Eastgate Village Care & Rehab Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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

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

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

39.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 33 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% 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 110 beds and averages 83.6 residents a day — about 76% occupied, or roughly 26 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.

Weekend coverage: total nurse staffing is 3.32 hrs/resident/day on weekends vs 4.40 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.25 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

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

Inspection trend

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

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.

24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · J2025-07-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  On 07/01/25, a past non-compliance immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure the safety of residents at risk for elopement. On 06/19/25, Resident #1 eloped from the property through the front entrance at approximately 6:30 p.m. by following out a food delivery person. Resident #1 had a history of threatening to elope and wandering. The police found and returned Resident #1 to the facility at approximately 7:30 p.m. and reported Resident #1 was located in a field near the facility. Based on record review and interview, the facility failed to provide supervision to ensure the safety of a resident for 1 (#1) of 2 sampled residents reviewed with exit seeking behaviors. The DON identified one resident wandered. Findings: A care plan for Resident #1, initiated 08/06/24, showed a focus of the potential for elopement risk/wanderer with interventions which included: assess for elopement/wander risk, disguise exits, cover door knobs and handles, tape floor, distract from wandering by offering pleasant diversions, structured…

  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 · Past Non-Compliance
• Potential for harm · E2025-02-06 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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 resident assessments were accurate for 3 (#1, 52, and #60) of 18 sampled residents whose assessments were reviewed. The administrator identified 75 residents who resided in the facility. Findings: An MDS 3.0 policy, dated 04/2023, read in part, 2 The MDS Coordinator and/or IDT [interdisciplinary team] will use the following when completing the assessment as directed by the RAI User's Manual: Direct Observation, Communication with Residents, Family and Staff, Documentation in the Medical Record 3. MDS assessments will be completed per the 3.0 RAI User's Manual guidelines. 1. Resident #1 had diagnoses which included cerebral palsy, ostomy status, and UTI. A progress note, dated 12/23/24, at 10:09 p.m., showed the resident was alert, seemed to understand what was being said to them, and were laughing/smiling at jokes. A progress note, dated 12/25/24 at 2:47 p.m., showed the resident was pleasant, smiling, and nonverbal. A progress note, dated 12/26/24 at 7:39 p.m., showed the resident was able to…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-06 · 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/revised for 1 (#1) of 18 sampled residents whose care plans were reviewed. The administrator identified 73 residents resided in the facility with 2 in the hospital. Findings: A Comprehensive Person Centered Care Plan policy, dated 01/2019, read in part, Each resident will have a person centered care plan to identify problems, needs, strengths, preferences, and goals that will identify how the interdisciplinary team will provide care. Resident #1 had diagnoses which included cerebral palsy, ostomy status, and UTI. A care plan, revised 01/09/25, read in part, Potential for elopement risk/wander risk. An Elopement Evaluation, dated 12/23/24 at 11:18 p.m., showed an elopement score of 0.0. It showed no instance of elopement history and no wandering aimlessly. A nutrition note, dated 01/07/25 at 5:05 p.m., showed Resident #1 had noted history of cerebral palsy, quadriplegia with upper and lower extremity contractures. A progress note, dated 12/23/24 at 11:09 p.m., showed the resident…

  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 · E2025-02-06 · 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 proper infection control practices were utilized during transportation of linen to the soiled closet for 1 observation during review of infection control practices. The administrator identified the census of 73 in house with 2 in the hospital. Findings: A Handling linen/laundry policy, dated 07/2024, read in part, Linen/Laundry includes resident's personal clothing, linens, (i.e., sheets, blankets, pillows), towels, washcloths .Linen and laundry should be handled, transported, and sorted to prevent the spread of infection .1. Handling soiled linen/laundry .a. Gloves should be worn, and standard precautions followed. b. Bag soiled linen/laundry at point of collection before transporting. c. Bagged linen shall be placed in a leak proof container for transport to laundry facilities. On 02/06/25 at 12:20 p.m., housekeeper #1 was observed to carry white linen with red substance on it to the soiled utility room without being in a bag and without wearing gloves. They were asked what the policy and procedure…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-06 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to notify a resident's representative/legal representative for treatment of a UTI for 1 (#1) of 1 sampled resident reviewed for notification of change. The administrator identified 73 residents resided in the facility with two in the hospital. Findings: Resident #1 had diagnoses which included cerebral palsy, ostomy status, and hyponatremia. On 02/03/25 at 3:11 p.m., Resident #1's legal representative stated they were not notified of the resident recently having a UTI until they called to check on the resident. A physician's order, dated 02/04/25, docuented Macrobid (an antibiotic) oral capsule 100 mg via peg-tube two times a day for UTI for 7 days. On 02/06/25 at 9:54 a.m., the ADON stated the process for a resident with a change in condition was to report to the proper parties (Medical director, family, DON, hospice if appropriate) and complete the form, and monitor for 72 hours or longer depending on doctor orders. They stated the form for change in condition was located in the electronic medical record under the forms…

