Stilwell Nursing And Rehab
509 W Locust St, Stilwell, OK 74960 · For profit - Limited Liability company · 120 certified beds · (918) 696-7715 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (2/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 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 2 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.5% | 13.6% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.9% | 3.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.6% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.1% | 2.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 4.7% | 3.4% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 8.9% | 4.7% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 9.1% | 13.7% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 25.8% | 25.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.6% | 94.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.1% | 4.7% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 16.4% | 17.1% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.5% | 17.5% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.3% | 1.8% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 93.3% | 74.1% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.7% | 27.3% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 18.5% | 16.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.29 | 2.31 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.89 | 2.96 | 1.80 | typical |
‡ 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.
42.8% 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 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 65.0% 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 40 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 42.8%CMS range 30.5–52.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 14.7%CMS range 11.0–19.1 | 10.7% | Oct 2022–Sep 2024 | worse than U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 65.0% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 55.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 60.0% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.5% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 96.9% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.0%CMS range 4.4–13.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 120 beds and averages 86.2 residents a day — about 72% occupied, or roughly 34 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.79 hrs/resident/day on weekends vs 3.39 on weekdays — 18% thinner on weekends. RN hours go from 0.22 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.
- Potential for harm · Ecited before2025-04-09 · tag F0582 — patternGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure the estimated costs of services was included on form CMS-10055 (Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage) for 3 (#37, 78, and #79) of 3 sampled residents reviewed for beneficiary notifications reviews. MDS Coordinator #1 stated there had been 28 discharges from Part A services in the past six months (09/01/24 through 04/01/25). Findings: A facility policy titled, Medicare Advance Beneficiary and Medicare Non-Coverage Notices, dated September 2022, read in part, If the director of admissions or benefits coordinator believes (upon admission or during the resident's stay) that Medicare (Part A of the Fee for Service Medicare Program) will not pay for an otherwise covered skilled service(s), the resident (or representative) is notified in writing why the service(s) may not be covered and of the resident's potential liability for payment of the non-covered service(s). 1. A document titled Form CMS-10055, dated 2024, showed Res #79 had signed the form on 10/28/24. The section of the document…
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.
- Potential for harm · D2025-04-09 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 — the official record, unedited, may be distressing
Based on observation, record review, and interview, the facility failed to ensure there was a care plan intervention for tracheostomy self care for 1 (#60) of 1 sampled resident whose care plan was reviewed. The DON reported one resident with a tracheostomy resided at the facility. Findings: On 04/07/25 at 12:18 p.m., Resident #60 was observed to have a tracheostomy. A treatment administration record, dated 03/01/25 through 03/31/25, showed Resident #60 had diagnoses which included malignant neoplasm of the lung. Resident #60's care plan was reviewed. The care plan did not include self care for their tracheostomy. On 04/08/25 at 2:55 p.m., MDS coordinator #2 reviewed Resident #60's care plan. They stated Resident #60's self care of their tracheostomy was not care planned. They stated self care should have been added to their care plan. On 04/08/25 at 3:15 p.m., the DON stated Resident #60 performing self care for their tracheostomy should have been care planned.
- Potential for harm · D2025-04-09 · tag F0848 — isolatedProvide a neutral and fair arbitration process and agree to arbitrator and venue.
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 binding arbitration agreement did not require mediation be held in a specific county of the state of Oklahoma for 1 (#45) of 3 sampled residents reviewed for binding arbitration agreements. The DON stated 76 residents at the facility were offered the opportunity to sign the facility's arbitration agreement. Findings: An undated facility document titled Mediation and Arbitration Agreement, read in part, It is understood and agreed by [blank line for resident's name] ('Resident' or 'Resident Authorized Representative') that in the event of any legal dispute, controversy, demand or claim that arises out of or related to the admission Agreement or any service or health care provided by [NAME] Nursing Home (the 'Facility') to the Resident, such shall first be submitted to mediation, and not a lawsuit or resort to court process. Such mediation will be held in Tulsa County, Oklahoma in a place agreed to by the parties. A facility policy titled…
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.
- Potential for harm · D2025-04-09 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to maintain an infection prevention and control program to help prevent the transmission of infections for 1 (#40) of 3 sampled residents reviewed for wound care. The DON identified 12 residents received wound care. Findings: On 04/09/25 at 12:00 p.m., LPN #1 gathered supplies to complete wound care for the Res #40. LPN #1 donned a gown, mask, and a pair of gloves for the wound care. LPN #1 cleaned the resident's wounds to both lower extremities with wet gauze and disposed of the gauze in the trash container on the side of the treatment cart in the hall. LPN #1 did not change their gloves or wash their hands. LPN #1 applied calcium alginate (wound dressing) and a Kerlix (bandage roll) dressing to both lower legs and wrapped with Coban (a self-adherent wrap). LPN #1 removed their gown, mask, and gloves then placed them in a trash container on the side of the treatment cart in the hall. LPN #1 did not change their gloves or wash their hands during the wound care. A policy titled Wound Care, Revised October 2010,…
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.
- Potential for harm · Ecited before2023-12-14 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide 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 for a diabetic for one (#17) of one sampled resident whose record was reviewed for insulin usage. The DON identified 24 residents who required insulin. Findings: Res #17 was admitted with diagnoses which included diabetes. A physician order, dated 04/11/23, read in part, Novolog Solution, inject as per sliding scale .for glucose over 450, recheck in 1 hour, if glucose is still above 401 call physician . The TAR for October 2023 was reviewed with the following findings: On 10/02/23 at 8:00 p.m., Res #17's blood sugar was 468. No documentation blood sugar was rechecked an hour later. On 10/03/23 at 6:00 a.m., Res #17's blood sugar was 571. No documentation blood sugar was rechecked an hour later. On 10/09/23 at 4:00 p.m., Res #17's blood sugar was 571. No documentation blood sugar was rechecked an hour later. On 10/10/23 at 11:00 a.m., Res #17's blood sugar was 500. No documentation blood sugar was rechecked an hour later. On 10/15/23 at 8:00 p.m., Res #17's blood sugar was 454. No documentation…
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.
- Potential for harm · E2023-12-14 · tag F0727 — failed to provide required RN coverage — patternHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview the facility failed to ensure the services of an RN was available in the facility eight hours daily seven days a week. The administrator identified 74 residents who resided in the facility. Findings: A document titled, Time Care Report, documented an RN was not present in the building on the dates of 09/16/23 and 09/17/23 for the month of September. A document titled Time Care Report documented an RN was not present in the building on the dates of 10/08/23 for the month of October. A document titled Time Care Report documented an RN was not present in the building on the dates of 11/18/23, 11/19/23, 11/25/23, and 11/26/23 for the month of November. On 12/14/23 at 1:37 p.m., the DON stated they did have an RN in the facility every day for at least 8 hours per day. On 12/14/23 at 1:40 p.m., the administrator stated there was an RN in the facility every day. On 12/14/23 at 1:56 p.m., the BOM stated they were not aware that an RN was not here on certain days related to the corporate nurse never said anything about no RN coverage.
- Potential for harm · E2023-12-14 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure 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 food was palatable and at an appetizing temperature. The administrator identified 74 residents resided in the facility. Findings: 1. On 12/12/23 at 11:45 a.m., Res #24 stated they ate meals in their room. The resident stated the food was usually cold. On 12/12/23 at 9:03 a.m., Res #51 stated they ate in the dining room sometimes and sometimes in their room. The resident stated the food was always cold. 2. On 12/13/23 at 1:24 p.m., a test tray was obtained as the last tray on Hall 6. The tray included black eyed peas with a temperature of 119 degrees; green beans at 111 degrees and did not taste seasoned; pork chop at 98 degrees which tasted lukewarm to cool; a roll at 109 degrees; and ice cream. On 12/14/23 at 11:35 a.m., CNA #1 reported the food was cold all the time and the residents complained of cold food. On 12/14/23 at 11:36 a.m., the DA reported the residents always complained of cold food. On 12/14/23 at 11:38 a.m., the DM stated. they had tried everything they could to help keep the food warm…
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.
