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Montereau, Inc.

6800 South Granite Avenue, Tulsa, OK 74136 · Non profit - Corporation · 74 certified beds · (918) 491-5250 Medicare only — no Medicaid

Call the home — (918) 491-5250 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Apr 20241 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$14,901 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,901 in federal fines (most recent 2025-05-19)
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (88%) runs well above the national median (45%)

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.

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

Location & what’s nearby

Urgent care / clinic
7104 S Sheridan Rd Ste 4 · (918) 496-2900 · Call to confirm hours
Pharmacy
6475 S Yale Ave · (918) 491-7373 · Call to confirm hours
Grocery
Reasor's0.4 mi
7114 S Sheridan Rd · (918) 493-7442 · Call to confirm hours
Park
5555 E 71st St · (918) 585-1117 · Typically dawn to dusk
Place of worship
6730 S Sheridan Rd · (918) 492-1353

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 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 held steady at 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.5%13.6%15.4%better
Long-stay residents who lose too much weight4.3%3.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%2.8%2.0%better
Long-stay residents with depressive symptoms0.9%3.4%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.5%4.7%3.3%better
Long-stay residents on antianxiety or hypnotic medication29.2%25.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.6%95.3%typical
Long-stay residents with pressure ulcers8.5%4.7%4.7%worse
Long-stay residents with worsening bladder/bowel control21.7%17.1%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table5.8%17.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.1%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine83.5%74.1%79.4%typical
Short-stay residents rehospitalized after admission29.2%27.3%22.6%worse
Short-stay residents with an outpatient ER visit13.0%16.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.522.311.67typical
Long-stay outpatient ER visits per 1,000 resident days2.422.961.80worse

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

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

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

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

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

61.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 310 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.1%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
66.7%U.S. median 56.6%
Met the expected recovery
0.82U.S. median 0.31
Therapy hours / resident / day
0.30hours / resident / day
Physical therapy
0.35hours / resident / day
Occupational therapy
0.17hours / resident / day
Speech therapy

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 177 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.82 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.1%CMS range 56.1–66.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.5–12.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge66.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge64.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge69.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 4.2–9.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.011.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.23
RN hours/ resident / day
1.71
LPN hours/ resident / day
2.83
Aide hours/ resident / day
4.77
Total nurse hours/ resident / day
0.22
RN hoursweekends
88.1%
Total nursing turnover
100.0%
RN turnover

How full it usually is: this home is certified for 74 beds and averages 59.4 residents a day — about 80% occupied, or roughly 15 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 4.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.83 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 4.44 hrs/resident/day on weekends vs 4.90 on weekdays — 9% thinner on weekends. RN hours go from 0.23 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 88% is well above 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

2
deficiencies at the latest standard inspection (2026-04-07)
3
at the previous standard inspection (2024-07-08)

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.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-05-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On [DATE], a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to assess, monitor, and intervene for a resident with a history of skin breakdown. The facility failed to accurately identify the status of a resident at high risk for skin breakdown, failed to accurately and timely document the resident's skin condition, failed to accurately care plan, provide, and monitor the success or failure of interventions for the resident's deteriorating skin condition, and failed to communicate the resident's deteriorating skin condition to other disciplines of the resident's care team. Based on record review and interview, the facility failed to assess, monitor, and intervene for 1 (#1) of 7 sampled residents who had pressure ulcers/wounds or were at high risk for the development of pressure ulcers/wounds. The facility's Census and Condition, dated [DATE], showed five residents with pressure ulcers and 41 resident receiving preventative skin care. Findings: 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 · Ecited before2026-04-07 · 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 ensure a care plan was developed to address immediate needs of residents for 2 (#1 and #48) of 8 sampled residents reviewed for care plans.The administrator identified 56 residents resided in the facility.Findings:1.On 03/30/26 at 2:20 p.m., Resident #1 was observed in a wheelchair in their room with a urinary catheter in place.A physician order for Resident #1, dated 02/27/26, showed to admit the resident to the SNF.A physician order for Resident #1, dated 02/27/26, showed the resident had an order for apixiban (an anticoagulant) 5 mg every morning and at bedtime.An admission assessment for Resident #1, dated 03/05/26, showed the resident had medical diagnoses including atrial fibrillation and heart failure. The assessment showed Resident #1 had an indwelling urinary catheter and they were on anticoagulant therapy.A care plan for Resident #1, revised 03/15/26, showed focus areas for anticoagulant therapy and catheter use, but did not show interventions for those areas.On 04/02/26 at 2:10 p.m., the ADON…

