Federal inspection record · CMS data as of October 1, 2026
Brentwood Extended Care & Rehab
841 North 38th Street, Muskogee, OK · (918) 683-8070
- Certified beds
- 90
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 15, 1994
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Brentwood Extended Care & Rehab carries 91.25 inspection points. That is fewer than 22% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning11E
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care8E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Administration5F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights4E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Pharmacy Service3E
- E
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Ensure staff are vaccinated for COVID-19
Environmental3E
- D
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-07-31
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-03-25
25 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-02-22
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 54 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
2 h 54 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$97,625 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-25 | Fine | $32,709 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $13,762 |
| 2023-11-20 | Fine | $4,587 |
| 2023-11-13 | Fine | $4,587 |
| 2023-10-23 | Fine | $12,703 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.5 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.7 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 97.1% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 96.4% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 2.9% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 1.2% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 0.6% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication25.6 pts worse | 51.6% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication28.6 pts worse | 46.4% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.8 pts worse | 13.8% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts worse | 19.2% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5 pts worse | 6.7% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 4.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse | 17.6% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts worse | 7.8% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.3 pts worse | 62.2% | 76.5% | 82.3% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Montgomery, Montie | 5% Or Greater Direct Ownership Interest · Individual | 100% | 1 facilities |
| Montgomery, Montie | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress5E
- C
Install emergency lighting that can last at least 1 1/2 hours.
- C
Have properly located and lighted "Exit" signs.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Conform to length requirements for dead end corridors.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
·
Other homes nearby
-
The Springs Skilled Nursing And Therapy
Muskogee, OK · Bridges Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0
-
Muskogee Nursing Center
Muskogee, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 10 min
- Fines
- $52,135
-
Broadway Care & Rehab Center
Muskogee, OK · Mgm Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 3 min
- Fines
- $37,638