5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Muskogee, OK
1-star overall rating with 2-star inspections with $97,625 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
841 North 38th Street, Muskogee, OK
(918) 683-8070
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-04-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.31
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
0.86
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.05
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 78.79% |
8.2%
70.6 pts better
|
Numerator 52 · Denominator 66 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
2.3
1.6 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 4.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
2.9
0.8 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 4.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
90.3%
7.8 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 98.1% · Q3 100.0% · Q4 98.2% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.6%
5.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
4.5%
1.7 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 3.7% · Q4 3.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
3.3%
2.8 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
3.6%
3 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.4% |
25.3%
10.1 pts worse
|
19.6%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 31.7% · Q3 34.9% · Q4 53.7% · 4Q avg 35.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.8% |
18.6%
23.2 pts worse
|
16.7%
25.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 36.4% · Q3 40.0% · Q4 50.0% · 4Q avg 41.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.5% |
15.5%
3 pts better
|
16.3%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% |
14.1%
3.1 pts worse
|
14.9%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 24.3% · Q3 10.8% · Q4 17.1% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.0% |
2.1%
4.9 pts worse
|
1.0%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.1% · Q3 7.0% · Q4 7.0% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.8%
1.4 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.0% |
17.8%
6.2 pts worse
|
19.8%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 16.9% · Q3 25.3% · Q4 20.5% · 4Q avg 24.0% |
| Percentage of long-stay residents with pressure ulcers | 9.7% |
5.1%
4.6 pts worse
|
5.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 7.7% · Q3 12.6% · Q4 7.5% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
75.0%
22.3 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 97.3% |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-06-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-26
Fire Safety
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.
Corrected 2023-05-05
Fire Safety
Conform to length requirements for dead end corridors.
Corrected 2023-05-05
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-08-30
Fire Safety
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.
Corrected 2021-08-30
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-08-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-08-30
Inspection history
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-09-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-14
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-10
Health
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.
Corrected 2024-06-09
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-06-09
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-09
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-09
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-09
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-09
Health
Assess the resident when there is a significant change in condition
Corrected 2024-06-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-09
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-06-09
Health
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.
Corrected 2024-06-09
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-09
Health
Post nurse staffing information every day.
Corrected 2024-06-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-09
Health
Keep all essential equipment working safely.
Corrected 2024-06-09
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-09
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-03
Health
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.
Corrected 2023-09-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-05
Health
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.
Corrected 2023-05-05
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-05-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-05
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-05-05
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-05-05
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-05-05
Health
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.
Corrected 2023-05-05
Health
Assess the resident when there is a significant change in condition
Corrected 2023-05-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-05
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-05-05
Penalties and ownership
Fine · fine $32,709
Fine
Fine · fine $4,938
Fine
Fine · fine $14,814
Fine
Fine · fine $4,938
Fine
Fine · fine $4,587
Fine
Fine · fine $13,762
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $12,703
Fine
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
Muskogee, OK
2-star overall rating with 2-star inspections with $15,593 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Muskogee, OK
2-star overall rating with 3-star inspections with $38,066 in total fines with 7 recent health deficiencies
Muskogee, OK
1-star overall rating with 1-star inspections with $37,638 in total fines with 11 recent health deficiencies
Jump out