    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 · Dcited before2026-04-07 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 record review and interview, the facility failed to ensure medications were administered according to physician orders for 1 (#56) of 1 sampled resident reviewed for timely administration of medications. The administrator identified 56 residents resided in the facility. Findings: An admission record for Resident #56, dated 08/07/24, showed the resident had diagnoses which included dementia, restless leg syndrome, and anxiety.Physician orders for Resident #56, dated 08/09/24, showed to administer the following: a. ropinirole (dopamine agonist) 2 mg, give one tablet by mouth at bedtime andb. ropinirole 1 mg, give one tablet by mouth two times a day. A policy titled Medication Reordering, revised 2025, read in part, each time a nurse is administering medications and observes a seven day supply or less, that nurse will reorder the medication, time permitting.A Medication Record for Resident #56, dated December 2025, showed missed doses for the following:a. ropinirole 1 mg on 12/17/25 at 3:00 p.m., because the medication was on order and awaiting delivery andb. ropinirole 1 mg…

    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 · E2025-11-21 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 sufficient staff to answer call lights in a timely manner for 1 (#1) of 3 sampled residents reviewed for call light response.The DON identified 46 residents resided at the facility. Findings:Review of the Alarms by Room report, dated 08/07/25 through 08/25/25, for Resident #1, showed:a. on 08/07/25 at 4:11 p.m., call light initiated on bed for 1 hour 19 minutes 18 seconds;b. on 08/07/25 at 4:33 p.m., call light initiated on bath for 30 minutes 46 seconds; c. on 08/07/25 at 5:06 p.m., bath call light initiated on for 27 minutes 8 seconds;d. on 08/08/25 at 5:11 a.m., call light initiated on bed for 1 hour 6 minutes 12 seconds; e. on 08/12/25 at 12:35 a.m., bed call light initiated on for 59 minutes 54 seconds; f. on 08/15/25 at 8:09 a.m., bed call light initiated on for 38 minutes 30 seconds; g. on 08/20/25 at 5:24 p.m., bed call light initiated on for 45 minutes 6 seconds; h. 08/21/25 call log until 6:00 p.m., showed call light times up to 23…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-11-21 · 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 and interview, the facility failed to ensure medications were secured for 2 (first floor North treatment cart #2 and second floor South treatment cart #2) of 2 treatment carts observed to be unlocked and unattended.The DON identified six treatment carts and six medication carts in the facility. Findings: 1.On 10/27/25 at 1:57 p.m., in the chateau on the second floor, the South treatment cart #2 was observed to be unlocked next to the nursing station. Three staff were observed to be behind the nurses' station and one staff was observed to be in front of the nurses' station. On 10/27/25 at 1:59 p.m., two staff were observed to be behind the nurses' station and the one staff in the front of the nursing station left. One staff remained behind the nurses' station, talking with a contracted provider. On 10/27/25 at 2:01 p.m., LPN #2 was observed behind the nurses' station, talking to a nursing student then left the nurses' station. The unlocked cart was unattended. The cart contained 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure appointments were scheduled for a resident for 1 (#1) of 3 sampled residents reviewed for appointments.The DON identified 46 residents resided in the facility.Findings:An admission assessment, dated 08/10/25, showed Resident #1 had a diagnosis of heart failure and a BIMS score of 15 which indicated the resident was cognitively intact for daily decision making.A progress note, dated 08/13/25 at 11:13 p.m., showed Resident #1 had a nosebleed and was sent to the emergency room for evaluation and treatment.Hospital discharge paperwork, dated 08/13/25, showed Resident #1 was evaluated in the emergency room for a nosebleed. The hospital discharge paperwork, read in part, Follow-up with ENT for further evaluation of your recurrent nosebleeds. The hospital discharge paperwork showed Resident #1 was to follow-up with an ENT physician within five to seven days.A progress note, dated 08/14/25 at 2:47 a.m., showed Resident #1 had returned to the facility from the hospital.Review of the clinical record for Resident #1 and 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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 nutritional supplements were implemented for the treatment of pressure ulcers for 1 (#3) of 2 sampled residents reviewed for nutritional supplements.The DON identified 20 residents received nutritional supplements. Findings:An admission assessment, dated 10/11/25, showed Resident #3 had a BIMS of 03, which indicated they were severely cognitively impaired for daily decision making. The assessment showed Resident #3 had diagnoses which included coronary artery disease, hypertension, and Alzheimer's disease.A Comprehensive Nutrition Assessment, dated 10/13/25, showed Resident #3 had an increased protein need related to physiological changes as evidenced by the presence of a stage three pressure ulcer to the coccyx. The assessment showed an intervention to add liquid protein twice a day to optimize protein intake.A physician's order for Resident #3, dated 10/13/25, showed to give one packet of active liquid protein by mouth two times a day for wound, in order to optimize protein intake for wound healing. An October…

