Cross Timbers Nursing And Rehabilitation

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

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 187 beds and averages 58.2 residents a day — about 31% occupied, or roughly 129 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.17 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.77 hrs/resident/day on weekends vs 3.38 on weekdays — 18% thinner on weekends. RN hours go from 0.17 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% 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.

31 citations, most serious first. The 15 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · K2023-08-04 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  On 07/27/23 at 4:14 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to ensure residents were free abuse and failed to protect from further abuse and neglect. Resident #7 reported on 07/13/23 that Resident #6 had touched her inappropriately on the breast and vaginal area. AN OSDH reportable incident dated 07/13/23 documented an investigation was initiated and Resident #6 would be placed on operation stand by. Operation stand by is 88 hours of close supervision after an incident. There is not consistent documentation this occurred. There is no documentation Resident #6 was interviewed. A SS note on 07/13/23 documented the police had been called, came out and interviewed five other residents along with Resident #7. Two other residents stated they witnessed the incident. Five days later, on 07/18/23, there were nine resident interviews conducted related to abuse. No staff interviews had been conducted. The incident was substantiated. There are not sufficient measures in place to protect…

  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
• Immediate jeopardy · K2023-08-04 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 08/02/23 at 3:37 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure staff responded to a choking resident and provide the Heimlich maneuver according to standards. Resident #9 had diagnosis to include bipolar, dysphagia, protein calorie malnutrition, anxiety, reflux, and malignant neoplasm upper lobe left bronchus lung. On 07/29/23 a certified nurse aide provided assistance during the noon meal to Resident #9 after being asked. The resident was responding verbally throughout the meal until one bite when the resident took a deep breath and made attempts to cough. The certified nurse aide turned the resident on the side did thrust to back with no success and summoned the licensed practical nurse in charge of the hall of the emergency. During the response, the nurse did not instruct, and/or perform the Heimlich to assist the resident with choking. Staff was interviewed and confirmed…

  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
• Immediate jeopardy · Kcited before2023-08-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 07//27/23 at 11:45 a.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure residents were not missing from the facility and had procedures in place to account for all residents during the shift. Resident #2 had diagnoses which included Schizophrenia, Chronic Obstructive Pulmonary Disease, Senile Degeneration of brain, major depression, and anxiety. The Residents cognition was moderately impaired and they wandered the facilty. The resident had an elopement risk assessment completed on 07/02/23 and the Resdient was at risk for elopement. The care plan did not address wandering or elopement risk for Resident #2. Resident #2 was interviewed and stated they had left the facility by going over the fence because the fire department told them. Resident #2 stated they had walked a long and did not remember who brought them back to the facility. Video surveillance was observed with the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2023-08-04 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  On 08/02/23 at 3:37 p.m., the Oklahoma State Department of Health (OSDH) confirmed the existence of an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure staff were trained on and responded to a choking resident. Resident #9 had diagnosis to include bipolar, dysphagia, protein calorie malnutrition, anxiety, reflux, and malignant neoplasm upper lobe left bronchus lung. On 07/29/23 a certified nurse aide provided assistance during the noon meal to Resident #9 after being asked. The resident was responding verbally throughout the meal until one bite when the resident took a deep breath and made attempts to cough. The certified nurse aide turned the resident on the side, did thrust to back with no success, and summoned the licensed practical nurse in charge of the hall of the emergency. During the response, the nurse did not instruct and/or perform the Heimlich to assist the resident with choking. Staff was interviewed and confirmed the resident was choking, the nurse did not respond, and provide any assistance to Resident #9 such as…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-11-16 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 an anticonvulsant medication was administered as ordered which resulted in actual harm when a resident experienced a seizure and/or seizure like activity for one (#26) of five sampled residents reviewed for unnecessary medications. The DON identified 52 residents who received anticonvulsant medication resided in the facility Findings: An Adverse Consequences and Medication Errors policy, revised 04/14, read in part, .Residents receiving any medication that has the potential for an adverse consequence will be monitored to ensure that any such consequences are promptly identified and reported .Examples of medications errors include .omission - a drug is ordered but not administered .Facility staff monitor the resident for possible medication-related adverse consequences .An unexplained decline in function or cognition .Acute onset of signs or symptoms worsening of a chronic problem or condition . Resident #26 had diagnoses which included other specified extrapyramidal and movement disorder, epilepsy, schizoaffective…

  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 · D2025-02-26 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure resident assessments were completed and submitted to Centers for Medicare & Medicaid Services for 1 (#60) of 15 sampled residents who were reviewed for resident assessments. The administrator identified 59 residents resided in the facility. Findings: Resident #60's Discharge Assessment, showed the assessment reference date was 10/16/24 and the assessment was completed on 11/01/24. The assessment was not completed within the 14 day allowed time for completion. On 02/21/25 at 2:17 p.m., the director of nursing stated the assessment did not appear to have been submitted on time.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 follow the menu for one of one meal service observed. The administrator identified 47 residents who received their meals from the kitchen. Findings: On 02/25/25 at 9:51 a.m., a lunch menu observed posted in the dining room board showed baked chicken, buttered noodles, peas and mushrooms, roll and apricot parfait. The Menus policy, revised 04/2007, read in part, Menus shall be planned and followed to meet nutritional needs of patients. A Week 2 facility menu, dated 2024-2025, showed residents would be served chicken baked, buttered noodles, peas and mushrooms, white roll, and apricot parfait for Tuesday's lunch menu on 02/25/25. On 02/25/25 at 10:00 a.m., cook #1 stated they would serve fried chicken patties, peas, scalloped potatoes, dinner rolls, and mixed fruit. They stated they changed the menu because they could not locate the chicken to thaw out at that time. They stated they later located the chicken. On 02/25/25 at 10:39 a.m., cook #1 stated they consulted with the administrator before making 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-26 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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: a. prepared food was dated and labeled; and b. prepared food that could not consumed was removed from storage for one of one kitchen observation. The administrator identified 47 residents who received their meals from the kitchen. Findings: On 02/20/25 at 11:50 a.m., during the initial kitchen visit of the six door refrigerator, there were four white bowls of an unknown beige substance on a plastic tray. The unknown substance had greenish/gray center and white edges. They were not dated or labeled. The Food Receiving and Storage policy, revised 12/2008, read in part, Foods shall be received and stored in a manner that complies with safe food handling practices .All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date). On 02/20/25 at 11:56 a.m., cook #1 stated the greenish/gray with white edges in the bowls looked like mold. They stated they did not know what the date should be on the bowls. They stated the policy was to label, date, and after 48 hours depending on the food…

  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 · D2024-09-06 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure an allegation of abuse was reported to the required agencies for one (#2) of three sampled resident whose financial records were reviewed. The Administrator identified 67 residents resided in the facility Findings: An Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating policy, revised 09/22, read in part, .All reports of resident abuse .neglect, exploitation, or theft/misappropriation of resident property are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management. Findings of all investigations are documented and reported .The administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies: a. The state licensing/certification agency responsible for surveying/licensing the facility; a. The local/state ombudsman; b. The resident's representative; c. Adult protective services (where state law provides jurisdiction in long-term care); d. Law…

  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 before2024-09-06 · 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 review and interview, the facility failed to maintain documentation that an alleged violation was thoroughly investigated. The Administrator identified 67 residents resided in the facility Findings: An Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating policy, revised 09/22, read in part, .All reports of resident abuse .neglect, exploitation, or theft/misappropriation of resident property are .thoroughly investigated by facility management. Findings of all investigations are documented and reported .documents the investigation completely and thoroughly .Witness statements are obtained in writing . Resident #2 had diagnosis which include Parkinson's and schizoaffective disorder, bipolar type. An annual assessment, dated 06/12/24, documented Resident #2's cognition was severely impaired. On 08/28/24 at 4:05 p.m., OSDH received a state reportable which documented CNA #1 was providing care to Resident #2. They photographed Resident #2 and it was later posted on social media by their significant other. There was no documentation of any staff…

