure survey results were readily accessible/available to residents and visitors. The Resident Census and Conditions of Residents report, dated 05/04/23, documented 38 residents resided in the facility. Findings: On 05/04/23 at 5:34 a.m., a sign was observed posted at the nurses' station on the front hall. The sign documented, Past Survey Results Can be Found By Asking The Charge Nurse At The Front Desk. On 05/04/23 at 6:04 a.m., LPN #1 was asked how someone would access survey results without asking for them. They stated the results were suppose to be in a binder somewhere at the nurses' station. LPN #1 pointed to the sign. They were asked if someone had to ask for the results. LPN #1 shook their head yes. LPN #1 stated the binder was usually located on the top shelf, but they didn't see them up there at this time. On 05/04/23 at 6:31 a.m., the Administrator was asked how someone would access survey results without asking for them. She stated the binder was located by the coke machine, around the corner from the nurses'…

    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 · D2023-05-05 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 insulin was administered as ordered for one (#6) of six sampled residents reviewed for medication administration. The DON identified six residents received insulin. Findings: An Administering Medications policy, dated April 2019, read in part, Medications are administered .as prescribed . Resident #6 had diagnoses which included Type 2 diabetes mellitus. A Physician's Order, dated 02/08/23, documented to administer 30 units of Levemir insulin subcutaneously in the morning, hold if FSBS was less than 150. A March 2023 Insulin Administration Record, documented Levemir 30 units had been administered when the FSBS was less than 150 on the following dates: a. 03/18/23, FSBS 135, b. 03/24/23, FSBS 143, and c. 03/30/23, FSBS 144. An April 2023 Insulin Administration Record, documented Levemir 30 units had been administered when the FSBS was less than 150 on the 04/04/23, FSBS 114. A Physician's Order, dated 04/08/23, documented to administer 30 units of Levemir insulin subcutaneously in the morning, hold if FSBS is less…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-02-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 reviews, and staff interviews, it was determined the facility failed to ensure physician's orders had been obtained and/or implemented for a stage three pressure ulcer for one (#45) of two sampled residents reviewed who had pressure ulcers. The Resident Census and Conditions of Residents, form, dated 02/19/20, identified two residents who had pressure ulcers. Findings: Resident #45 was admitted to the facility on [DATE] with a stage three pressure ulcer of the left heel. An initial wound progress note, dated 01/09/20, documented, .Wound [number] 3 status is Open. Original cause of wound was Pressure Injury. The wound has etiology of Pressure Ulcer and is located on the Left Calcaneous [heel]. The wound measures 0.5 cm [centimeters] length [by] 1 cm width [by] 0.1 cm depth .Plan .Cleanse wound with Saline- Cleanse daily and pat dry. Apply iodosorb to wound bed daily and PRN [as needed]. cover with border gauze . The wound note had been noted by facility staff on 01/13/20. A…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2020-02-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, it was determined the facility failed to maintain safe water temperatures in residents' rooms for 13 (#13, 17, 20, 24, 27, 30, 33, 44, 50, 55, 56, 110, and #111) of 14 residents whose rooms were observed for safe water temperatures. The DON (director of nurses) identified 30 residents who were able to utilize the sinks in their rooms. Findings: A facility policy untitled, documented: .In accordance with Oklahoma State Regulations, it is the policy of this facility that water temperatures in the facility follow the same guideline .Temperatures in resident rooms will not exceed 115 degrees . On 02/16/20, the follow water temperatures were obtained in residents' room sinks: At 9:45 a.m., the water temperature in resident room [ROOM NUMBER] for residents #30 and #33 was measured at 123 F (degrees Fahrenheit). The water temperature in resident room [ROOM NUMBER] for resident #27 was measured at 122 F. The water temperature in resident room [ROOM NUMBER] for…

