Green Country Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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.

Staffing

How full it usually is: this home is certified for 114 beds and averages 76.7 residents a day — about 67% occupied, or roughly 37 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.11 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.71 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 3.87 hrs/resident/day on weekends vs 3.62 on weekdays — about the same on weekends as weekdays. RN hours go from 0.12 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%. 4 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are 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.

27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY A past noncompliance Immediate Jeopardy (IJ) situation was determined to exist effective 03/10/26 at 4:00 a.m. related to the facility's failure to ensure a resident with moderately impaired cognition and history of elopement did not elope unnoticed from the facility.On 03/19/26, the Oklahoma State Department of Health verified the existence of the past noncompliance IJ related to the facility's failure to prevent a resident's elopement.The past noncompliance IJ was removed effective 03/10/26 at 1:30 p.m., when the facility had put the following measures in place to prevent recurrence.a. On 03/10/26 the administrator contacted the QAPI committee members and created a performance improvement plan which included continued inspections of points of possible egress from the facility, staff education on elopement was initiated, continued 1:1 monitoring of Res #1 until discontinued by their physician, and ongoing monitoring of elopement prevention procedures by the administration and QAPI committee.b. On 03/10/26 the…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2025-03-26 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 resident or their legal representative received education regarding the benefits and potential side effects of the influenza immunization and obtain consent before administering the immunization for 1 (#4) of 3 sampled residents reviewed for immunizations. The administrator identified 74 residents resided in the facility Findings: A facility policy titled Vaccination of Residents, revised 08/2016, read in part, Prior to receiving vaccinations the resident or legal representative will be provided information and education regarding the benefits and potential side effects of the vaccination .The residents legal representative may refuse vaccines for any reasons. Resident #4 was admitted on [DATE] with diagnoses which included dementia and anxiety. An annual MDS assessment, dated 01/24/25, showed the resident's cognition was severely impaired with a brief interview for mental status score of 99. A review of Resident #4's profile sheet 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-15 · tag F0574 — pattern
  The resident has the right to receive notices in a format and a language he or she understands.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to provide access to notifications of resident rights, ombudsman contact information, and state agency contact information. The administrator identified 76 residents resided in the facility. Findings: On 11/13/24 at 10:41 a.m., the five residents who attended the resident council meeting stated they did not know where to find the phone number to contact the ombudsman, did not know where the resident rights were posted, or how to contact OSDH to register a complaint or concern. Immediately following the resident council meeting, the notices were observed to be posted in the locked vestibule by the facility front door, and inside the nurses' station along the far wall. The locked vestibule was not accessible by the residents. The notices inside the nurses' station were not readable from the hallway. On 11/13/24 at 11:41 a.m., the administrator stated the ombudsman's phone number, resident rights, and state department phone numbers were posted in the vestibule and by the back nurses' station. The administrator 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-15 · 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 record review and interview, the facility failed to provide information to formulate an advance directive for three (#22, 66, and #71) of three sampled residents who were reviewed for advance directives. The administrator identified 75 residents who resided in the facility. Findings: The Advance Directives policy, dated December 2016, read in part, Upon admission, the resident will be provided with written information concerning the right .to formulate an advance directive if he or she chooses to do so .the information may be provided to the resident's legal representative .The Interdisciplinary Team will review annually with the resident his or her advance directives to ensure that such directives are still the wishes of the resident. 1. Resident #22 was admitted to the facility on [DATE]. No acknowledgement form for an advance directive was in the resident's electronic record. 2. Resident #71 was admitted to the facility on [DATE]. No acknowledgement form for an advance directive was in the resident's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-15 · tag F0582 — isolated
  Give 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 advance beneficiary notices had been provided for two (#22 and #47) of three sampled residents reviewed for beneficiary notices. The Entrance Conference Worksheet documented ten residents who remained in the facility with skilled days remaining in the past six months. Findings: 1. Resident #22 had diagnoses which included dementia. The SNF Beneficiary Notification Review form, completed by the facility, documented the resident's last covered day of Part A services was 06/13/24, the facility initiated the discharge from skilled services, and an ABN had not been provided. The undated NOMNC, provided by the facility, documented the resident/resident representative had been notified of the change in services on 06/12/24. Review of the electronic clinical record revealed the resident remained in the facility long term care after skilled services had ended. 2. Resident #47 had diagnoses which included dementia. The SNF Beneficiary Notification Review form, completed by the facility, documented the resident's last covered…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-15 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — 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 assessments were encoded and transmitted for one (#128) of one sampled resident reviewed for assessments. The administrator identified 76 residents who resided in the facility. Findings: Resident #128 had diagnoses which included dementia. A discharge return anticipated assessment, dated 09/10/24, documented the resident had discharged from the facility. A progress note, dated 09/11/24, documented the resident had returned from the hospital. Review of the assessments in the electronic clinical record did not reveal an entry assessment had been completed upon the resident's readmission to the facility on [DATE]. The next documented assessment in the electronic clinical record, after the discharge return anticipated assessment, was an in progress quarterly assessment dated [DATE]. On 11/15/24 at 2:03 p.m., MDS coordinator #1 stated they completed an entry assessment when a resident returned from a hospital stay. They stated the entry assessment…

