The Cottage Extended Care

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.

53.2% 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 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 15.6% 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 64 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 176 beds and averages 85.3 residents a day — about 48% occupied, or roughly 91 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 3.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 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 3.52 hrs/resident/day on weekends vs 4.13 on weekdays — 15% thinner on weekends. RN hours go from 0.24 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 85% 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.

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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-05-30 · 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

  On 05/29/25 at 4:40 p.m., the OSDH was notified and verified the existence of a past non-compliance immediate jeopardy (IJ) situation related to the facility's failure to ensure wound care was completed as ordered. On 05/29/25 at 4:47 p.m., the administrator was notified of the immediate jeopardy (IJ) situation. The administrator was provided the IJ template Based on record review and interview, the facility failed to ensure a resident had wound care completed as ordered for 1 (#1) of 3 sampled residents reviewed for wound care. The DON identified 10 residents received wound care. Findings: A quarterly assessment, dated 02/07/25, showed Resident #1 had a brief interview for mental status score of 11, which indicated moderate impairment in cognitive ability, and had diagnoses which included chronic obstructive pulmonary disease and cognitive communication deficit. A physician order for Resident #1, dated 05/08/25, showed daily dressing changes for left medial ankle venous wound. A progress note, dated 05/27/25 at 1:18 a.m., showed LPN #1 changed the ankle dressing for Resident #1…

  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 · Past Non-Compliance
• Potential for harm · D2026-06-18 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to: a. ensure medications were secure for 1 of 1 wound care cart, and b. ensure medications were secure for 1 of 2 nurse treatment carts observed. The administrator identified 86 residents resided in the facility. Findings: On 06/18/26 at 8:10 a.m., the wound care cart on the north wing of the facility was observed to be unlocked and unattended. The cart was observed to contain medicated wound care cream and wound wash. On 06/18/26 at 8:12 a.m., LPN #1 stated the wound care cart should have been locked. LPN #1 stated the wound care nurse did not come in until 9:00 a.m. and the night shift did not have a key to the cart and may have needed to change a dressing during the night. On 06/18/26 at 8:25 a.m., the DON stated the wound care cart should be locked when unattended. The DON stated the night shift had a key to the wound care cart. On 06/18/26 at 8:40 a.m., the nurse treatment cart on the south wing of the facility was observed to be unlocked and unattended. The cart was observed to contain insulin. On 06/18/26 at 8:42 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-09 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to complete a discharge summary for one (#98) of three sampled residents reviewed for discharge. The administrator identified 100 residents resided in the facility. Findings: A Discharging the Resident policy, revised December 2016, read in part, the following information should be recorded in the resident's medical record: the date and time the discharge was made, all assessment data obtained during the, and the signature and title of the person recording the data. Resident #98 had diagnoses which included chronic kidney disease stage 4, anxiety, and chronic obstructive pulmonary disease. Upon review of the resident's chart there was no discharge summary noted. On 01/08/25 at 8:07 a.m., the DON was asked what was the facility policy on discharge of a resident. The DON stated if the resident had a physician order to discharge, then the proper paper work was filled out, and the resident and/or family was educated. They stated if the resident was unsafe to go AMA the doctor would not write an order and the staff would do…

  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 · D2025-01-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 oxygen and breathing nebulizer tubing was dated for two (#24 and #59) of three sampled residents reviewed for oxygen and breathing nebulizer tubing. The administrator identified 100 residents resided in the facility. The DON identified 19 residents used oxygen in facility Findings: 1. Resident #24 had diagnoses which included chronic respiratory failure, hemiplegia left side effected, asthma, and history of transient ischemic attack. A Physician order, dated 11/26/24 documented an order for oxygen at 3L via NC to keep sats greater than 90%. On 01/06/25 at 1:57 p.m., Resident #24's oxygen tubing was observed with no date. On 01/08/25 at 8:56 a.m., Resident #24's oxygen tubing was observed with no date. A Treatment Administration record, dated December 2024 and January 2025, documented no order for nursing staff to change and date the oxygen tubing. On 01/08/25 at 10:20 a.m., the DON was asked what expectations the facility had for oxygen tubing to be changed and dated. The DON stated if oxygen was used…

  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 before2025-01-09 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure call light cords were available in resident rooms for three (#1, 43, and #62) of twenty sampled residents whose call light cord system was observed. The administrator identified 100 residents resided in the facility. Findings: An Answering the Call Light policy, revised September 2022, read in part, Ensure that the call system is accessible to the resident when in bed, from the toilet, from the shower or bathing facility and from the floor. 1. Resident #1 had diagnoses which included functional quadriplegia, neuromuscular dysfunction, and expressive language disorder A communication care plan, dated 01/08/25, documented the resident had been offered a call light they could blow into, but refused respiratory exercises to make them able to use it. On 01/08/25 at 4:15 p.m., an observation was made of Resident #1's call light on the floor behind the head board of the bed. On 01/09/25 at 7:39 a.m., an observation was made of Resident #1's call light on the floor behind the head board of the bed. On 01/09/25 at 7:40 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure physician's orders were obtained for catheter care for one (#1) of four residents reviewed for catheters. The DON identified 16 residents with catheters. Findings: Resident #1 had diagnoses which included urinary retention and chronic kidney disease. Resident #1's Significant Change in Status Assessment, dated 05/25/23, documented the resident was moderately impaired for daily decision making. A physician order, dated 09/22/23, documented Install Foley Catheter for Urinary Retention. On 11/28/23 at 1:05 p.m., LPN #1 stated that all residents with catheters should have an order for catheter care every shift and it should be documented in the TAR. At 1:40 p.m., RN #1 stated nurses typically perform catheter care and documented it on the TAR. They also stated all residents with a catheter should have an order for catheter care every shift. The TAR, dated 09/23, did not document any catheter care. The TAR, dated 10/23, did not document any catheter care. The TAR, dated 11/23, did not document any catheter care. 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 · D2023-09-15 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to prevent facility staff from uploading a video recording of a resident being abused onto a social media platform for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 resident resided in the facility. Findings: Resident #73 had diagnoses which included Alzheimer's Disease and anxiety disorder. An Abuse and Neglect Prohibition policy, undated, read in part .Mental Abuse Includes, but is not limited to, humiliation, threats of punishment, deprivation or taking pictures/video that depicts the resident in a demeaning or humiliating way .No nursing home staff member is to publish or distribute pictures/video on personal social media . A cell phone policy, undated, read in part .Do not use cell phones or any other recording devices to take pictures or videos of residents . A hand written and signed statement, reported to be from CNA #5, dated 08/08/23, documented the CNA had viewed a video of CNA #4, FE #1, and Resident #73 on 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-09-15 · 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

  Based on observation, record review, and interview, the facility failed to protect a resident from physical and verbal abuse for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 resident resided at the facility. Findings: Resident #73 had diagnoses which included Alzheimer's Disease and anxiety disorder. An Abuse and Neglect Prohibition policy, undated, read in part .Residents will not be subjected to abuse by anyone (including, but not limited to: facility staff, other residents, consultants, or volunteers, staff of other agencies servicing the individual, family members or legal guardians, friends, and other individuals). A report will be made immediately to a supervisor or charge person in the event that an abusive action or an injury is suspected or observed . A cell phone policy, undated, read in part .Do not use cell phones or any other recording devices to take pictures or videos of residents . An incident report, incident date 08/08/23, read in part .[CNA #5] reported that…

  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 · D2023-09-15 · tag F0609 — failed to report abuse allegations — isolated
  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, observation, and interview, the facility failed to ensure a suspected incident of abuse was reported to the administrator within two hours of discovery for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, identified 86 residents resided in the facility. Findings: Resident #73 had diagnoses which included Alzheimer's Disease and anxiety disorder. An Abuse and Neglect Prohibition policy, undated, read in part .A report will be made immediately to a supervisor or charge person in the event that an abusive act or an injury is suspected or observed . An incident report, incident date 08/08/23, documented CNA #5 had reported viewing a video on social media of CNA #4 and FE #1 verbally abusing Resident #73 on 08/04/23. The report further documented CNA #5 had reported the incident to the ADON and DON on 08/08/23. A quarterly assessment, dated 08/10/23, documented the resident's cognition as severely impaired and they were totally dependent on staff for activities of daily…

  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 · D2023-09-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure baths were provided for dependent residents for two (#63 and #244) of two sampled residents reviewed for ADL care. The Resident Census and Conditions of Residents form documented 82 residents required assistance or were dependent on staff for ADL care. Findings: The undated Bath Shower/Tub policy, read in part, .The purpose of this procedure are to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin . 1. Resident #63 had diagnoses which included functional quadriplegia. The care plan, dated 07/11/23, documented the the resident had an ADL self care performance deficit with the goal of having all needs met on a daily basis. The five day MDS, dated [DATE], documented the resident was totally dependent on staff for personal hygiene and bathing. On 09/06/23 at 10:54 a.m., the resident's spouse stated the resident does not get scheduled baths. A review of bath sheets for Resident #63 documented…

  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 before2023-09-15 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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 place functioning call light activation buttons where residents could access them for two (#38 and #76) of two sampled residents reviewed for call systems. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 residents resided in the facility. Findings: A facility policy titled Call System, Resident , undated, read in part, .Each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor . 1. Resident #38 had diagnoses which included frontotemperal neurocognitive disorder and age related physical debility. A quarterly assessment, dated 06/23/23, documented the resident required extensive staff assistance with activities of daily living. On 09/06/23 at 1:11 p.m., Resident #38 stated they had a problem with the call light activation button. They stated they could never find it. The button was observed on the floor to the left of the resident's bed. They were asked how often they could not reach 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.

  Environmental Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 1 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

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