  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 · E2024-08-23 · tag F0727 — failed to provide required RN coverage — pattern
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to consistently employ an RN for at least eight consecutive hours a day and seven days a week for January 2024, February 2024, March 2024. LPN #4 identified 66 residents who resided in the facility. Findings: A PBJ Staffing Data Report, dated 01/01/24 through 03/31/24, documented no RN hours for 01/06/24, 01/07/24, 01/21/24, 02/03/24, 02/04/24, 02/10/24, 02/11/24. 02/17/24, 02/18/24, 02/24/24, 02/25/24, 03/03/24. 03/09/24, 03/10/24, 03/16/24, 03/17/24, 03/23/24, 03/24/24, 03/30/24, and 03/31/24. On 08/23/24 at 10:05 a.m., the nursing service coordinator stated finding weekend RN coverage had been challenging.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 MDS assessments were coded accurately for two (#32 and #57) of 17 sampled residents reviewed for assessments. LPN #4 identified 66 residents resided in the facility. Findings: 1. Res #32 had diagnoses which included atherosclerotic heart disease, hypertension, and schizoaffective disorder. A quarterly assessment, dated 05/24/24, documented the resident received an anticoagulant. There was no documentation the resident received an anticoagulant during the review period. On 08/22/24 at 10:00 a.m., the MDS coordinator stated the MDS assessment was coded for an anticoagulant in error. They stated they accidentally coded Plavix as an anticoagulant. 2. Res #57 had diagnoses which included diabetes mellitus, schizophrenia, and hyperlipidemia. An annual assessment, dated 07/26/24, documented the resident received a diuretic. There was no documentation the resident received a diuretic during the review period. On 08/22/24 at 10:05 a.m., the MDS coordinator stated the MDS assessment was coded for a diuretic in error. They…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a PASRR level I assessment was completed and/or included the resident had a serious mental illness for two (#13 and #54) of five sampled residents reviewed for PASRR assessments. LPN #4 identified 66 residents who resided in the facility. Findings: 1. Res #13 had diagnosis of paranoid schizophrenia. There was no documentation a PASRR level I assessment was completed. On 08/21/24 at 1:16 p.m., the SSD stated they could not locate a PASRR level I assessment for the resident. They stated OHCA should have been notified of the paranoid schizophrenia diagnosis to find out if a level II screening was indicated. 2. Res #54 was admitted to the facility on [DATE] with diagnosis which included bipolar disorder. A PASRR level 1 assessment, dated 07/14/23, documented the resident had a primary diagnosis of cerebral infarction and a secondary diagnosis of hemiplegia and hemiparesis. It was documented there was no evidence or diagnosis of a serious mental…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure O2 was administered as ordered by the physician for one ( #21) of one sampled resident reviewed for respiratory therapy. The administrator identified eight residents who received O2. Findings: Res #21 had diagnosis which included SOB. A physician order, dated 10/05/22, documented O2 at 2 LPM via NC to maintain saturation above 90%. On 08/20/24 at 9:15 a.m., the resident was observed with O2 in place. The O2 concentrator was set at 5 LPM. On 08/20/24 at 9:51 a.m., LPN #1 was asked what was the resident's O2 supposed to be set at. They reviewed the order in the EHR and stated it was supposed to be set at 2 LPM. LPN #1 was asked to verify what the resident's O2 concentrator was set at. They stated 5 LPM and it should be 2.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-23 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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 — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure side effect monitoring was conducted for the use of a psychotropic medication for one (#17) of five sampled residents reviewed for medications. LPN #4 identified 66 residents resided in the facility. Findings: Res #17 had diagnosis which included major depressive disorder. A physician order, dated 08/05/24, documented Zoloft (depression medication) 50 mg tab at bedtime. There was no documentation side effects were monitored during the month of August 2024. On 08/22/24 at 10:46 a.m., the DON was asked if side effects were monitored for the resident's use of Zoloft. On 08/23/24 at 7:51 a.m., the DON stated side effects were not monitored and should have been.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$126,808 in federal fines across 1 penalty. 3 Medicare payment denials on record.

• $126,808 — penalty dated 2023-11-16
• Medicare payment denial — starting 2025-04-04 for 7 days
• Medicare payment denial — starting 2024-10-01 for 10 days
• Medicare payment denial — starting 2023-12-19 for 48 days

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

Part of a chain

This home belongs to SKYBLUE HEALTHCARE — 12 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 →

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

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 96% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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

Cost & finances

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

What families pay in OK