Talihina Manor

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.46 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 69 beds and averages 27.5 residents a day — about 40% occupied, or roughly 42 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.25 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.56 hrs/resident/day on weekends vs 3.68 on weekdays — 3% thinner on weekends. RN hours go from 0.54 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2025-07-03 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to complete criminal history background checks for 8 (dietary manager, social services director/activities director, CMA #1, CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5) of 10 sampled employees reviewed for criminal history background checks. The administrator identified 26 residents who resided in the facility and 39 facility employees. Findings: A facility policy titled Abuse - Reportable Events, revised 01/2018, read in part, Pre-employment screening will be completed on all employees, to include: * Criminal History Check * Background Check 1. An untitled and undated employee list showed the dietary manager was hired 09/13/24. There was no criminal history background check results found in the dietary manager's employee file for the hire date 09/13/24. 2. An untitled and undated employee list showed the social services/activities director was hired 02/09/24. There was no criminal history background check results found in the social services/activities director's employee file for the hire date 02/09/24. 3. An untitled 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to maintain a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The DON reported 26 residents resided in the facility. Findings: An undated Reducing the Risk of Legionella in Facility Water Systems Policy, read in part, The facility will complete the following steps to implement a Water Management Program that considers the ASHRAE industry standard and the CDC toolkit .Establish a Water Management Program Team that will meet monthly and as needed to address any issues that arise that could pose a threats to water safety . Describe the building water systems using text and flow diagrams .Document and communicate all the activities of the Water Management Program. The water management program was reviewed. There was no documentation to indicate maintenance of the water management program. On 07/02/25 at 12:07 p.m., the assistant administrator/BOM reported they could only find the Legionella Policy.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-03-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to serve food in a sanitary manner. The administrator stated 23 residents received their meals from the kitchen. Findings: On 02/25/24 at 12:01 p.m., during the service for the noon meal, one staff member from the kitchen was observed taking out a tray of food while the other kitchen staff member was plating the next resident's meal. The staff delivering the trays was observed to take the meal out on a tray and then return to the kitchen with the same tray and putting it down for a new meal to be served on it. The staff member was not sanitizing the tray between each meal and was not observed to wash their hands when they entered the kitchen. On 02/25/24 at 12:04 p.m., both staff members who were serving the noon meal were observed to have on gloves. When the staff member took the tray with a resident's meal on it, they were observed to place the tray on the resident's table and offload the food and place the plates of food and drink in front of the resident. The staff member then returned to the kitchen and place the tray by…

  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 · E2024-03-01 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure residents' rights to formulate advanced directives in accordance with state law for four (#1, 4, 14, and #19) of 16 residents whose records were reviewed for advanced directives. The DON stated 16 residents residing in the facility had DNRs. Findings: 1. Res #14 had diagnoses which included cerebrovascular disease and dementia. A physician order, dated [DATE], documented the resident's code status was DNR. A quarterly assessment, dated [DATE], documented the resident was severely impaired in cognitive skills for daily decision making and was dependent with most ADLs. A care plan, initiated on [DATE] and last reviewed on [DATE], documented the facility would not perform life saving measures of CPR in the event of death of the resident. On [DATE] at 2:13 p.m., the dashboard of the resident's EHR records documented the resident's code status was DNR. At that time, the resident's EHR was reviewed and documented the resident had an…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-01 · 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 the accuracy of MDS assessments for three (#2, #3, and #5) of 12 residents whose assessments were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Findings: 1. Res #2 had diagnoses which included conversion disorder with seizures or convulsions, congestive heart failure, flaccid hemiplegia affecting right dominant side, and diabetes mellitus. A physician order, dated 12/01/17, documented the facility was to administer clopidogrel (an antiplatelet medication) 75 mg daily for a diagnosis of chronic congestive heart failure. On the same date, the physician ordered the facility to administer hydrochlorothiazide, (a diuretic medication) 25 mg daily for a diagnosis of chronic congestive heart failure. An annual assessment, dated 05/06/23, documented the resident was independent in cognitive skills for daily decision making. The assessment documented the resident required extensive assistance with bed mobility, transfer, hygiene,…

