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Seminole Care And Rehabilitation Center

1200 Wrangler Blvd, Seminole, OK 74868 · For profit - Corporation · 106 certified beds · (405) 382-1127 Medicare & Medicaid certified

Call the home — (405) 382-1127 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited Sep 2024Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (59%) runs well above the national median (45%)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2401 W Wrangler Blvd · (405) 303-4611 · Call to confirm hours
Pharmacy
1717 N Milt Phillips Ave · (405) 382-5420 · Call to confirm hours
Grocery
1701 N Milt Phillips Ave · (405) 382-5135 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.2%13.6%15.4%better
Long-stay residents who lose too much weight0.4%3.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%2.8%2.0%better
Long-stay residents with depressive symptoms10.3%3.4%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.3%4.7%3.3%better
Long-stay residents whose ability to walk worsened7.1%13.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication30.7%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine97.8%94.6%95.3%typical
Long-stay residents with pressure ulcers3.4%4.7%4.7%better
Long-stay residents with worsening bladder/bowel control26.6%17.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.4%17.5%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine82.7%74.1%79.4%typical
Short-stay residents rehospitalized after admission18.4%27.3%22.6%better
Short-stay residents with an outpatient ER visit13.3%16.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.072.311.67better
Long-stay outpatient ER visits per 1,000 resident days2.662.961.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

59.9% 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 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.9%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
66.7%U.S. median 56.6%
Met the expected recovery
0.21U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

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 21 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.9%CMS range 48.1–71.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.6–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge66.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge71.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge66.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.4%CMS range 3.6–12.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.461.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.41
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.93
Aide hours/ resident / day
4.16
Total nurse hours/ resident / day
0.35
RN hoursweekends
59.3%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 106 beds and averages 96.8 residents a day — about 91% occupied, or roughly 9 beds typically open. It runs fairly full. 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 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.93 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 3.41 hrs/resident/day on weekends vs 4.46 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.43 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% 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

5
deficiencies at the latest standard inspection (2024-09-18)
5
at the previous standard inspection (2023-08-31)

Deficiencies are unchanged from the previous inspection. 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.

ABCDEFGHIJKL

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 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · Dcited before2025-01-08 · tag F0657 — failed to keep the care plan current — isolated
    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 revise a care plan to reflect the resident's current status for one (#2) of three sampled residents whose care plans were reviewed. The admission coordinator identified 95 residents resided in the facility. Findings: Res #2 had diagnoses which included right lower leg fracture, left shin fracture, chronic pain syndrome, and osteoarthritis. A care plan, dated 10/10/24, documented the resident had limited physical mobility and was non-weight bearing. A resident admission assessment, dated 10/14/24, documented the resident's cognition was intact, required substantial assistance with most ADLs, had impairment to both sides of their lower extremities, and reported their pain was almost constantly. A care plan, dated 10/18/24, documented the resident had pain. A physician order, dated 11/19/24 at 3:00 p.m., documented the resident was weight bearing as tolerated. There was no documentation the care plan was revised to reflect the change to weight bearing as tolerated. A physician order, dated 12/20/24 at 9:00 p.m., documented 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 · Ecited before2024-09-18 · 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 record review and interview, the facility failed to code MDS assessments accurately for two (#30 and #57) of two sampled residents reviewed for MDS accuracy. The assistant administrator identified 93 residents resided in the facility. Findings: 1. Res #30 had diagnoses which included suicidal ideations, major depressive disorder, and unspecified psychosis not due to a substance or known physiological condition. A physician order, dated 12/24/21, documented zolpidem tartrate (hypnotic medication) 10 mg tablet by mouth at bedtime for sleep. Physician orders, dated 03/23/24, documented Seroquel (antipsychotic medication) 200 mg tablet one time a day; and Seroquel 200 mg tablet at bedtime. An annual assessment, dated 09/11/24, documented the resident did not receive an antipsychotic or hypnotic medication while a resident. On 09/17/24 at 12:46 a.m., MDS Coordinator #2 was asked if the resident's annual assessment was coded for the use of an antipsychotic or hypnotic medication. They stated they missed it. 2. Res #57 had diagnoses which included muscle wasting and atrophy, GERD,…