    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 · Dcited before2025-11-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 record review and interview, the facility failed to ensure medications were administered at the ordered time for 1 (#1) of 3 sampled residents reviewed for medication administration.The DON identified 46 residents received medications in the facility. Findings:An undated Medication Administration policy, read in part, Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection.Ensure that the six rights of medication administration are followed .e. Right time .Example guidelines for Medication Administration (unless otherwise ordered by physician), this list is not all-inclusive .Medication timing .BID 7am-11am, 7pm-11pmAn admission assessment, dated 08/10/25, showed Resident #1 had a BIMS of 15 which indicated they were cognitively intact for daily decision making. The assessment showed diagnoses which included heart failure, hypertension, and renal insufficiency.A physician's order,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 ensure enhanced barrier precautions were utilized during indwelling urinary catheter care for two (#4 and #6) of three sampled residents who were reviewed with indwelling urinary catheters. The DON identified eight residents with indwelling urinary catheters and 25 residents on enhanced barrier precautions. Findings: The Enhanced Barrier Precautions policy, dated March 2024, read in part, .EBPs employ targeted gown and glove use in addition to standard precautions during high contact resident care activities .Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include .device care or use .urinary catheter . 1. Resident #4 had diagnoses which included obstructive and reflux uropathy. The admission assessment, dated 07/03/24, documented the resident had an indwelling urinary catheter. A Physician's Order, dated 07/19/24, read in part, .Place resident on Enhanced Barrier Precautions due to the presence of a [catheter] . On 10/11/24 at 10:48 a.m., CNA #1 was observed to…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-08 · tag F0550 — failed to protect resident dignity and rights — isolated
    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, record review, and interview the facility failed to ensure that a resident was treated with dignity and respect for one (#7) of one resident sampled for dignity and respect. The Administrator identified 67 residents resided in the facility. Findings: A Promoting/Maintaining Resident Dignity policy, undated, read in part, It is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality. The policy also read, All staff members are involved in providing care to residents to promote and maintain resident dignity and respect resident rights. Resident #7 was admitted on [DATE] with diagnoses which included dementia and dysphagia. Resident #7's annual assessment, dated 05/04/24, documented the resident was dependent on staff for assistance with all ADL's. A physician'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 · D2024-07-08 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — 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 residents were offered the choice to formulate an advanced directive for three (#7, 40, and #208) of seven sampled residents whose advance directive acknowledgements were reviewed. The administrator identified 67 residents who resided in the facility. Findings: A Residents Rights Regarding Treatment and Advance Directives, policy, undated, read in part .On admission, the facility will determine if the resident has executed an advance directive, and if not, determine weather the resident would like to formulate an advance directive . 1. Resident #7 was admitted on [DATE] with diagnoses which included dementia and dysphagia. A physician's order, dated 1/31/23, documented Resident #7 was a full code. A care plan, revised on 06/27/24, documented Resident #7 was a full code. Resident #7's medical record did not contain an advance directive acknowledgement and there was no social services assessment documenting the resident's choice. 2. Resident #40…