  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 before2024-03-01 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to develop care plans to meet the residents' needs for three (#3, 5, and #7) of twelve residents whose care plans were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Findings: 1. Res #3 had diagnoses which included bipolar disorder and major recurrent and severe depressive disorder without psychotic features. A physician order, dated 08/21/23, documented the facility was to administer sertraline (an antidepressant medication) 25 mg, 1/2 a tablet daily. A quarterly assessment, dated 02/06/24, documented Res #3 received an antidepressant medication during the previous seven days. The resident's clinical record was reviewed and did not document a plan of care related to the use of an antidepressant medication. On 02/26/24 at 8:24 a.m., Res #3 was observed lying in their bed with the television on. The resident was awake and made eye contact with the surveyor but was not interviewable. On 02/29/24 at 4:45 p.m., the DON 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
• Potential for harm · E2024-03-01 · tag F0727 — failed to provide required RN coverage — pattern
  Have 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 an RN was present in the facility for eight consecutive hours a day seven days a week. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Findings: A form, titled PBJ Staffing Data Report [NAME] Report 1705D FY Quarter 1 2023 (October 1 - December 31) documented multiple infraction dates of no RN hours. On 02/27/24 the corporate director of nursing and the corporate director of operations were asked to locate documentation an RN was present in the facility for eight consecutive hours on the infraction dates on the PBJ report. On 02/27/24 at 3:50 p.m., the corporate director of operations reported they were unable to provide documentation an RN was worked at least eight consecutive hours for the following dates, 10/01/23, 10/07/23, 10/08/23, 10/30/23, 11/05/23, 11/23/23, 11/24/23, 11/25/23, 12/11/23, 12/16/23, 12/18/23, 12/24/23, and 12/25/23.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-01 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure medications were stored and reconciled according to the facilities practice and standard of care. The Long Term Care Facility Application form Medicare and Medicaid form documented 24 residents resided in the facility. Findings: On 02/26/24 at 10:30 a.m., the DON described the process the facility used to account for and reconcile narcotic medications for disposal. The DON stated the facility CMAs and nursing staff were to bring the narcotic to the DON office and document the medication in a book along with the prescription number and the physical number of the medication. The DON would then confirm the information and place the medication along with the medication's count sheet in a locking cabinet inside of a second locking cabinet located in the DON office. On 02/26/24 at 10:36 a.m., the contents of the cabinet were observed and the following medications were in the cabinet. 15 syringes of morphine sulfate with each syringe containing 0.5 ml of morphine. 122 ampules of compounded lorazepam wrist rub…

  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 · E2024-03-01 · 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 — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure PRN psychotropic medications were limited to 14 days unless the physician deemed it appropriate to extend the duration and document a rational and end date for two (#12 and #14) of five residents whose medications were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Findings: 1. Res #14 had diagnoses which included dementia and anxiety disorder. A physician order, dated 01/09/24, documented the facility was to administer lorazepam (an antianxiety medication) 0.5 mg every four hours as needed for a diagnosis of anxiety disorder. A quarterly assessment, dated 01/12/24, documented the resident was severely impaired in cognitive skills for daily decision making, required supervision with eating, and was dependent with most other ADLs. A care plan, dated 01/30/24, documented the resident was at risk for adverse consequences related to receiving antianxiety medication of lorazepam for the treatment of anxiety. On 02/27/24 at…

  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 · Ecited before2024-03-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure medications were not kept past their expired date. The Long Term Care Facility Application form Medicare and Medicaid form documented 24 residents resided in the facility. Findings: On [DATE] at 10:16 a.m., the medication carts on the hall were inspected. One bottle labeled Vitamin D 50 mcg was observed to have a pharmacy label documenting an expiration date of [DATE]. The manufacturer expiration date was documented as 02/2024. At that time, CMA #1 was asked if the facility used the pharmacy label or the manufacturer label to determine the date the medication should have been pulled. The CMA stated she did not know but would find out. On [DATE] at 10:19 a.m., the medication room was observed with CMA #1. In the larger refrigerator, there were two pre-filled syringes, labeled Prevnar 13, documented an expiration date of 09/2023. An opened vial of Quadrivalent Influenza vaccine had an open date of [DATE] documented on the label. In…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to BGM ESTATE — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

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

Follow the money — this home’s finances

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

This home reported $234K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK