Gran Gran's Place

Location & what’s nearby

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

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 69 beds and averages 28.9 residents a day — about 42% occupied, or roughly 40 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 4.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.11 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 3.93 hrs/resident/day on weekends vs 4.86 on weekdays — 19% thinner on weekends. RN hours go from 0.52 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as 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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · F2026-04-23 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to have a trained and designated infection preventionist to oversee the infection control program. The administrator identified 32 residents resided in the facility. Findings:An undated facility INFECTION CONTROL PROGRAM policy, read in part, The goals of the Infection Control Program are to .Insure [sic] compliance with state and federal regulations relating to infection control.An undated, untitled, employee listed did not document a designated infection preventionist.On 04/22/26 at 11:21 a.m., the administrator stated the DON was responsible for infection control surveillance and antibiotic stewardship in the facility. They stated the DON did not complete training required for the infection preventionist role. The administrator stated they did not have a trained and designated infection preventionist since the previous DON left in December 2025.On 04/22/26 at 11:23 a.m., the administrator stated they have not made any attempts to acquire a trained infection preventionist.On 04/22/26 at 11:40 a.m., the DON stated they did…

  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 · E2026-04-23 · 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 for:a. interventions for anticoagulant use for 2 (#1 and #2) of 5 sampled residents reviewed for unnecessary medication; and b. catheter care for 1 (#6) of 2 sampled residents reviewed for catheter care. The administrator identified 32 residents resided in the facility and MDS coordinator #1 identified 15 residents received anticoagulant medication. The DON identified two residents had indwelling catheters. Findings: 1. On 04/19/26 at 12:56 p.m., Resident #6 was observed to have an indwelling catheter. An undated facility Care Plan Policy, read in part, A care plan policy establishes the standard and expectations for creating and maintaining a care plan that reflects the individual needs, preferences, and goals of a resident.Care plan should be comprehensive.Care plans should be regularly reviewed, especially when a client's health or social circumstances change, to ensure ongoing relevance and effectiveness. A quarterly assessment for Resident #6, dated 02/05/26, showed 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 · E2026-04-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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 Based on record review and interview, the facility failed to ensure a resident had skin assessments performed to prevent pressure ulcers for 2 (#4 and #26) of 2 sampled residents reviewed for wounds. The administrator identified 32 residents resided in the facility. Findings: An undated policy titled Skin Integrity Check, read in part, Complete Skin integrity check (head to toe) weekly on all residents.Record the results of the assessment on the treatment documentation form. 1. A care plan for Resident #4, dated 09/12/25, showed they were a pressure ulcer risk related to urinary incontinence. The care plan showed to monitor skin during all activities of daily living. The care plan did not show to perform skin assessments. A quarterly assessment for Resident #4, dated 02/09/26, showed a reentry date of 05/09/24. The assessment showed they were dependent on mobility, had a stage four pressure ulcer that was not present on admission, and was at risk for pressure ulcers. Monthly physician's orders for Resident #4,…