  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 · D2025-02-06 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure advance beneficiary notices were provided for 2 (#10 and #18) of 3 sampled residents who were reviewed for beneficiary notices. The Beneficiary Notice - Residents discharged Within the Last Six Months form documented four residents who were discharged to home with skilled days remaining in the last six months. Findings: 1. The form Beneficiary Notice-Residents discharged Within the Last Six Months showed Resident #10 was discharged from skilled services, had skilled days remaining, and stayed in the facility as a long term care resident after the discharge from skilled services. The SNF Beneficiary Protection Notification Review form showed Resident #10 was discharged from skilled services on 12/26/24 and the resident and/or resident representative had not been provided an ABN. 2. The form Beneficiary Notice-Residents discharged Within the Last Six Months showed Resident #18 was discharged from skilled services, had skilled days remaining, and stayed in the facility as a long term care resident after the discharge…

  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 · D2025-02-06 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide a notice of bed hold to 2 (#1 and #80) of 2 sampled residents who were transferred to the hospital. The administrator identified 75 residents who resided in the facility. Findings: The Resident Bed Hold policy, read in part, The Facility will provide written information to the Resident and/or the Resident Representative regarding Bed Hold Policy prior to transferring a Resident to the hospital or Therapeutic Leave as required by State/Federal Guidelines. 1. Resident #80 had diagnoses which included dementia. The electronic clinical record showed the resident was discharged to the hospital on [DATE] and 10/31/24. The electronic clinical record did not show the resident and/or the resident representative had been provided a bed hold notice upon transfer to the hospital. On 02/04/25 at 3:23 p.m., the infection preventionist/charge nurse stated the BOM or human resources employee provided the notice of bed hold to residents and/or resident…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-06 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a care plan intervention for the creation and implementation of a behavioral flow sheet had been implemented for 1 (#60) 5 sampled residents who were reviewed for unnecessary medications. The DON identified 75 residents who resided in the facility. Findings: Resident #60 had diagnoses which included dementia, anxiety, and mood disorder. The Care Plan, dated 12/20/24, read in part, I am experiencing dementia, anxiety, and insomnia.BEHAVIOR MONITORING: Behavior monitoring is required for residents who take antipsychotic medications. Implement Behavior Monitoring Flowsheet. Review of the electronic clinical record did not show a behavior monitoring flowsheet had been implemented. On 02/06/25 at 10:04 a.m., LPN #2 stated they were unwarned of a behavioral flow sheet for Resident #60. On 02/06/25 at 11:48 a.m., the DON stated the behavioral monitoring for behaviors was documented on the nurses treatment record in the electronic clinical record. The DON reviewed the electronic clinical record for Resident #60 and stated…

  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 · Dcited before2025-02-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 residents were weighed weekly for four weeks upon admit for 1 (#78) of 3 sampled residents who were reviewed for nutrition. The DON identified 75 residents who resided in the facility. Findings: The Weight and Hydration Management Practice Guidelines policy, dated February 2016, read in part, Weigh all residents upon admission and readmission, weekly for four weeks and then monthly or as indicated by physician orders and/or the medical status of the resident. Resident #78 had diagnoses which included dementia. The Care Plan, revised 11/01/24, read in part, Monitor and evaluate any weight loss. Determine percentage lost and follow facility protocol for weight loss. Review of the clinical record showed the resident had been weighed on 11/04/24, 12/01/24, and 01/01/25. The electronic clinical record did not show weights had been obtained weekly for four weeks after admission on [DATE]. On 02/06/25 at 4:15 p.m., the DON reviewed the electronic…

  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 · D2025-02-06 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure medications were secured for 2 (E hall medication cart, and B/C hall treatment cart) of 6 medication/treatment carts observed. The DON identified six medication/treatment carts were utilized in the facility. A Medication Storage in the Facility policy, dated 2021, read in part, Medication rooms, carts, and medication supplies are locked. On 02/04/25 at 3:40 p.m., an observation was made of an unlocked and unattended cart on E hall across from room E1. Inside the cart were resident medications. There was no staff near the cart nor on E hall at the time of observation. On 02/04/25 at 3:44 p.m., CMA #1 came from around the corner by the dining room to the cart and locked it. They stated the policy for medication storage was to lock the cart. They stated they went to get a laptop and forgot to lock it. On 02/06/25 at 3:36 p.m., the B/C hall treatment cart was observed to be unlocked by the nurses station. Two nurses had their back to it and CMA #2 was facing it from the nurses station. On 02/06/25 at 3:38…

  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 · Dcited before2025-02-06 · 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, record review, and interview, the facility failed to ensure foods were dated when opened for 2 of 2 observations in the kitchen. The DON identified 72 residents who received nourishment from the kitchen. Findings: The Food Storage policy, dated 10/01/18, read in part, To ensure freshness, store opened and bulk items in tightly covered containers. All containers must be labeled and dated.Date, label and tightly seal all refrigerated foods using clean, nonabsorbent, covered containers that are approved for food storage. On 02/03/25 at 10:46 a.m., an uncovered and undated bowl of ice cream, was observed in the stand up freezer. Six cups of undated milk were observed in the refrigerator. On 02/06/25 at 11:04 a.m., six small, clear containers with a pink/yellow substance in them were observed in the refrigerator. The containers were not observed to be dated. Two foam cups were observed in the refrigerator to be undated and unlabeled. On 02/06/25 at 11:10 a.m., dietary aide #1 stated the clear containers were snacks for residents who required a puree diet. Dietary…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MGM HEALTHCARE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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 26 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in OK