    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 · E2024-09-18 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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 perform an entrapment risk assessment and to ensure informed consent was obtained prior to the use of bed rails for one (#49) of one resident sampled for bed rails. The administrator identified 33 residents whose beds were equipped with a bed rail of any type. Findings: A Side Rail Policy - Quarter/Assist Rail policy, dated October 2016, read in parts, .The facility will assess and input proper interventions to protect resident from injury .On admission, quarterly and with significant change of condition; the resident will have a side rail assessment completed .Licensed nurse will review the risks with resident and/or responsible party . Res #49 had diagnoses which included congestive heart failure, respiratory failure, and history of falls. A physician order, dated 08/11/22, documented the resident may have U-Rails to both sides of bed for mobility when entering and exiting for 90 days and then review. An annual assessment, dated 05/15/24, documented the resident was moderately impaired in cognition,…

    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 · E2024-09-18 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure side effect monitoring was conducted for the use of a psychotropic medication for one (#37) of five sampled residents reviewed for medications. The DON identified 44 residents received psychoactive medications. Findings: Res #37 had diagnoses which included depression. Physicians orders, dated 06/13/24, documented bupropion hydrobromide (antidepressant medication) 150 mg tablet by mouth one time a day; and Lexapro (antidepressant medication) 10 mg tablet one time a day. A care plan, revised 06/24/24, documented the resident used antidepressant medication. It documented to monitor and documented side effects every shift. There was no documentation side effects were monitored. On 09/17/24 at 11:36 a.m., the administrator, ADON, and DON were asked to locate documentation side effects were monitored for the resident. On 09/17/24 at 11:57 a.m., the DON stated side effects were not monitored. They stated the order to monitor had been discontinued.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-18 · 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 removal of expired medications and supplies from two of three medication storage rooms observed. The assistant administrator in training reported 93 residents resided in the facility. Findings: On 09/18/24 at 9:40 a.m., the medication storage room on the skilled hall was observed with CMA #1. The following medications/supplies were observed to be expired. 6- boxes lubricant eye drops with an expiration date of 4/24, 1- V.A.C. Granufoam dressing package opened with and expiration date of 11/30/24. On 09/18/24 at 9:45 a.m., CMA #1 reported the expired medications and supplies should have been removed. On 09/18/24 at 9:54 a.m., the medication room for halls 1 and 2 were observed with CMA #2. The following medications were observd to be expired. 1- Box Ipratropium Bromide & Albuterol Sulfate 0.5mg/3mg per 3ml with a use by date of 3/10/24, 1- Box Ipratropium Bromide & Albuterol Sulfate 0.5mg/3mg per 3ml with a use by date of 5/9/24, 1- Box Ipratropium Bromide & Albuterol Sulfate 0.5mg/3mg per 3ml with…