- Potential for harm · E2023-12-14 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview the facility failed to ensure trash cans were clean and in working order. The DON identified 73 residents who receive meals from the kitchen. Findings: On 12/11/23 at 9:30 a.m., there were three sensor trash cans in the kitchen. None of the trash cans were working and did not have foot pedals. All three trash can lids were covered with dried liquid, brown stains, and food debris. On 12/11/23 at 9:45, the DM reported the batteries in the trash cans were low and needed to be replaced. The DM reported the staff would have to raise the trash can lid with their hands to dispose of trash. The DM reported the trash cans were supposed to be cleaned on the weekend but they were not. On 12/13/23 at 11:45 a.m., the trash can beside the handwashing sink was covered in dried liquid and had food substances/debris on the outside lid, underneath the lid, and around the inside rim of the trash can. On 12/13/23 at 12:00 p.m., the DM reported the trash can beside the handwashing sink was not clean.
- Potential for harm · D2023-12-14 · tag F0578 — failed to honor advance directives / code status — isolatedHonor 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 observation, record review, and interview, it was determined the facility failed to ensure the code status was identified and correct for one (#40) of five resident whose code status was reviewed. The administrator identified 74 residents who resided in the facility. Findings: Res #40 had diagnoses which included acute embolism and thrombosis or unspecified deep veins of left lower extremity, vascular dementia, Alzheimer's disease, and sarcopenia. On 06/07/23, a DNR was signed by the primary care physician. A significant change assessment, dated 06/09/23, documented the resident's cognitive skills were severely impaired and was dependent with ADLs. On 06/19/23, Res #40 was admitted to hospice. A physician order, dated 09/09/23, documented the resident's code status was DNR. On 12/11/23 at 10:55 a.m., an observation was made of a green sticker by resident's name on doorway, indicating the resident was a full code. On 12/13/23 at 2:30 p.m., CNA #3 stated the green sticker on the door meant the resident was a full code.
- Potential for harm · D2023-12-14 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 record review and interview, the facility failed to notify OHCA of a new diagnoses of serious mental illness for two (#3 and #66) of three sampled residents whose PASARR records were reviewed. The DON identified 74 residents who residents in the facility. Findings: 1. Res #3 was admitted to the facility on [DATE] with diagnoses which included diabetes, atherosclerotic heart disease, hypertension, dementia, depression, and repeated falls. A PASARR I form, dated 01/09/23, documented the resident did not have a diagnosis of a serious mental illness. The EHR documented on 01/30/23 the resident received a diagnosis of major depressive disorder. On 12/13/23 at 3:04 p.m., the DON reviewed the resident's clinical record and stated a new diagnosis of serious mental illness was added to the resident's diagnoses list on 01/30/23. The DON stated a referral should have been made to the OHCA. 2. Res #66 was admitted on [DATE] with diagnoses which included depression and anxiety. A level I PASARR was completed on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 14 citations
- Potential for harm · D2023-12-14 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 notify OHCA of a serious mental illness for one (#17) of three sampled resident whose Level I PASARR was reviewed. The administrator identified 74 resident who resided in the facility. Findings: Res #17 was admitted on [DATE] with diagnoses which included dementia, schizophrenia, bipolar disorder, and Parkinson's. A Level I PASARR was completed on 12/12/23, and OHCA was notified of Res #17's diagnoses of dementia and Parkinson's. There was no documentation to show OHCA was notified of Res #17's diagnoses of schizophrenia and bipolar disorder. On 12/14/23 at 10:15 a.m., the DON reported Res #17's diagnoses of schizophrenia and bipolar should have been communicated to OHCA and were not.
