Sherwood Manor Nursing Home

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.

45.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.9% 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 28 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 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 102 beds and averages 65.9 residents a day — about 65% occupied, or roughly 36 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.13 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.54 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 3.36 hrs/resident/day on weekends vs 3.67 on weekdays — 8% thinner on weekends. RN hours go from 0.12 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% 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

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · J2025-04-04 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 04/01/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Resident #1 from verbal and physical abuse. During breakfast pass on 03/22/25, CNA #1 was involved in a verbal and physical altercation with Resident #1. CNA #1 was in the hallway passing drinks and Resident #1 was also in the hallway. CNA #1 was witnessed to yell, threaten and throw a glass of milk and a 2/3 full gallon of milk at Resident #1. The altercation was witnessed by CMA #1 and LPN #1 who unsuccessfully attempted to intervene and de-escalate the situation. On 04/01/25 at 5:29 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 04/01/25 at 5:49 p.m., the administrator and DON were notified of the immediate jeopardy situation and provided the IJ template. On 04/03/25 at 9:10 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal, read in part, IJ Plan of Removal…

  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
• Immediate jeopardy · J2025-04-04 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  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 04/01/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure antipsychotic medications were available and residents were provided ordered medications for a serious mental illness. Resident #1 was admitted on [DATE] and had diagnoses which included schizoaffective disorder, bipolar type. The resident was ordered risperidone (an antipsychotic medication) 3mg twice daily and Seroquel (an antipsychotic medication) 25mg every evening. The resident did not receive 12 consecutive doses of risperidone, from the p.m. dose on 03/13/25 through the a.m. dose on 03/19/25. The first dose of risperidone was not administered until 03/19/25 for the p.m. dose. The resident did not receive five consecutive doses of Seroquel from 03/13/25 through 03/17/25. The first dose of Seroquel was not administered until 03/18/25. The physician was not made aware the medications were unavailable and not administered. Per interview with the DON the facility did not have a protocol in…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-09-27 · 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 09/26/24, an Immediate Jeopardy (IJ) situation was determined to exist due to the facility failing to assess, monitor, and intervene for a resident at risk for pressure ulcer. Resident #1 was admitted on [DATE]. The admission skin assessment documented no skin concerns to the coccyx area. Resident #1 was totally dependent on staff, placing them at increased risk of PU/PI development. The residents record documented a physician's order for weekly skin assessments. No concerns to the coccyx was documented in these assessments. On 09/19/24 the resident's family member noted a foul odor in the room. The resident's brief was removed revealing a wound over the coccyx measuring 11cm x 13cm. The necrotic bed measured 3.5cm x 5cm and 2cm at the deepest point. The physician was notified on 09/24/24 at which time the physician ordered calcium alginate and Medihoney to the wound bed daily. On 09/24/24 the resident was transferred to the hospital per family request. On 09/26/24 at 6:00 p.m., the OSDH was notified and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-04 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 labs were obtained as ordered by the physician for 1 (#1) of 3 sampled residents who were reviewed for labs. The DON identified 71 residents who had orders for labs. Findings: Resident #1 had diagnoses which included schizoaffective disorder, bipolar type. A physician order, dated 03/13/25 showed the resident was ordered lithium (mood stabilizer medication) 300mg twice daily. A physician progress note, dated 03/14/25, showed an order for admission labs which included a lithium level. Review of the labs for Resident #1 and the order summary report for the resident's stay, dated 03/13/25 through 03/22/25, did not show obtaining a lithium level had been requested from the lab company or completed. On 04/03/25 at 4:24 p.m., LPN #3 stated they had not seen an option to obtain a lithium level in the lab portal. On 04/03/25 at 4:52 p.m., the DON stated they did not know why the lithium level had not been entered into the lab portal. They stated they had asked LPN #1 why they had not ordered the lithium level and they…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 Based on observation, record review, and interview, the facility failed to: a. ensure chemicals were secured for one (West hall) of three halls observed for storage of chemicals. LPN #1 identified three shower rooms and one nursing supply closet in the facility; b. failed to ensure residents were assessed for the use of bed rails for one (#33) of one sampled residents reviewed for bed rails. The DON identified 32 residents who utilized bed rails and; c. failed to ensure residents were safely smoking for one (#8) of one sampled residents who were reviewed for smoking. The DON identified 28 residents who smoked. Findings: The Safety Data Sheet, dated 11/20/14, read in parts, .Gel Hand Sanitizer .Keep out of reach of children . The Safety Data Sheet, dated 01/20/15, read in parts, .Aloe Vera Skin Cream .Keep out of reach of children . The Safety Data Sheet, dated 03/05/20, read in parts, .Xpress Detergent Disinfectant .Harmful if swallowed . The undated, Smoking policy, read in part, .A resident who has had a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-06 · tag F0880 — failed to prevent and control infections — pattern
  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: a. ensure infection control was maintained during blood glucose monitoring/insulin administration for two (#123 and #8) of two sampled residents observed during blood glucose monitoring. The Roster Matrix identified 16 residents who received insulin; b. ensure infection control was maintained during medication administration for two (#126 and #15) of nine sampled residents observed during medication administration. The DON identified 73 residents who received medications in the facility; c. ensure enhanced barrier precautions were utilized during medication administration via enteral tube for one (#62) of one sampled residents observed during medication administration via enteral tube. The DON identified seven residents who had enteral tubes; d. ensure infection control was maintained during wound care for two (#4 and #15) of two sampled residents observed during wound care. The DON identified ten residents who had wounds in the facility; and e. ensure infection control was maintained for indwelling urinary…