  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 · D2024-11-15 · 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 observation, record review, and interview, the facility failed to update the care plan for two (#22 and #128) of two sampled residents whose care plans were reviewed. The administrator identified 76 residents resided in the facility. Findings: 1. Resident #22 had diagnoses which included dementia. A Care Plan, dated 09/05/24, documented no care areas related to skin picking. On 11/12/24 at 8:59 a.m., Resident #22 was observed with a nickel size open wound on the right side of the back of their neck and multiple small wounds on their forehead and hands. On 11/14/24 at 2:19 p.m., LPN #2 stated the resident has several places on their face and hands where they picked the skin open. LPN #2 stated the wounds scabbed over and the resident opened them again. LPN #2 stated the resident had always done this. A review of the resident's care plan did not reveal an update to include the resident picking at their skin. On 11/14/24 at 3:12 p.m., MDS Coordinator #1 stated they had updated the resident's care plan on 11/14/24, but had not included picking at the skin prior to 11/14/24. 2.…

  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 · D2024-11-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 showers to dependent residents for one (#128) of one sampled resident who was reviewed for ADL care. The DON identified 62 residents who were dependent on staff for bathing. Findings: Resident #128 had diagnoses which included dementia. The quarterly assessment, dated 08/20/24, documented the resident required set up assistance for showers and rejected care one to three days during the look back period. The discharge return anticipated assessment, dated 09/10/24, documented the resident required supervision/touch assist for bathing and toileting. The assessment documented the resident rejected care one to three days during the look back period. The CNA Shower Skin Observation Tool forms, dated 10/02/24 through 11/15/24, documented the resident had refused showers 17 times out of 22 opportunities. The form documented, Refused? Intervention to prevent recurrence? The area for documentation of intervention to prevent recurrence was left blank on all 17 documented refused showers. On 11/13/24 at 11:35…

  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 · D2024-11-15 · tag F0761 — failed to label and store drugs safely — isolated
  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 — the official record, unedited, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure medications were dated when opened for one (North hall medication cart) of two medication carts observed. The DON identified four medication carts in the facility. Findings: On 11/15/24 at 3:56 p.m., the North hall medication cart was observed with LPN #1. The following medications were observed to be open, but not dated. a. neomycin/polymyxin 0.1% eye drops for Resident #126; b. fluticasone nasal spray 50mcg for Resident #47; c. fluticasone nasal spray 50mcg for Resident #11; and d. fluticasone nasal spray 50mcg for Resident #14. On 11/15/24 at 3:58 p.m., LPN #1 stated they were to date nasal sprays and eye drops when they were opened. On 11/15/24 at 4:21 p.m., the DON stated they were to date nasal sprays and eye drops when they were opened.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-15 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facilty failed to ensure infection control was maintained during feeding assistance for one (#55) of one sampled resident observed for meal assistance. The administrator identified 20 residents dependent on staff for meal assistance. Findings: On 11/12/24 at 12:09 p.m., LPN #1 was observed assisting Resident #55 with the noon meal. LPN #1 was observed to blow on a spoonful of food before placing it in Resident #55's mouth. On 11/12/24 at 12:12 p.m., LPN #1 stated to maintain infection control they should not blow on a resident's food. On 11/15/24 at 4:30 p.m., the DON stated if food was hot the staff were to let it cool down before feeding it to residents. The DON stated staff should not blow on residents' food.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-09-28 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 and interview, the facility failed to ensure resident dignity related to: a. Res #50 was not disrobe and/or expose themselves in front of other residents and staff in the dining room and on the unit; b. the residents on the locked unit had on proper foot-wear when in the dining room and on the unit; and c. staff did not stand while assisting residents to eat. The Resident Census and Condition of Residents form documented 79 residents who resided in the facility. Findings: 1. Res #50 had diagnoses which included frontotemporal neurocognitive disorder and dementia. An annual assessment, dated 08/17/23, documented the resident was severely impaired with cognition and required limited to extensive assistance with ADLs. The care plan, last revised 09/01/23, did not document a behavior of disrobing, exposing self, or wandering. On 09/25/23 at 12:45 p.m., the resident was observed in the dining room with a pink and gray pajama set on which was unzipped to the residents waist, exposing 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

“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

$8,281 in federal fines across 1 penalty.

• $8,281 — penalty dated 2026-03-20

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PHOENIX HEALTHCARE — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $639K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK