Shady Rest 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.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 61% of this home’s weekday level — it runs therapy at close to weekday levels right through 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 65 beds and averages 30.7 residents a day — about 47% occupied, or roughly 34 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 3.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 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 3.86 hrs/resident/day on weekends vs 3.90 on weekdays — 1% thinner on weekends. RN hours go from 0.27 to 0.28 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%. 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.

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

Inspection deficiencies

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

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.

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

• Immediate jeopardy · J2025-07-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 07/08/25 past non-compliance immediate jeopardy situations were determined to exist related to the facility's failure to:a. secure Resident #2 during transport in the facility van. On 06/18/25 the van driver had to brake suddenly, and Resident #2 fell forward from the wheelchair hitting their head and right knee on the row of seats in front of them; andb. ensure the safety of Resident #1 who was at risk for elopement. On 06/22/25 at 8:17 p.m., a facility video showed Resident #1 left the facility through the kitchen door and walked North down the alley. At 8:27 p.m., the video showed Resident #1 at the front door of the facility and then they walked South down [NAME] street.Based on observation, record review, and interview, the facility failed to ensure:a. seat belts were in proper working order for 1 (#2) of 3 sampled residents reviewed for transportation safety; and b. prevent the elopement of 1 (#1) of 3 sampled residents reviewed for elopement.The administrator identified 35 residents resided in 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 · Past Non-Compliance
• Potential for harm · F2024-08-29 · tag F0800 — widespread
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interview, the facility failed to provide the correct amount of food to residents in accordance with the facility menu. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility. Findings: A facility food portion policy, dated 01/02/23, documented it was the policy of the facility for food portions served be those written on the menus. A facility Spring/Summer 2024 Diet Spreadsheet, documented a serving of fried potatoes was one half cup. On 08/27/24 at 12:07 p.m., the afternoon meal service was observed. [NAME] #1 was observed filling the plates of each resident. They were observed using tongs to measure and place fried potatoes onto each plate. They were observed using serving spoons marked for specific serving sizes for the other food items. The amount of potatoes going on each plate were easily observed to be of various amounts. On 08/28/24 at 9:26 a.m. [NAME] #1 stated the serving size for the fried potatoes was suppose to be one half cup per serving but they did not have that size of serving spoon. 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-29 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — 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 have a director of food services employed at the facility. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility. Findings: A facility document, titled [NAME] Rest Active, undated, documented the names and titles of the facility staff. Under the subheading, Dietary the title of CMA/Dietary Manager had no name associated with it. On 08/28/24 at 8:35 a.m., [NAME] #1 stated the facility did not have a dietary manager at that time. They stated the last person in that role had left four or five months prior to the survey. They stated the facility administrator was ordering food for the kitchen and the dietician comes in once or twice a month. They stated they had not accepted any of the responsibilities of the dietary manager. At 8:49 a.m. the Administrator stated the last dietary manager was terminated on 08/19/24 and they had not found a new one yet. They stated they currently had no one performing the duties…

  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 · Ecited before2024-08-29 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 the residents right to refuse treatment was respected for one (#28) of two residents reviewed for resident's rights. The administrator reported the census was 34. Findings: An undated facility policy titled Resident rights Guidelines for All Nursing Procedures read in part, .Prior to having direct-care responsibilities for residents, staff must have appropriate in-service training on resident rights, including . Resident right of refusal (medication and treatments) . Resident #28 had diagnoses which included benign prostate hyperplasia and depression. A physician order, dated 07/21/24, indicated the resident had urinary catheter. A nurse note, dated 07/23/24 at 3:43 am, indicated the resident wanted the catheter removed. A nurse note, dated 07/24/24 at 9:51 am, indicated the resident wanted the catheter removed. A nurse note, dated 07/25/24 at 12:17 pm, indicated the resident wanted the catheter removed. A nurse note, dated 07/30/24 at 2:03 pm, indicated the resident wanted the catheter removed. A nurse note, dated…

  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 before2024-08-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure a broken window pane was replaced and not covered with a Styrofoam and tape for two (#17 and #24) of twelve sampled resident reviewed homelike environment. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility. Findings: On 08/28/24 at 10:19 a.m. a white piece of Styrofoam was observed taped to the window next to the bed of Resident #24. The second occupant of the room was Resident #17. They stated the window had been broken by their previous roommate but could not recall the date. They stated they could not see broken window because of the curtain but they wanted it to be fixed. They stated staff was aware of the broken window as they had put on the Styrofoam but they had not returned to fix it properly. At 10:24 a.m., the maintenance supervisor stated the window had been broken the week prior. They stated they were going to fix it but they had not been given any money to replace the window pane. At 10:31 a.m. the corporate nurse stated the use of Styrofoam to replace a broken…

  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 · E2024-08-29 · tag F0656 — failed to write and follow a full care plan — pattern
  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 implement a comprehensive care plan for one (#139) of five sampled residents reviewed for unnecessary medications. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility. Findings: Resident #139 had diagnoses which included bipolar disorder and anxiety disorder. A physician order, dated 08/09/24, documented the resident was receiving clonazepam (an antianxiety medication) 0.5 mg by mouth twice a day. A physician order, dated 08/09/24, documented the resident was receiving fluoxetine (an antidepressant) 40 mg by mouth daily. A physician order, dated 08/09/24, documented the resident was receiving trazodone (an antidepressant) 50 mg by mouth at bedtime. A review of Resident #139's care plan did not address the use antidepressant or antianxiety medications. On 08/27/24 at 1:40 pm, the DON stated psychotropic medication use should be included on the resident's care plan. On 08/28/24 at 10:30 am, the ADON stated the use of antidepressant and antianxiety medications should be included 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 · E2024-08-29 · 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 resident's attending physician participated in care plan conferences for one (#6) of twelve sampled resident reviewed for care plans. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility. Findings: A facility policy, titled Care Planning - Interdisciplinary Team, dated 2001, documented the interdisciplinary team was to include a resident's attending physician. Resident #6 had diagnoses which include chronic obstructive pulmonary disease and chronic kidney disease. A care conference information note, dated 07/16/24, documented a care plan conference for a quarterly assessment had occurred on that date. The list of attendees to the meeting did not include the resident's attending physician. On 08/29/24 at 10:43 a.m., the ADON stated the medical director was the attending physician for Resident #6. They stated medical director had not participated in the resident care plan meeting. They stated they had no documentation the medical director had attended any of the care plan…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-29 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure dryer lint screens were routinely cleared for two of two dryers observed in the laundry room. The administrator reported the census was 34. Findings: A facility policy titled Policy on Lit [sic] and cleaning under, around, and behind dryer, dated 02/11/1995, read 1. Minimum of every shift and as needed for build-up. 2. The area of the lit [sic] trap, behind the dryer and areas around the dryer. A Dryer Lint Log, dated August 2024, documented the lint screens had been cleared on 17 out of 84 opportunities. On 08/29/24 at 8:57 am, the housekeeping supervisor stated that the lint screens should be cleared at the end of every shift, but they could not get the 2nd shift to clear them, and the 3rd shift often forgot to document clearing the screens.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to notify a resident's responsible party when the resident was transferred to a hospital for one (#37) of four sampled resident reviewed for hospitalizations. The DON stated 26 residents had been transferred from the facility in the six months prior to the survey. Findings: A Change in Resident's Condition or Status policy, dated 2001, documented a nurse was to notify a resident's representative when the resident was transferred to a hospital. A progress note, dated 07/30/24 at 10:00 p.m., documented Resident #37 wanted to be sent to a hospital and a medical transport was called. The note did not document if the resident's representative was notified of the transfer. A progress note, dated 07/31/24 at 3:54 p.m., documented Resident #37's family member called the facility to complain they were not made aware the resident had gone to the hospital. On 08/28/24 at 9:07 a.m. The DON stated they recalled the phone call from the family member that was documented…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure an admission MDS was completed within 14 days of admission for one (#139) of five residents reviewed for MDS assessments. The administrator reported the facility census was 34. Findings: An undated facility policy titled MDS Completion and Submission Timeframes read in part, .Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes . Resident #139 was admitted to the facility on [DATE]. An MDS 3.0 assessment summary documented the admission assessment for Resident #139 was in process. On 08/28/24 at 1030 am, the ADON stated the admission MDS for Resident #139 had not been completed and was late.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · 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 — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure residents receiving psychotropic medications were monitored for side effects for one (#139) of five residents reviewed for unnecessary medications. The corporate nurse reported 23 residents in the facility received psychotropic medications. Findings: Resident #139 had diagnoses which included bipolar disorder and anxiety disorder. A physician order, dated 08/09/24, documented the resident was receiving clonazepam (an antianxiety medication) 0.5 mg by mouth twice a day. A physician order, dated 08/09/24, documented the resident was receiving fluoxetine (an antidepressant) 40 mg by mouth daily. A physician order, dated 08/09/24, documented the resident was receiving trazodone (an antidepressant) 50 mg by mouth at bedtime. A review of the EHR did not document Resident #139 was being monitored for medication side-effects. On 08/27/24 at 1:40 pm, the DON stated all residents receiving psychotropic medications should have side-effect monitoring in place. On 08/28/24 at 10:30 am, the ADON stated medication side-effect…

  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

“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

$14,069 in federal fines across 1 penalty.

• $14,069 — penalty dated 2025-07-09

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 BGM ESTATE — 15 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 24 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

5 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 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $276K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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