    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 · D2024-09-18 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 resident was assessed, a care plan was completed, and a physician order was obtained for the use of a physical restraint for one (#13) of one sampled resident reviewed for physical restraints. The DON identified there were no residents with restraints Findings: A Physical Restraint policy, dated 07/26/23, documented prior to using a restraint an evaluation of the resident should be completed. It was documented a physician order for a restraint was to include the medical symptom for which the restraint was being used and the circumstance in which the restraint was applied. It was documented a comprehensive care plan should address the goal for the use of the restraint. Res #13 had diagnoses which included muscle weakness, cognitive communication, lack of coordination, difficulty in walking, and a history of falling. An inventory sheet of personal items, dated 03/26/24, documented the resident had an electric wheelchair. A safety device tool, dated 06/26/24, documented the resident had no safety device…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0800 — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide meals in a timely manner. The DON identified 90 residents who received meals from the kitchen. Findings: A Meals and Snacks policy, dated 03/31/21, documented meals shall be scheduled to ensure a maximum of 14 hours from dinner to breakfast on the following day. A schedule of meal times, updated 01/15/24, documented the following meal service times: 8:00 a.m. breakfast, 12:00 p.m. lunch, and 5:00 p.m. dinner. On 01/23/24 at 8:58 a.m., Res # 5 was observed sitting in their room eating breakfast. Res #5 stated meals are often served late which have resulted in food being colder than they preferred. On 01/23/24 at 9:06 a.m., Res #4 was observed lying in bed eating breakfast. Res #4 stated they ate some meals in their room and went to the dining room for other meals. They stated most meals are served at least an hour or longer past the scheduled meal times. Res #4 stated the meals were often cold by the time they received their meal…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-25 · 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 develop a comprehensive care plan related to pressure ulcers for one (#3) of three residents reviewed for pressure ulcers. The DON identified three residents with pressure ulcers. Findings: Resident #3 had diagnoses which included cerebral infarction, hemiplegia, hemiparesis, and chronic heart failure. A pressure ulcer risk assessment, dated 11/11/23, documented the resident was at moderate risk for development of a pressure ulcer. An admission assessment, dated 11/18/23, documented the resident was moderately cognitively impaired and required substantial to maximum assistance with walking and most activities of daily living. The assessment documented the resident did not have a pressure ulcer/injury upon admission. A nurse note, dated 11/22/23, documented a fluid filled purple discoloration to the left heel and purple/red discoloration to the right heel. The note documented the physician was notified and treatment orders were received. A physician order, dated 11/22/23, documented heel protectors in place at all times and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a discharge summary was completed for one (#3) of one sampled resident reviewed for discharge. The DON identified 21 residents who had discharged home in the last three months. Findings: Res #3 was admitted [DATE] with diagnoses which included chronic heart failure, cerebral infarction, and dementia. A discharge assessment, dated 12/22/23, documented an unplanned discharge with return not anticipated. A nurse note, dated 12/22/23 at 2:58 p.m., read in part, .Resident discharge to home with home health, all medications and belongings sent home with wife, PCP notified of discharge . There was no documentation a discharge summary had been completed. On 01/24/24 at 11:50 a.m., the social services director stated they completed most of the discharge summaries for discharged residents. They stated they had not completed the discharge summary for Res #3. On 01/25/24 at 8:45 a.m., the DON stated the discharge summary for Res #3 had not been completed…

    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 · Ecited before2023-08-31 · 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 MDS assessments accurately reflected the use of physical restraints for two (#4 and #21) of two sampled residents reviewed for restraints. The Resident Census and Conditions of Residents report, dated 08/30/23, documented 93 residents resided in the facility. It was documented there were no residents who were physically restrained. Findings: 1. Res #4 had diagnoses which include traumatic brain injury. A physician order, dated 02/23/22, documented U-rail on both sides of the bed for mobility assistance. A quarterly assessment, dated 07/12/23, documented the resident required extensive assistance with bed mobility and transfers. It was documented a bed rail was used daily as a restraint. On 08/30/23 at 10:14 a.m., their was one U-rail observed on the resident's bed. On 08/31/23 at 8:33 a.m., the DON was asked if there were any residents who had bed rails as physical restraints in the facility. They stated, No. On 08/31/23 at 9:32 a.m., LPN #4 was asked about the resident's mobility. They stated 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
Show the remaining 12 citations
  • Potential for harm · Ecited before2023-08-31 · 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 update a care plan with fall interventions for one (#59) of six sampled residents reviewed for falls. The Resident Census and Conditions of Residents report, dated 08/30/23, documented 93 residents resided in the facility. Findings: 1. Res #59 had diagnoses which included dementia, history of falling, and muscle weakness. A fall care plan, last updated 11/18/22, documented the following interventions: a. on 03/30/20 anticipate and meet the resident's needs, encourage the resident to call for assistance, encourage resident to wear non-skid footwear, and follow therapy recommendations for transfers and mobility, b. on 05/21/20 therapy evaluated and provided a walker to resident and removed the wheelchair, c. on 07/30/20 room to remain clutter free, d. on 08/03/20 staff to assist resident with toileting before bed, e. on 08/31/20 staff to keep resident's room clutter free, f. on 11/18/20 staff to perform frequent non-invasive rounds to identify motion inside room and to meet unmet needs, g. on 11/18/20 staff to toilet before…