  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 · Dcited before2024-09-06 · 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 — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a care plan was reviewed for one (#21) of one sampled resident reviewed for care plans. The administrator identified 73 residents resided in the facility. Findings: Resident #21 was admitted on [DATE] with diagnoses which included pressure ulcer of the sacral region, stage four. On 09/05/24 at 1:00 p.m., Resident #21's clinical record was reviewed. There was no documentation of a wound or wound care. On 09/05/24 at 2:38 p.m., MDS coordinator #1 stated there was no documentation of wound care on Resident #21's care plan, dated 07/17/24. They thought they had added it but had not.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-06 · 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 observation, record review, and interview, the facility failed to ensure treatments provided for non-pressure wounds had been ordered by the physician for one (#4) of two sampled residents who were reviewed for wound care. The DON identified five residents who had non-pressure wounds in the facility. Findings: The Pressure Ulcers/Skin Breakdown - Clinical Protocol policy, dated 2021, read in part, .The physician will authorize pertinent orders related to wound treatments . Resident #4 had diagnoses which included non-pressure wound of the right third toe and non-pressure wound of the left second toe. The Care Plan, dated 08/07/24, documented the resident had wounds to their toes on their bilateral feet and to provide treatments per the current physician orders. The Wound Evaluation and Management Summary by the wound physician, dated 08/15/24, documented the resident had a non-pressure wound of the left third toe. The Wound Evaluation and Management Summary by the wound physician, dated 08/22/24, documented the resident had a non-pressure wound of the left third toe which…

  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 · D2024-09-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure weights were obtained per the physician's order for one (#8) of three sampled residents who were reviewed for nutrition. The DON identified one resident who was ordered daily weights. Findings: The Weight Assessment and Intervention policy, dated March 2022, read in parts, .Residents are weighed upon admission and at intervals established by the interdisciplinary team .Weights are recorded in each unit's weight record chart and in the individual's medical record . Resident #8 had diagnoses which included end stage renal disease. A Physician's Order, dated 08/01/24, documented, starting 08/02/24 the staff were to obtain daily weights every day shift. Review of the electronic clinical record and the weight logs documented on paper, dated 08/02/24 through 09/05/24, revealed daily weights had been obtained 19 times out of 35 opportunities for Resident #8. The Care Plan, dated 08/15/24, documented the resident had cardiac issues and staff were to refer to the physician's order and obtain weights as ordered. On 09/06/24…

  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 · D2024-09-06 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 enteral formula was administered as ordered by the physician for one (#53) of one sampled residents who were reviewed for tube feeding. The DON identified seven residents who required enteral feeding. Findings: Resident #53 had diagnoses which included encounter for attention to gastrostomy. The Care Plan, dated 02/12/24, documented to administer enteral feeding as ordered and to refer the the current physician's orders for details. The Physician's Order, dated 07/02/24, documented Resident #53 was ordered Nutren 1.5 continuous at 60ml/hr. On 09/03/24 at 8:35 a.m., Nutren 1.5 at 50 ml/hr was observed infusing for Resident #53. On 09/04/24 at 10:01 a.m., Nutren 1.5 at 50 ml/hr was observed infusing for Resident #53. On 09/05/24 at 9:15 a.m., Nutren 1.5 at 50 ml/hr was observed infusing for Resident #53. On 09/05/24 at 11:01 a.m., LPN #1 observed the enteral feeding pump for Resident #53 and stated they were to receive Nutren 1.5 at 50 ml/hr. They reviewed the label on the bag of formula and stated they…

  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 · D2024-09-06 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 pre and post dialysis assessments were conducted for one (#8) of one sampled residents who were reviewed for dialysis. The DON identified one resident who required dialysis. Findings: The End-Stage Renal Disease, Care of a Resident with policy, dated September 2010, read in part, .Resident with end-stage renal disease [ESRD] will be cared for according to currently recognized standards of care . Resident #8 had diagnoses which included end stage renal disease. A Physician's Order, dated 08/01/24, documented the resident was to receive dialysis weekly on Tuesday, Thursday, and Saturday. The Care Plan, dated 08/01/24, documented the resident required dialysis three times a week, staff were to monitor and report signs of infection, renal insufficiency, and monitor the shunt access site. The admission assessment, dated 08/14/24, documented the resident received dialysis. Review of the electronic clinical record did not reveal pre or post dialysis assessments had been completed for Resident #8. On 09/06/24 at 9:23 a.m.,…

  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 · D2024-09-06 · tag F0909 — failed to maintain a comfortable temperature — isolated
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review, and interview, the facility failed to assess and inspect bed rails to identify any risks of entrapment for one (#33) of one sampled resident reviewed for bedrails. The DON identified 32 residents who utilized bed rails. Findings: On 09/03/24 at 8:57 a.m., Resident #33 was observed lying in bed with the bed rails in the up position. On 09/06/24 at 9:15 a.m., LPN #2 stated the resident used the bed rails to reposition themselves in bed. They stated the bed rails were re-assessed every month and it was documented under the assessments tab in the electronic clinical record. LPN #2 reviewed Resident #33's electronic clinical record and stated the last assessment was completed on 01/29/24. On 09/06/24 at 2:03 p.m., maintenance worker #1 stated they installed the bedrails or removed them, depending on the order. They stated the CNA's or the nurses notified them if one was loose and they addressed it but they did not routinely check them. On 09/06/24 at 3:18 p.m., the DON stated they did not usually utilize bed rails unless a resident requested them.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-25 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 allegations of abuse were reported to all required state agencies within the required time for two, (#1, and #2) of three sampled residents reviewed for abuse allegations. The Administrator identified the facility census to be 67. Findings: An Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating policy, revised April 2021, read in part, .All reports of resident abuse .are reported to local, state and federal agencies .must be reported immediately to the administrator and to other officials according to state law .'Immediately' is defined as .within two hours of an allegation involving abuse . 1. Resident #1 had diagnosis to include Parkinson's disease and physical debility. An Interim Payment Assessment, dated 06/03/24, documented Resident #1 had moderately impaired cognitive skills for daily decision making, and was dependent on staff for hygiene and toileting. An Initial Incident Report Form, dated 06/15/24, documented Resident #1 to have allegations of sexual abuse against CNA #2. A…

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

  Freedom from Abuse, Neglect, and Exploitation 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

$91,862 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $55,098 — penalty dated 2025-04-04
• $36,764 — penalty dated 2024-09-06
• Medicare payment denial — starting 2024-10-26 for 2 days

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

CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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

Cost & finances

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

What families pay in OK