Osage Nursing Home, LLC

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 0.04 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% 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.

Staffing

How full it usually is: this home is certified for 50 beds and averages 23.5 residents a day — about 47% occupied, or roughly 26 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 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 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 3.60 hrs/resident/day on weekends vs 4.50 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.54 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2025-02-05 · tag F0582 — pattern
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide residents who received Medicare part A services a Notice of Medicare Non-Coverage form for 3 (#20, 25, and #27) of 3 sampled residents reviewed beneficiary notices. The DON identified 10 residents who had been discharged from skilled services during the six months prior to the survey. Findings: The MDS coordinator was given SNF Beneficiary Protection Notification Review forms to be filled out regarding Residents #20, 25, and #27. 1. A SNF Beneficiary Protection Notification Review form filled out by the MDS coordinator, showed Resident #20 had received part A services on and between 10/14/24 and 12/25/24. The form also showed the resident had not been given a Notice of Medicare Non-Coverage form for that period of skilled services. 2. A SNF Beneficiary Protection Notification Review form filled out by the MDS coordinator, showed Resident #25 had received part A services on and between 11/08/24 and 12/20/24. The form also showed the resident had not been given a Notice of Medicare Non-Coverage form for that period…

  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 before2025-02-05 · 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 record review and interview, the facility failed to ensure a care plan was revised after a resident had multiple falls for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in the facility. Findings: A Resident Care Plan policy, dated 03/27/17, read in part, The comprehensive care plan of care will be reviewed and updated by the IDT after each quarterly and annual assessment thereafter. Resident #25 had diagnoses which included postviral fatigue syndrome and chronic atrial fibrillation. A Fall Risk Evaluation form, dated 11/08/24, showed the resident had a high risk for falls. A progress note, dated 11/09/24 at 11:14 p.m., showed the resident had a fall while they attempted to go to the bathroom. An admission assessment, dated 11/15/24, showed in section J the resident had fallen prior to admission to the facility and had experienced one fall at the facility since admission. A care plan problem, dated 11/18/24, showed the resident had a risk for falls. The corresponding interventions included anticipating the resident's needs, to keep…

  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 · E2025-02-05 · 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 damaged and uneven flooring did not exist in a room of a resident who had fallen because of a damaged floor for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in the facility. Findings: An undated Accident Prevention policy, read in part, It shall be the policy of this facility to keep the resident's environment as free of accident hazards as possible. Resident # 25 had diagnoses which included postviral fatigue syndrome and chronic atrial fibrillation. A Fall Risk Evaluation form, dated 11/08/24, showed Resident #25 had a high fall risk. A care plan problem, dated 11/18/24, showed Resident #25 had a high risk for falls. An Incident Note, dated 11/09/24 at 11:14 p.m., showed Resident #25 had been found on the floor in their room and had reported their foot got caught in an area of damaged flooring and they had fallen. On 02/02/25 at 8:43 a.m., Resident #25 stated they had fallen at the facility since their admission. On 02/05/25 at 8:50 a.m., Resident #25's room…

  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 · E2025-02-05 · tag F0761 — failed to label and store drugs safely — pattern
  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 the temperature log was maintained for the medication refrigerator in the medication room. The administrator reported the facility census was 26. Findings: An undated policy titled Procedure for Storage of Medication read in part, A refrigerator will be available for medications requiring refrigeration, and will be in or near the storage area of the medications. A method of locking must be provided. The temperature in the refrigerator will be 36 to 48 degrees F [Fahrenheit]. On 02/05/25 at 10:40 a.m., a tour of the medication room was conducted with CMA #1. Temperature logs for the medication refrigerator were reviewed. No daily temperatures were logged for December 2024 or January 2025. The temperature log for February 2025 contained one entry. On 02/05/25 at 10:45 a.m., CMA #1 stated they worked for a staffing agency and was not aware until today that CMAs were responsible for monitoring the temperature of the medication refrigerator daily. On 02/05/25 at 12:12 p.m., the DON stated the charge nurse…

  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 · E2025-02-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a dishwasher temperature and appropriate amount of sterilizing solution was used when cleaning resident dishes in the kitchen. The DON stated 26 residents receive their meals from the facility kitchen. Findings: An undated Food Storage, Preparation, and Distribution policy and procedure showed the facility dishwasher would maintain a 120 degrees Fahrenheit water temperature and 25 ppm (parts per million) of sanitizer when in operation. A Dish Machine Temp Sheet form, dated 01/01/25 through 01/31/25, did not document water temperatures on 01/18/25, 01/19/25, 01/25/25, and 01/26/25. The form did not document the sanitizer level was within range on 01/30/25. On 02/03/25 at 11:27 a.m., dietary aide #1 stated the January dishwasher log did not have water temperature entries for 01/18/25, 01/19/25, 01/25/25, and 01/26/25. They stated there was no sanitizer test documentation for 01/30/25. They stated a dishwasher log for February 2025 had not been started at that time, so there were not water temperature or sanitizer…

  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 · E2025-02-05 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 medical records were complete and accurate for 1 (#18) of 5 sampled residents reviewed for unnecessary medications. The administrator reported the facility census was 26. Findings: Resident #18 had diagnoses which included dementia and anxiety disorder. A physician's order, dated 09/13/23, showed Resident #18 was to receive acetaminophen (pain reliever) 1000 mg by mouth twice a day for pain. A physician's order, dated 11/9/23, showed Resident #18 was to receive tramadol (an opiod) 50 mg by mouth twice a day for pain. A physician's order, dated 12/27/24, showed Resident #18 was to receive clonazepam (anxiety medication) 1 mg by mouth twice a day for anxiety. A January 2024 MAR did not document if Resident #18 was offered or received the morning dose of acetaminophen for 11 of 31 opportunities; tramadol for 11 of 31 opportunities; and clonazepam for 11 of 31 opportunities. On 02/05/25 at 8:09 a.m., CMA #1 stated the MAR was not complete and accurate if the MAR had missing entries. On 02/05/25 at 8:20 a.m., licensed…

  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 before2025-02-05 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure the accuracy of an MDS assessment for 1 (10) of 5 sampled residents reviewed for MDS accuracy. The administrator reported the facility census was 26. Findings: Resident #10 had diagnoses which included chronic obstructive pulmonary disease and respiratory failure. A physician's order, dated 07/28/21, showed Resident #10 was to be admitted to hospice services. A care plan, initiated 08/05/21, showed Resident #10 was receiving hospice care for respiratory failure. An annual assessment, dated 08/07/24, showed in section O, item 0110 K1, Resident #10 was not receiving hospice services while a resident at the facility. A quarterly assessment, dated 11/07/24, showed in section O, item 0110 K1, Resident #10 was not receiving hospice services while a resident at the facility. On 02/04/25 at 3:05 p.m., the MDS coordinator stated Resident #10 had been on hospice for years and the assessments had been miscoded.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-05 · 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 comprehensive care plan was developed for 1 (#18) of 18 sampled residents whose care plans were reviewed. The administrator reported the facility census was 26. Findings: An undated Policy and Procedure Regarding Care Plans read in part, The care plan will be person-centered, considering the resident's personal goals, past routines and interests. The care plan will be developed with measurable goals to meet the resident's identified medical, nursing, mental and psycho-social needs. Resident #18 had diagnoses which included anxiety disorder and unspecified psychosis. A physician's order, dated 12/27/24, showed Resident #18 was to receive clonazepam (an antianxiety medication) 1 mg by mouth twice a day. Resident #18's care plan was reviewed and did not address the use of an antianxiety medication. On 02/04/25 at 3:05 p.m., the MDS coordinator stated antianxiety medications should be included on the care plan. They stated they were usually notified when a medication was started so they could incorporate it on the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-05 · 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 reviewed, and interview, the facility failed to ensure gloves were changed during catheter care for 1 (#17) of 1 sampled resident reviewed for catheter care. The DON reported one resident in the facility with a urinary catheter. Findings: An undated Catheter Care Policy, read in part, Prevent infection via the catheter insertion site by daily cleansing and maintaining a closed system .Wash hands immediately before and after handling any part of the system. Wear clean disposable gloves when handling the drainage system. Resident #17 had diagnoses which included chronic kidney disease and diabetes mellitus. A physician's order, dated 04/04/24, showed Resident #17 was to receive urinary catheter care every shift. On 02/05/25 at 10:07 a.m., CNA #1 and CNA #2 were observed providing catheter care to Resident #17. CNA #1 was observed to hand soiled washcloths to CNA #2. CNA #1 and CNA #2 did not remove their soiled gloves prior to adjusting the resident's clothing, moving the resident's bed, and touching the resident's call light. On 02/05/25 at 10:20 a.m.,…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-11-17 · 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 record review and interview, the facility failed to fully develop the activities section of a comprehensive care plan for one (#20) of 12 sampled residents reviewed for comprehensive care plans. The DON reported 32 residents resided in the facility. Findings: Resident #20 had diagnoses which included profound intellectual disabilities, blindness of the left eye, and cerebral palsy. A facility policy titled Policy & Procedure on Activities Program, undated, read in part, .This facility will provide for an ongoing program of activities designed to meet, in accordance with the comprehensive assessment, the interests and the physical , mental, and psychosocial well being of each resident . A care plan, revised date 11/28/22, read in part, .[Resident #20] has little or no activity involvement r/t [related to] profound ID [intellectual disability]. [Resident #20] will throw away any type of sensory item. [Gender withheld] does seem to enjoy when staff talks to [gender withheld] . The care plan documented one intervention which was the resident liked to watch cartoons. The…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“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 OKLAHOMA NURSING HOMES, LTD. — 7 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 8 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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 82% 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