- Potential for harm · Dcited before2023-12-14 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to update a comprehensive care plan when a resident developed a urinary tract infection for one (#54) of one sampled resident who was reviewed for an indwelling urinary catheter. The DON identified three residents who had an indwelling urinary catheter. Findings: Res #54 was admitted with an indwelling urinary catheter and had diagnoses which included neuromuscular dysfunction of the bladder and obstructive reflec uropathy. A review of the medical record showed Res #54 developed a urinary tract infection which was treated with antibiotics on the following dates: 07/14/23, 08/18/23, 09/22/23, and 09/28/23. The indwelling urinary catheter care plan for Res #54 did not address the resident's urinary tract infections. On 12/14/23 at 10:15 a.m., the DON reported the care plan should have been updated when Res #54 developed a urinary tract infection but it was not.
- Potential for harm · D2023-12-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to keep a urinary drainage bag off the floor to prevent infection for one (#54) of one sampled resident who was reviewed for an indwelling urinary catheter. The DON identified three residents who had indwelling urinary catheters. Findings: A Catheter Care, Urinary policy, last revised in September 2014, read in part, .Infection Control: .b. Be sure the catheter tubing and drainage bag are kept off the floor . Res #54 was admitted with an indwelling urinary catheter and diagnoses which included neuromuscular dysfunction of the bladder and obstructive reflux uropathy. On 12/11/23 at 11:45 a.m., Res #54's urinary drainage bag was on floor with the bedside table wheel on top of it. On 12/12/23 at 11:00 a.m., Res #54's urinary drainage bag was flat on floor underneath their bed. On 12/13/23 at 10:20 a.m., Res #54's urinary drainage bad was on the floor underneath bed. A progress note, dated 12/02/23 at 3:14 p.m., read in part, Foley catheter bag changed due to hole in the bag . A review of the medical record showed…
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.
- Potential for harm · D2023-12-14 · tag F0732 — isolatedPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to post the required information related to staffing and retain daily staffing information for the past 18 months. The administrator identified 74 residents who resided in the facility. Findings: On 12/11/23 at 10:30 a.m. and throughout the survey the staffing boards at both nursing stations did not include the facility name, census, and hours each employee worked. On 12/14/23 at 2:20 p.m., the DON reported they were not aware of the requirements regarding what information needed to be documented on the staffing board and did not retain the staffing information for 18 months.
- Potential for harm · D2023-12-14 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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, it was determined the facility failed to ensure residents did not receive psychotropic medication, unless for a specific diagnosed condition, for one (#48) of five residents reviewed for unnecessary medication. The DON identified 17 residents who received psychotropic medication. Findings: Res #48 was admitted to the facility with diagnoses which included alcoholic cirrhosis of the liver, alcohol dependence with withdrawal, dementia, epilepsy, and hemiplegia and hemiparesis after non-traumatic intracranial hemorrhage. A physician order, dated 03/02/23, documented the resident was to receive Remeron (a antidepressant medication) 15 mg at bedtime for dementia. A physician order, dated 08/30/23, documented the resident was to receive Seroquel (a antipsychotic medication) 25 mg tablet with one 50 mg tablet totaling 75 mg three times a day for alcohol dependence with withdrawal and dementia. The quarterly assessment, dated 09/25/23, documented the resident was moderately impaired cognitively. The assessment documented the resident had a diagnosis of…
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.
- Potential for harm · F2022-08-04 · tag F0803 — failed to meet residents' dietary needs — widespreadEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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, observation, and interview, the facility failed to follow the menu provided for one meal of five meals reviewed for menu accuracy. The Resident Census and Conditions of Residents form documented 67 residents ate meals from the menu. Findings: A Menu: [NAME] SS 2022 documented the evening meal for Sunday, 07/31/22, was garden vegetable soup, deli sandwich on bun, potato chips, sugar cookies and beverage of choice. On 07/31/22 at 4:30 p.m. meal trays were observed to contain baked macaroni and cheese with ham, buttered peas, and frosted gelatin poke cake. On 08/01/22 at 12:05 p.m. the RD reported the menu for 07/31/22 evening meal wasn't followed and should have been.
