Southern Oaks Care 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.

49.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 67 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.2% 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 57 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 82 beds and averages 53.9 residents a day — about 66% occupied, or roughly 28 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 3.44 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 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 3.39 hrs/resident/day on weekends vs 3.46 on weekdays — 2% thinner on weekends. RN hours go from 0.32 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · D2026-03-20 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a discharge summary which included a recapitulation of the resident's stay and follow-up instructions were completed for 1 (#64) of 2 sampled residents who were reviewed for discharges.The DON identified one resident who had been discharged to another facility in the last three months.Findings: An undated diagnoses list showed Res #64 admitted to the facility on [DATE] with diagnoses of hypertension, chronic obstructive pulmonary disease, hyperlipidemia, and renal insufficiency. A quarterly assessment, dated 11/05/25, showed Res #64's cognition was moderately impaired with a BIMS score of 10. A discharge assessment dated [DATE], showed the resident discharged to an inpatient rehab facility on 12/26/25. A review of the resident's chart did not show a discharge summary. On 03/19/26 at 3:07 p.m., MDS #1 stated there was no discharge summary completed.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-20 · 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 assessments were completed for discharge for 1 (#39) of 1 sampled resident reviewed for resident assessments.The DON identified 57 residents resided in the facility.Findings:An undated face sheet, dated 11/13/25, showed Res #57 admitted to the facility. A nurse note, dated 11/14/25, showed Res #57 discharged home against medical advice. An entry assessment was completed and submitted on 11/16/25. A Medicare 5-day assessment was completed on 11/19/25. A review of the resident's chart did not show a discharge assessment had been completed. On 03/19/2026 at 3:04 p.m., MDS #1 stated a discharge assessment should have been completed.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-20 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure a baseline care plan was completed for 1 (#32) of 15 sampled residents reviewed for baseline care plans.The administrator identified 57 residents resided in the facility.Findings:On 03/17/26 at 11:51 a.m., Res #32 observed in his bed. Res #32 voiced he had been in the facility a few weeks.An undated facility policy titled, Care Plans - Baseline, read in part, A baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission. A Care Plan Report, dated 03/15/26, showed Res #32 was admitted to the facility on [DATE]. The report showed the baseline care plan was initiated on 03/15/26.On 03/17/26 at 11:51 am., Res #32 voiced he had been in the facility a few weeks.On 03/20/26 at 10:04 a.m., the DON stated Res #32 was admitted on [DATE] and did not have a 48 hour care plan until 03/15/26.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-20 · 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 observation, record review, and interview, the facility failed to ensure a comprehensive care plan included interventions for behaviors for 1 (#37) of 15 sampled residents whose care plans were reviewed.The DON identified 57 residents resided at the facility. Findings: On 03/17/26 at 11:14 a.m., Res #37 was observed sitting in a chair beside the bed. There was a strong odor of urine in the room. An admission form, dated 05/21/26, showed Res #37 had diagnoses which included dementia and depression. A care plan, dated 05/28/25 did not show interventions for behaviors. A behavior note, dated 02/26/26 at 9:35 p.m., read in part, What was the behavior?: resident is aggressive when asked about showersDid anything worsen the behavior?: yes, asking her to get up.What was the resident doing just prior to the onset of the behavior?: sleepingWhat non-pharmacological approaches were attempted to reduce/resolve the behavior?: tried to explain the importance of a showerWhat were the results of the non-pharmocological interventions?: naDid the behavior resolve?: yesWhat interventions are…

  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 · D2026-03-20 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to obtain a physician's order for a catheter for 1 (#55) of 1 sampled resident reviewed for catheters.The DON identified 57 residents resided in the facility.Findings:On 03/17/26 at 12:34 p.m., Res #55 was observed sitting in their wheelchair in the dining room. Res #55's catheter bag was observed attached to the side of the wheelchair in a privacy bag. On 03/18/26 at 10:13 a.m., Res #55 was observed sitting in their wheelchair in their room. Res #55's catheter was observed hanging on the side of their wheelchair draining to gravity. The catheter bag was observed inside a privacy bag. An undated diagnoses list showed Res #55 admitted to the facility with diagnoses which included retention of urine, acute kidney failure, and benign prostatic hyperplasia. An admission assessment, dated 02/15/26, documented the resident had an indwelling catheter. A care plan, revised 02/20/26, showed the resident had an indwelling catheter. A review of the resident's record did not show a physician's order for the catheter. On…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-20 · 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 — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to change and store nebulizer tubing in a sanitary manner for 1 (#4) of 3 sampled residents who were reviewed for respiratory care.The DON identified 57 residents resided in the facility.Findings:On 03/17/26 at 11:00 a.m., Res #4 was observed sitting in a recliner in their room. A nebulizer mask and tubing were observed lying on a sheeted bed mattress directly behind the resident.On 03/18/26 at 10:20 a.m., Res #4 was observed sitting in a recliner in their room. A nebulizer mask and tubing were observed lying on a sheeted bed mattress directly behind the resident.On 03/19/26 at 12:45 p.m., a nebulizer mask and tubing were observed lying on a sheeted bed mattress directly behind Res #4's recliner.An undated medical diagnoses list for Res #4 showed the resident admitted with diagnoses which included simple chronic bronchitis and acute respiratory failure with hypoxia.An Administering Medications through a Small Volume (handheld) Nebulizer policy, revised 10/2010, read in part, Rinse and disinfect the nebulizer…