  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 · E2026-04-23 · 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 observation, record review, and interview, the facility failed to obtain a physician's order for catheter care for 1 (#6) of 2 sampled residents reviewed for catheter care. The DON identified two residents who had indwelling catheters resided in the facility. Findings:On 04/19/26 at 12:56 p.m., Resident #6 was observed to have an indwelling catheter.On 04/21/26 at 1:13 p.m., LPN #1 was observed to perform catheter care for Resident #6. Resident #6 had a weak gait and held on to the television stand for support during ambulation from the bed to the recliner upon completion of care.A quarterly assessment for Resident #6, dated 02/05/26, showed the resident needed supervision or touching assistance with toileting hygiene from staff. The assessment showed the resident's cognition was intact with a BIMS of 15.A physician's order for Resident #6, dated 03/12/26, to place an indwelling catheter 18 French/cubic centimeter to gravity.There was no physician's order for catheter care.A care plan Resident #6, revised 03/12/26, showed indwelling catheter re-inserted with intake 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 · E2026-04-23 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 anticoagulant medication was not administered without adequate monitoring for 2 (#1 and #2) of 5 sampled residents reviewed for unnecessary medication.MDS Coordinator #1 identified 15 residents received anticoagulant (blood thinner) medication resided in the facility. Findings: 1. A physician's order for Resident #1, dated 09/16/24, for Xarelto (anticoagulant medication) 15 mg one tablet by mouth one time a day related to atrial fibrillation. There was no order for monitoring side effects of the anticoagulant medication. An annual assessment Resident #1, dated 03/20/26, showed the resident had diagnoses which included coronary artery disease, atrial fibrillation, and heart failure. The assessment showed the resident received an anticoagulant medication. A care plan Resident #1, dated 04/01/26, did not include interventions for the use of an anticoagulant. Medication and treatment administration records for Resident #1 from 04/01/26 through 04/22/26 did not show anticoagulant monitoring for Xarelto. The record showed…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · 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 gloves were used appropriately during wound care for 2 (#4 and #11) of 4 sampled residents reviewed for wounds.The DON identified five residents with wounds resided in the facility. Findings:1. On 04/21/26 at 10:39 a.m., LPN #1 was observed to don a gown and gloves to perform wound care for Resident #4.On 04/21/26 at 10:42 a.m., LPN #1 removed Resident #4's old coccyx wound dressing, cleansed the wound, and applied a new dressing to the resident's wound.LPN #1 did not change their gloves after removing the old dressing, cleaning the wound, and applying the new wound dressing for Resident #4. An undated facility Infection Control policy, read in part, Caregivers must wash their hands before contact with supply of clean dressing or dressing supplies, prior to the dressing or treatment.Once the hands of the caregiver are soiled with wound secretions, they should not come in contact with the remaining clean dressings and other supplies until the gloves are removed and hands washed.A quarterly assessment…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-10 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  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 observation, record review, and interview, the facility failed to ensure: a. 2:00 p.m. snacks were provided to one (#13) and, b. meal replacements were provided when residents consumed less that 50% of a meal for three (#19, 13, and 24) of three residents reviewed for nutrition. The Long Term Care Application documented 35 residents resided in the facility Findings: An undated, Dietary Services Policy, read in part Food Substitutes If resident refuse food, substitutes of similar nutrition shall be offered. Food substitutes shall be consistent with the usual and ordinary food items provided to residents. 1. Resident #19 had diagnoses which included pressure ulcer and protein calorie malnutrion. A Care plan, dated 03/06/24, documented to provide supplements if Resident #19 eats less than 50% of meals. A Dietary Flow record, dated June 2024, read in part, .Breakfast Replacement if 50% or less consumed .Lunch Replacement if 50% or less consumed .Dinner Replacement if 50% or less consumed . A Dietary Flow record, dated June 2024, did not contain documentation meal replacement…

  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 · E2024-07-10 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure annual competency reviews were completed for two (#1 and #2) of two staff reviewed for annual competency reviews. The Long Term Care Application documented 35 residents resided in the facility. Findings: CNA #1 and CNA #2's personnel files were reviewed for annual competency reviews. On 07/1024 at 1:14 p.m., the DON was asked if annual competency checks were completed. They stated no they are not done annually and there was no documentation checks had been completed for CNA #1 and CNA #2.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-10 · tag F0801 — pattern
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure the person designated to serve as the dietary manager had completed their certification for dietary management. The Long Term Care Application documented 35 residents resided in the facility. Findings: The dietary manager had been in that position since July 2021. On 07/10/24 at 8:19 a.m., the dietary manager was asked if they had their certificate for dietary management. They stated, No. On 07/10/24 at 8:29 a.m., the Administrator was asked how long the dietary manager had been in their position. They stated they were unsure. The Administrator was asked why the dietary manager had not received their certification. They stated the dietary manager had not gone to training.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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, record review, and interview, the facility failed to ensure dietary staff did not touch food with their bare hands during meal service. The Long Term Care Application documented 35 residents resided in the facility. Findings: An undated, Dietary Services policy, read in part Foods are prepared and served with clean tongs, scoops, forks, spoons, spatulas, or other suitable implements so as to avoid manual contact of prepared foods. On 07/07/24 at 8:13 a.m., the dietary manager was observed to remove a piece of bread from the package with their bare hands, place it in the toaster, remove it with their bare hand, brush butter on it, slice it then put it on a plate to serve to a resident. On 07/07/24 at 8:22 a.m., the dietary aide #1 was observed to split a biscuit using their bare hands, and place the biscuit on a plate. They were observed to cut up a piece of round sausage and was observed to touch the sausage with their fingers while cutting it up. They scraped the sausage from the plate onto the plate with the biscuit and then served to the resident. 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

“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 7 rows in the source record cover these 4 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.

About 75% 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