- Potential for harm · Ecited before2022-08-04 · tag F0657 — failed to keep the care plan current — patternDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to update a care plan regarding smoking for one (#14) of ten residents reviewed for care plans. The DON reported the facility had ten residents who smoked. Findings: Res #14 was admitted with diagnoses which included schizoaffective disorder. A care plan last revised on 06/15/22, documented in part .Smoking attendant to be in smoke room at all times when resident is present. An assessment dated [DATE], documented Res #14 was moderately impaired with cognition. A nurse's note, dated 07/29/22, documented in parts .This nurse was given in report that this resident had a blister to her finger from smoking .Staff to monitor resident when she is smoking. A physician's order, dated 07/29/22, read in part, BEHAVIORS - MONITOR FOR THE FOLLOWING: Resident has behaviors related to smoking such [sic] burning self. Document: .findings every day and night shift. A physician's order, dated 08/01/22, read in part, clean right second finger with wound…
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.
- Potential for harm · E2022-08-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 record review, observation, and interview, the facility failed to prevent injury by assessing smoking safety for one (#14) of ten residents reviewed for smoking safety. The DON identified ten residents were smokers. Findings: A care plan, revised on 06/15/22, read in part, .Attendant to be with res when smoking . A nurse's note, dated 07/29/22, read in parts, .This nurse was given in report that this resident had a blister to her finger from smoking . Staff to monitor resident when she is smoking. A physician's order, dated 07/29/22, read in part, .BEHAVIORS - MONITOR FOR THE FOLLOWING: Resident has behaviors related to smoking such [sic] burning self. Document: .findings every day and night shift. A physician's order, dated 08/01/22, read in part, .clean right second finger with wound cleanser and pat dry, apply ATB [sic] and cover with bandage every day shift until resolved. An undated Smoking Policy - Resident, read in part, .A smoking risk assessment of a resident's cognitive ability, judgement, manual dexterity and mobility will be utilized to determine if a 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.
- Potential for harm · E2022-08-04 · tag F0881 — failed to use antibiotics responsibly — patternImplement a program that monitors antibiotic use.
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 and maintain an antibiotic stewardship program. The Resident Census and Conditions of Residents form documented 68 residents resided in the facility. Findings: The Antibiotic Stewardship policy, revised 12/16, read in parts, .the IP will monitor over time and report .measures of antibiotic use .antibiotic susceptibility patterns .and negative outcomes or events related to antibiotic use . The Antibiotic Stewardship - Review and Surveillance of Antibiotic Use and Outcomes policy, revised 12/16, read in parts, .Antibiotic usage and outcome data will be collected and documented .The data will be used to guide decisions for improvement of .facility-wide antibiotic stewardship. The Infection Control Summary forms from 01/22 to 05/22 contained no documentation. On 08/03/22 at 10:47 a.m., Corp RN #1 reported the IP had collected data on antibiotic use and resident infections, but the data had not been trended. She reported the IP had not been provided training on how to apply the data. On 08/03/22 at 11:00 a.m., the IP…
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.
- Potential for harm · Dcited before2022-08-04 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, it was determined the facility failed to provide residents with beneficiary notices for one (#20) of three sampled residents for beneficiary notices. The Discharge Summary Report documented 39 residents had been discharged in the past six months. Findings: A SNF Beneficiary Protection Notification Review for Res #20, dated 03/11/22 read in parts, .Medicare Part A Skilled Services Episode Start Date: 02/01/22 .Last covered day of Part A Services 03/11/22 .The facility/provider initiated the discharge from Medicare Part A Services when benefit days were not exhausted The document showed Res #20 was neither provided a SNF ABN, nor a NOMNC. The document did not contain explanation why the forms were not provided. On 08/02/22 at 1:45 p.m., MDS #2 reported Res #20 had not been provided a beneficiary notice.