    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 · D2020-02-20 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, it was determined the facility failed to ensure: a. reference checks were conducted for potential employees for five (CNA [certified nurse aide] #1, 2, and #4 and LPN [licensed practical nurse] #2) of five employee files reviewed; b. allegations of resident to resident abuse were reported and reported timely to the OSDH (Oklahoma State Department of Health) for one (#21) of one sampled resident reviewed with an allegation of abuse; c. allegations of resident to resident abuse were investigated and thoroughly investigated and documentation of a thorough investigation was maintained for one (#21) of one sampled resident reviewed with an allegation of abuse; and d. residents were protected from further potential abuse by one (#21) of one sampled resident reviewed with an allegation of resident to resident abuse. The DON (director of nurses) identified one resident who had behaviors towards other residents. The Resident Census and Conditions of Residents, form, dated 02/19/20, identified 60 residents who resided in the facility. Findings: 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-20 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, it was determined the facility failed to ensure allegations of resident to resident abuse were reported and reported timely to the OSDH (Oklahoma State Department of Health) for one (#21) of one sampled resident reviewed with an allegation of resident to resident abuse. The DON (director of nurses) identified one resident who had behaviors directed toward others. The Resident Census and Conditions of Residents, form, dated 02/19/20, identified 60 residents who resided in the facility. Findings: A facility policy titled, Abuse and Neglect, documented: .The facility will implement the following seven steps for abuse prevention and investigation . Reporting .The facility will send a report to all reporting agencies as required by OSDH guidelines .The facility will send a report to the Oklahoma State Department of Health on form 2873 within 24 hours of being notified of any allegation . Resident #21 had diagnoses which included encephalopathy, depression, hydrocephalus, traumatic brain injury, and a cognitive communication deficit. A care plan,…

    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 · D2020-02-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, it was determined the facility failed to ensure: a. allegations of resident to resident abuse were investigated and thoroughly investigated and documentation of a thorough investigation was maintained for one (#21) of one sampled resident reviewed with an allegation of resident to resident abuse; and b. residents were protected from further potential abuse by one (#21) of one sampled resident reviewed with an allegation of resident to resident abuse. The DON (director of nurses) identified one resident who had behaviors towards other residents. The Resident Census and Conditions of Residents, form, dated 02/19/20, identified 60 residents who resided in the facility. Findings: A facility policy titled, Abuse and Neglect, documented: .The facility will implement the following seven steps for abuse prevention and investigation . Prevention .The facility will implement policy and procedures to prevent abuse .of our residents .The facility will provide protection of residents in the case of any allegations of abuse .The facility will conduct any…

    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 before2020-02-20 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record reviews, and interviews, it was determined the facility failed to ensure proper hand hygiene was conducted during the provision of wound care for one (#59) of two sampled residents observed during the provision of wound care. The DON (director of nurses) identified two residents with physician's orders for pressure ulcer wound care treatments. Findings: A facility policy titled, Wound Care, documented: .The purpose of this procedure is to provide guidelines for the care of wounds to promote healing .Wash and dry your hands thoroughly .Pull glove over dressing and discard into appropriate receptacle. Wash and dry your hands thoroughly .Put on gloves .Use .applicators to remove ointments and creams from their containers .Wear sterile gloves when physically touching the wound or holding a moist surface over the wound .Dress wound .Remove the disposable cloth next to the resident and discard into the designated container .Wash and dry your hands thoroughly . Resident #59 had diagnoses which included acute kideny failure, abnormalities of gait and mobility, 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.

    Infection Control 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.

Who owns this facility

Owner / managerTypeRoleShareSince
BROGDON, CHRISTOPHERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 09/19/2014
MCLOUD PROPERTY HOLDINGS LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 07/26/2013
NICHOLS, CHERYLIndividualCORPORATE OFFICER; ADP OF THE SNFsince 04/06/2016
MARSH POINTE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/24/2025
CRAIG, CALEBIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2024
LADE, ARVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2023

CMS files one row per role, so the 14 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$3.2M
Net patient revenuemost recent cost report
-13.4%
Operating marginrevenue minus expenses
$121K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 76%Medicare 7%Other / private 17%

About 76% 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 $121K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$261per resident / day
operating cost
$7,924per month
≈ monthly operating cost
$230per 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 375347. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-06-13, 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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