    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
Show the remaining 9 citations
  • Potential for harm · Dcited before2024-07-08 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to develop a comprehensive care plan for four(#40, 41, 50, and #111) of seventeen sampled residents reviewed for comprehensive care plan completion. The Administrator identified 67 residents resided in the facility. Findings. A Comprehensive Care Plans policy, undated, read in part, .The comprehensive care plan will be developed within 7 days after the completion of the comprehensive MDS assessment . 1. Resident #50 had diagnoses which included cellulitis of abdominal wall and multiple sclerosis. Resident #50 admitted on [DATE], a comprehensive care plan was not completed after admission MDS assessment completed on 05/18/24. On 07/03/24 at 8:15 a.m., MDS Coordinator #1 was asked the facility policy for completion of a comprehensive careplan. They stated, if the resident is the facility for more than 21 days, a comprehensive care plan must be completed. The MDS Coordinator #1 was asked to review the care plan for Resident #50, and was then asked if 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 · D2024-04-01 · tag F0607 — failed to have anti-abuse policies — isolated
    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 implement their abuse policy by immediately reporting abuse for one of three sampled residents reviewed for abuse. The Administrator identified 67 residents resided in the facility. Findings: The Abuse policy, dated 2023, read in parts .physical abuse includes yelling, slapping, pinching, kicking, and controlling behavior through corporal punishment .mental abuse includes, but not limited to, nursing home staff taking or using photographs or recordings in any manner that would demean or humiliate a resident. Resident #2 had diagnoses which included cognitive communication deficit, displaced intertrochanteric fracture, and depression. On 04/01/24 at 12:57 p.m., The administrator stated on 03/18/24, at approximately 5:30 a.m., CNA #1 witnessed and videotaped CNA #2 yelling and kicking resident #2. The incident was reported to the administrator at 2:30 p.m. on 03/18/24. The Administrator stated they immediately reported the incident to OSDH, began an investigation and terminated CNA #2. They stated CNA #1 did not report it…

    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 · F2023-05-19 · 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 ensure resident food was prepared and served in a sanitary manner. The Resident Census and Conditions of Residents form documented 61 residents received their meals from the kitchen. Findings: On 05/16/23 at 12:17 p.m., the noon meal service was observed on the 100 hall kitchenette. Dietary Aide #2 was observed to not have a hair net. The dietary aide was observed to have a beard and mustache and was not wearing a beard guard. [NAME] #3 and Dietary Aide #2 were observed to exit the kitchenette and enter the pantry then re-enter the kitchenette without washing their hands multiple times. A hand washing sink was observed in the kitchenette. On 05/16/23 at 1:22 p.m., the kitchen staff was observed leaving the kitchen area, patting residents on the back, and then returning to kitchen area serving trays without changing gloves or washing their hands. On 05/18/23 at 10:38 a.m., the garbage can next to the hand wash sink in the main kitchen was observed to not be covered. On 05/18/23 at 10:40 a.m., four separate unidentified…

    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 · E2023-05-19 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to attempt to use appropriate alternatives prior to utilizing a side or bed rail, assess the risk for entrapment, review the risks and benefits of bed rails with the resident or resident representative, and/or obtain informed consent prior to use of bed rails for three (#7, 53, and #120) of seven residents reviewed for accidents. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: 1. Res #7 had diagnoses which included COPD and dementia. An Admission assessment, dated 03/09/23, documented the resident was severely impaired in cognition, required extensive to total assistance with ADLs, and did not walk. The assessment documented the resident did not have range of motion impairment. The resident's Care Plan was reviewed and did not document a plan of care regarding the use of bed or side rails. A Significant Change assessment, dated 05/02/23, documented the resident was severely…

    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 · D2023-05-19 · tag F0641 — isolated
    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 assessments accurately reflected the residents' status for two (#26 and #34) of 19 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: 1. Res #26 had diagnoses which included Alzheimer's disease, anxiety disorder, major depression disorder, and unspecified symptoms and signs involving cognitive functions and awareness. The resident's Admission assessment, dated 10/22/22, documented the resident was severely impaired in cognition and documented the resident had signs and symptoms of delirium including inattention and disorganized thinking. The assessment documented the resident had verbal behavioral symptoms directed toward others, rejection of care, and wandering for one to three days of the assessment period. The assessment documented the resident received antipsychotics, antianxiety, and antidepressant medications. The resident's Quarterly assessment, dated 04/20/23, documented the resident was…

    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 · Dcited before2023-05-19 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    2. Res #27 had diagnoses which included major depression disorder. An Annual assessment, dated 07/20/22 documented the the resident received antidepressant medication. The resident's care plan was reviewed and did not contain a plan of care related to the resident's use of antidepressant medications. A Physician's Order, dated on 02/07/23, documented the resident was taking sertraline (an antidepressant medication) 25 mg, two tablets every day. A Quarterly assessment, dated 04/17/23, documented the resident received antidepressant medication. On 05/17/23 at 9:31 a.m., the resident was observed in her bed watching television. On 05/18/23 at 9:08 a.m., MDS Coordinator #1 stated she was unsure if she developed a care plan related to the resident receiving antidepressant medication. On 05/18/23 at 10:17 a.m., an observation was made of MDS Coordinator #1 searching for the hard copy of the residents' care plan at the nurse station and could not locate the hard copies. The MDS coordinator stated she guessed they had moved the hard copy of the care plans because they used to be in a drawer…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-19 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure 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 — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to follow the menu for pureed diet and ensure the meals met the nutritional needs of the residents. The Resident Census and Conditions of Residents form documented 11 residents had mechanically altered diets including pureed and all chopped food. Findings: On 05/18/23 at 11:12 a.m., [NAME] #1 was observed while preparing pureed meals for three residents. Two were to receive hot dogs with buns and one was to receive pork on a bun as the main dish. [NAME] #1 was observed to place a four ounce portion of pork into a blender, added beef broth, and a thickening agent, and blended it until the desired consistency was obtained. [NAME] #1 then handed the blender to Dietary Aide #1 who placed approximately 1/3 of the pork into a piping bag and piped a portion onto a resident's plate who was to receive a pureed diet and had requested pork on a bun. The dietary aide was observed to dispose of the remainder of pork in the piping bag and empty the remainder of the pork in the blender and take the blender to be washed. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 medical records were readily accessible and systematically organized. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: 1. Res #7 had diagnoses which included pneumonia, COPD, dementia, and urinary tract infection. On 05/16/23 at 1:55 p.m., quarter side rails were observed up on both sides of the resident's bed. On 05/19/23 at 8:44 a.m., the DON was asked for the side rail assessment. The DON stated the medical records department was unorganized at this time and, as with other records requested, the staff were having to look through stacks of papers to find the documentation. On 05/19/23 at 3:03 p.m., the DON was asked again for the side rail assessment. She stated the staff were continuing to search for the side rail assessment. She stated the facility had recently changed documentation systems and the medical records department had a large backlog of documents to scan into the computer. The DON stated the form had not been located as of yet. The form was…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-19 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    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 utilize their antibiotic stewardship policy to monitor antibiotic use for one (#7) of one resident reviewed for antibiotic use. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility. Findings: A facility policy, titled Antibiotic Stewardship Program, dated August 2022, read in part, .4 .a. Antibiotic use protocols: i. Nursing team members shall assess residents who are suspected of having infection and notify the physician .iii. The Loeb Minimum Criteria may be used to determine whether to treat and infection with antibiotics . Res #7's Admission assessment, dated 03/09/23, documented the resident was severely impaired in cognition and required extensive assistance with most ADLs. A physician order, dated 04/03/23, documented the facility was to administer Macrobid 100 mg two times a day for a diagnosis of urinary tract infection for seven days. A review of the resident's clinical records did not document information as to why the physician ordered the antibiotic…

    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

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

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

Fines & penalties

$14,901 in federal fines across 1 penalty.

  • $14,901 — penalty dated 2025-05-19

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.

Who owns this facility

Owner / managerTypeRoleSince
NIELD, SCOTTIndividualW-2 MANAGING EMPLOYEEsince 03/01/2022
MOORE, SAUNYAIndividualCORPORATE OFFICERsince 12/28/2020
SANAIA, AMINIndividualCORPORATE OFFICERsince 08/01/2022

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

$39.5M
Net patient revenuemost recent cost report
-18.0%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 0%Medicare 21%Other / private 79%

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

$1,876per resident / day
operating cost
$57,034per month
≈ monthly operating cost
$1,590per day
avg. revenue, all payers

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

Paying with Medicaid

CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Oklahoma Medicaid page for homes that do.

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375460. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-07, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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