- Potential for harm · D2022-08-04 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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 provide written notice of discharge for one (#63) resident of 39 residents reviewed for discharge notices. The Discharge Summary Report documented 39 residents had been discharged from the facility in the past six months. Findings: Res #63 was admitted on [DATE] with diagnoses which included diabetes mellitus. A Discharge Summary, dated 06/17/22 documented Res #63 was discharged to acute care on 05/08/22. On 08/04/22 at 8:32 a.m., the DON reported the facility had not provided written notice of Res #63's discharge to the resident's representative, or the ombudsman. She further stated she was unaware of the requirement to provide written notice for transferred or discharged residents. On 08/04/22 at 8:40 a.m., the administrator reported he was unaware of the requirement to provide written notice for transferred or discharged residents. .
- Potential for harm · D2022-08-04 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 properly document a fall on the resident assessment for one (#16) of one residents reviewed for falls. The DON reported the facility had 79 residents with falls since 01/22. Findings: A nursing note, dated 01/26/22 documented a fall for Res #16 resulting in four skin tears. A quarterly assessment dated [DATE] did not document the fall on 01/26/22. On 08/02/22 at 3:30 p.m., the MDS Coordinator #1 reported the fall should have been documented on the resident assessment. The MDS Coordinator reported she had not received formal training regarding resident assessments.
- Potential for harm · D2022-08-04 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a discharge summary was completed for one (#65) of two residents reviewed for discharge summaries. The Resident Census and Conditions of Residents documented 68 residents were in the facility. Findings: Resident #65 was admitted to the facility on [DATE] and was discharged from the facility on 06/08/22. There was no discharge nursing note or discharge summary in the medical record. On 08/03/22 at 4:15 p.m., the DON stated There should have been a nursing note and discharge summary. I didn't think about writing a discharge summary.
- Potential for harm · Dcited before2022-08-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 coordinate care with hospice for one (#37) of one resident who was reviewed for hospice services and to follow physician's orders related to diabetic care for two (#39 and #45) of four residents reviewed for diabetic care. The Resident Census and Conditions of Residents report, dated 08/01/22, documented there were seven residents with hospice services. The DON reported 16 residents who required diabetic care resided in the facility. Findings: #1. Res #37 was admitted to the facility on hospice services for congestive heart failure. There were no nursing or nurse aide visit notes in the hospice chart. 08/02/22 at 4:25 p.m., the DON reported she didn't have access to hospice nursing and aide visit notes. She wasn't aware there needed to be visit notes in the hospice chart, nor was she aware of what documentation was needed in the hospice chart. #2. Res #39 was admitted with diagnoses which included diabetes mellitus with ketoacidosis. An order dated 01/17/22, read in parts, If blood sugar is less than 70, call MD If blood…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| GRANT RHODES REVOCABLE TRUST DATED JANUARY 30, 2018 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| JACK L BYERS REVOCABLE TRUST DATED JANUARY 26, 2017 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| SNOW FAMILY TRUST DATED JUNE 29, 2012 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| BYERS, JACK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| RHODES, JONATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| SNOW, AUDREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| SNOW, LARRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| YOUNG, BRIDGETTE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| YOUNG, JEFFREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| BEDLAM PROPERTIES HO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2022 |
| MATRIX PROVIDER SOLUTIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2022 |
| GILBERT, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2022 |
| LIETZKE, MARK | Individual | ADP OF THE SNF | — | since 02/01/2022 |
| PEARSON, ARTHUR | Individual | ADP OF THE SNF | — | since 11/21/2022 |
CMS files one row per role, so the 29 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.
6 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 81% 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 $677K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OK
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.
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 375333. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-09, 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.