  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 · D2026-03-20 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure pharmacy recommendations were addressed by the physician for 1 (#3) of 5 sampled residents who were reviewed for unnecessary medications.The DON identified 57 residents who receive medications in the facility.Findings:An undated diagnosis list showed Res #3 admitted to the facility with diagnoses which included schizophrenia, anxiety, and depressive disorders. The Consolidated Report from Consultant Pharmacist, dated 11/05/25, read in part, Sertraline 100 mg daily - may we trial a reduction to 50 mg daily. The consultant pharmacist report was not addressed by the physician. On 03/19/26 at 3:15 p.m., the DON stated the physician should have answered the report within 30 days.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure oxygen tubing was maintained in a sanitary manner for 1 (#19), of 2 sampled residents reviewed for oxygen therapy.The DON identified 57 residents resided in the facility. Findings: On 03/18/26 at 9:39 a.m., Res #19 was observed to not use oxygen. The oxygen tubing was observed to be lying on the floor next to Resident #19's bed. On 03/19/26 at 3:10 p.m., Res #19 was sitting in their wheelchair watching television. Res #19's oxygen tubing was observed to be lying on the floor. An undated admission record showed Res #19 had diagnoses which included peripheral vascular disease and dementia. A quarterly assessment, dated 12/18/25, showed the Res was cognitively intact with a BIMS score of 13. An undated policy titled Oxygen Administration, read in part, 8. Keep the oxygen cannula and tubing used PRN [as needed] stored in a clean manner (off the floor). On 03/19/26 at 3:15 p.m., Res #19 stated the staff did not put the oxygen tubing in a plastic bag. On 03/20/26 at 10:02 a.m., infection preventionist #1…

  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 · E2024-09-12 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure: a. staff remained with residents until medications were taken for four (#7, 8, 16, and #23), and b. medications were administered as ordered for two (#26 and #98) of nine sampled residents reviewed for medications. The DON identified 44 residents resided in the facility. Findings: An Administering Oral Medications policy, dated October 2010, documented to remain with the resident until all medications have been taken. A. On 09/10/24 at 7:43 a.m., Resident #16 was observed at a dining room table eating breakfast. A medication cup, containing medications, was observed on the dining table next to the resident's breakfast tray. Resident #16 was observed to pour the medications into their hand. Ten medications were observed in their hand. On 09/10/24 at 7:44 a.m., Resident #7 was observed at a dining room table eating breakfast. A medication cup, containing medications, was observed on the dining table next to the resident's breakfast tray. On 09/10/24 at 7:46 a.m., Resident #23 was observed at a dining…

  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 · D2024-09-12 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure a resident assessment was accurate related to falls for one (#7) of six residents whose resident assessments were reviewed. The resident roster documented a census of 44 residents. Findings: Res #7 had diagnoses which included dementia, weakness, lack of coordination and hemiplegia/hemiparesis following cerebral infarction affecting the left side. A progress note for 06/17/24 at 9:19 p.m. documented Res #7 fell in their room and sustained a laceration to the left side of their head. Res #7 was sent to the hospital for an evaluation. A quarterly resident assessment, dated 07/16/24, documented Res #7 had one fall without injury since the last resident assessment. On 09/12/24 at 1:08 p.m., the DON reported the MDS should have documented a fall with injury. The DON reported the MDS Coordinator relied on a fall report that was inaccurate and did not review the progress notes.

  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 PHOENIX HEALTHCARE — 6 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 18 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $458K paid to related parties — landlords or management companies under common ownership — equal to about 11% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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