    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 · D2023-08-31 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 observation, record review, and interview, the facility failed to assess a resident for self administration of medications for one (#30) of 19 sampled residents whose medications were reviewed. The Resident Census and Conditions of Residents report, dated 08/30/23, documented 93 residents resided in the facility. Findings: Res #30 had diagnoses which included glaucoma, osteoarthritis, HTN, CAD, muscle weakness, and COPD. A physician order, dated 07/05/23, documented to administer diclofenac sodium external gel 1 % topically to affected areas twice per day for pain. A 5-day MDS, dated [DATE], documented the resident's cognition was moderately impaired and they required limited assistance of one staff with activities of daily living. On 08/30/23 at 09:33 a.m., the resident was observed in their room seated on their bed. There was a 30 ml cup with a small amount of ointment observed on top of the bedside table. There was a blue prescription pump bottle observed in the drawer of the bedside table. 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-31 · tag F0578 — failed to honor advance directives / code status — isolated
    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 — 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 resident's code status was documented for one (#91) of 24 sampled residents reviewed for advance directives. The Resident Census and Conditions of Residents report, dated 08/30/23, documented 93 residents resided in the facility. Findings: Res #91 was admitted to the facility on [DATE] with diagnoses which included dementia, chronic pain syndrome, open wound to right lower leg, history of falling, and protein calorie malnutrition. There was no documented code status for the resident. On 08/31/23 at 12:04 p.m., LPN #1 was asked how staff determined what was a residents' code status. They stated they would look the code status up in the computer. They were asked what was Res #91's code status. LPN #1 stated Res #91 did not have a code status documented in the EHR. They stated there was no physician order.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to administer oxygen therapy according to physician orders for one (#192) of two sampled residents reviewed for respiratory therapy. The Resident Census and Conditions of Residents report, dated 08/30/23, documented 93 residents resided in the facility. Findings: Res #192 admitted to the facility on [DATE] with diagnoses which include pleural effusion, emphysema, and shortness of breath. A physician order, dated 08/28/23, documented to administer oxygen at 3 liters per minute via mask. On 08/30/23 at 10:19 a.m., the resident was observed in bed wearing a nasal cannula. The oxygen concentrator was set at 3.5 liters. On 08/31/23 at 10:04 a.m., the resident was observed in bed wearing a nasal cannula. The oxygen concentrator was observed with the top of the floating ball touching the line indicating 4 liters. On 08/31/23 at 10:11 a.m., LPN #4 was asked to observe the oxygen concentrator. They stated it was set at 4 liters. The LPN was asked 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-08-25 · tag F0578 — failed to honor advance directives / code status — widespread
    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 — the official record, unedited, may be distressing

    Based on record review and interview the facility failed to provide residents with an advance directive acknowledgement for four (#48, 35, 41, and #22) of seven residents reviewed for advance directives. The Resident Census and Conditions of Residents dated, 08/22/22, documented 84 residents resided in the facility. Findings: The Advance Directive policy dated, 04/28/21, read in parts, .Upon admission the Facility will provide each resident medically deemed competent .with written information and instruction regarding the right to make Advance Directives prior to the initiation of care or at any requested time. An advance directive acknowledgement was not in the paper or electronic health record (EHR) for residents #48, 35, 41 and #22. The facility's admission packet did not contain written information or instructions regarding the advance directive. On 08/24/22 at 11:00 a.m., the administrator reported they did not provide advance directive information nor was an advance directive acknowledgement completed upon admission.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-08-25 · tag F0761 — failed to label and store drugs safely — widespread
    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 outdated medications were not available for administration to residents. The Resident Census and Conditions of Residents, dated 08/22/22, documented 84 residents resided in the facility. Findings: The policy, Expired Medications and Medications with Shortened Expiration Dates dated 2019, read in parts, .Ensure that all medications in the facility are rotated and/or reviewed on a consistent basis to prevent having expired medications in the facility .ensuring that all 'out dated' or 'expired' medications .are removed from the medication cart or other area that medication may be stored in . On 08/23/22 at 11:20 p.m., three expired medications were located in the back medication room refrigerator: 1. Glucagon (a medication to raise blood sugar) had an expiration date of 03/11/22. 2. Admelog (a medication to control blood sugar) was opened on 03/11/22. 3. Humalog (a medication to control blood sugar) was opened on 07/11/22. On 08/23/22 at 2:30 p.m., the administrator reported the medications were expired…

    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 · F2022-08-25 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 residents received meals at a safe and appetizing temperature. The Resident Census and Conditions of Residents dated 08/22/22, documented 67 residents received meals from the kitchen. Findings: A document identified by the Corporate Administrator as the policy for food services, dated 03/21, read in parts, .hot foods maintained at 140 degrees (F) or above .when served from tray line . Resident Council Minutes, dated 03/23/22 read in part, .meals are too cold . Resident Council Minutes, dated 04/29/22, read in part, .some meals are cold . Resident Council Minutes, dated 06/22/22, read in part, .food too cold . Resident Council Minutes, dated 07/27/22, read in part, .food has been cold. On 08/22/22 at 10:25 a.m., Res #54 reported food was served cold most of the time. On 08/22/22 at 10:40 a.m., Res #17 reported the food is always cold when I get it. On 08/22/22 at 11:10 a.m., Res #38 reported food that should be hot, isn't even warm. On 08/24/22 at 12:20 p.m., during the noon meal service in the north…

    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 before2022-08-25 · 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 upon observation, record review and interview, the facility failed to develop a comprehensive, resident centered care plan for three (#30, 41, and #60) of three residents whose care plans were reviewed. A Resident Census and Conditions of Residents, dated 08/22/22, documented 84 residents resided in the facility. Findings: Res #30 was admitted to the facility with diagnoses which included pneumonitis and respiratory failure. The Comprehensive Person Centered Care Plan policy and procedure, dated 10/23/19, documented in part .the baseline care plan/comprehensive person centered care plan is updated to reflect risk/occurrences with a problem area, including goals and interventions to reduce the risk/occurrence . An annual assessment, dated 05/22/22, documented Res #30 was severely cognitively impaired and required extensive assistance with activities of daily living. A care plan, revised on 06/01/22, did not document pneumonitis or risk for aspiration. A progress note, dated 06/12/22 at 4:40 p.m., read in part, .This nurse was alerted to dining room at approx 1640 .that 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 · D2022-08-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility failed to follow physician's orders related to diabetic care for one (#35) of three residents reviewed for diabetic care. The DON identified 37 residents with a diagnosis of diabetes. Findings: Resident #35 was admitted with diagnoses which included diabetes. A physician's order, dated 03/04/22 at 9:12 p.m., read in part, .notify PCP if FSBS over 350 or higher. An RN/LPN Medication Administration Record dated, 06/01/22 - 06/31/22, documented four blood sugars ranging between 353 and 389. On 08/24/22 at 2:00 p.m., LPN #1 reported physician's orders should have been followed and physician notification should have been documented in the resident's nursing notes. There was no documentation in the nursing notes of Res #35's physician being notified of FSBS's over 350. A physician's order, dated 07/01/22, read in parts, .inject as per sliding scale .351-999 = 20 units recheck in two hours and repeat sliding scale . An RN/LPN Medication Administration Record, dated 07/01/22 - 07/31/22, documented 26 blood sugars ranging between 357 and 488.…

    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 · D2022-08-25 · 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

    Based on observation, record review, and interview, the facility failed to provide adequate supervision for one (#55) of one sampled resident reviewed for smoking. The administrator reported 13 residents who smoked resided in the facility. Findings: Res #55 was admitted with diagnoses which included blindness to left eye, anxiety, lack of coordination, and muscle weakness. A Smoking Policy, dated 02/01/16, read in parts, .any resident with restricted smoking privileges requiring monitoring shall have the direct supervision of a staff member .Residents without independent smoking privileges may not have or keep any types[sic] of smoking articles, including cigarettes . A care plan, reviewed 07/13/21, read in parts, .has had a smoking assessment and has been deemed unsafe to smoke by themselves .drops ashes on themselves, unable to hold cigarette safely, and burns themselves . An annual assessment, dated 06/16/22, documented the resident required moderate assistance with activities of daily living. On 08/22/22 at 11:15 a.m., Res #55 was observed in their room with cigarettes and a…

    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 · D2022-08-25 · 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 — the official record, unedited, may be distressing

    Based on observation, record review, and interview the facility failed to obtain physician's orders for care of an indwelling urinary catheter for one (#41) of one resident reviewed for indwelling urinary catheters. The Resident Census and Conditions of Residents, dated 08/22/22, documented two residents with indwelling urinary catheters. Findings: On 08/21/22, Res #41, was diagnosed with obstructive and reflex uropathy. A physician's order, dated 08/21/22, read in parts, Obtain Cath UA now .May keep foley placed if more than 500 cc drained during Cath UA. A nursing note dated, 08/21/22 at 10:12 p.m., read in parts, .during procedure 550 drained very slowly . Foley placed and flowing to gravity . There were no physician's orders written for the care of an indwelling urinary catheter. On 08/23/22 at 2:40 p.m., Res #41 was sitting up in a wheelchair, urinary catheter in place, draining clear yellow urine to gravity. On 08/24/22 at 3:30 p.m., the administrator and DON reported orders for catheter care should have been written.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-25 · 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

    Based on observation, record review, and interview the facility failed to modify and implement interventions to prevent weight loss for one, (#63) of 13 residents sampled for nutrition. The DON identified 13 residents with significant weight loss over the past six months. Findings: Res #63 was admitted with diagnoses which included hemiplegia and hemiparesis (impaired mobility of extremities on the left side). A Nutritional Assessment History, dated 03/30/22, read in parts, . resident had recent weight loss .current weight 144 pounds . A Nutritional Assessment, dated 04/08/22, read in parts, . Current diet order: NAS diet, Regular texture, thin consistency . PO intake 50-100%. Appetite good. Able to feed self with set up assistance .Goal is to maintain weight .with adequate PO intake. Continue with current POC. Continue to monitor weight and PO intake. The Documentation Survey Report v2 for 06/22, documented Res #63 had consumed 0 percent of 19 meals from 90 meals offered and had refused meals 13 times. A nutrition progress note, dated 06/24/22, read in parts, . June weight: 132.4 .…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

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 →

RatingThis homeChain avg
Overall 4 of 52.3+1.7 vs chain
Health inspection 3 of 52.4+0.6 vs chain
Staffing 2 of 51.7+0.3 vs chain
Quality measures 5 of 53.6+1.4 vs chain
The other 26 homes this chain runs (chain average 2.3★, per CMS)
1 of 5Arbor Hills Care & Rehab CenterFerguson, MO 1 of 5Bentwood Nursing & RehabFlorissant, MO 1 of 5Broadway Care & Rehab CenterMuskogee, OK 1 of 5Florissant Valley Health & Rehabilitation CenterFlorissant, MO 1 of 5Lansdowne VillageSaint Louis, MO 1 of 5Leisure Village Health Care CenterTulsa, OK 1 of 5Normandy Nursing CenterSaint Louis, MO 1 of 5Quarters At Des Peres, TheDes Peres, MO 1 of 5South Pointe Rehabilitation and Care CenterOklahoma City, OK 1 of 5Springfield Skilled Care CenterSpringfield, MO 1 of 5St Sophia Health & Rehabilitation CenterFlorissant, MO 2 of 5Eastgate Village Care & Rehab CenterMuskogee, OK 2 of 5Heritage Villa Care & Rehab CenterBartlesville, OK 2 of 5Sherbrooke VillageSaint Louis, MO 2 of 5Spring Valley Health & Rehabilitation CenterSpringfield, MO 2 of 5Sunset Health Care CenterUnion, MO 2 of 5Walnut Grove Care & Rehab CenterMcAlester, OK 3 of 5Forest Hills Care And Rehabilitation CenterBroken Arrow, OK 3 of 5Fort Gibson Care & Rehab CenterFort Gibson, OK 3 of 5Oak Park Care CenterSaint Louis, MO 4 of 5Cleveland Care And Rehab CenterCleveland, OK 4 of 5Coweta Care & Rehab CenterCoweta, OK 4 of 5Jackson ManorJackson, MO 4 of 5Mitchell Care & Rehab CenterMcAlester, OK 4 of 5Rainbow Health Care Community And Rainbow AssistedBristow, OK 5 of 5Camelot Nursing And Rehabilitation CenterFarmington, MO

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

Owner / managerTypeRoleShareSince
OKLAHOMA ACQUISITIONS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST63%since 12/31/2019
LAXTON, PHILESHIAIndividualW-2 MANAGING EMPLOYEEsince 04/16/2017
BIENSTOCK, JUDAHIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2013

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$8.6M
Net patient revenuemost recent cost report
+3.8%
Operating marginrevenue minus expenses
$919K
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 77%Medicare 12%Other / private 11%

About 77% 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 $919K 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.

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

$248per resident / day
operating cost
$7,537per month
≈ monthly operating cost
$258per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.

Typical monthly cost in Oklahoma
$7,026/mo
Nursing home (semi-private)
$7,756/mo
Nursing home (private)
$6,150/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375418. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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