Cleveland, OK

Cleveland Care And Rehab Center

3-star overall rating with 3-star inspections with $14,069 in total fines with 8 recent health deficiencies

900 N Division St, Cleveland, OK

(918) 358-3135

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mgm Healthcare

Operator or chain grouping

Approved since

2003-10-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

1.13

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.03

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.42

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

0.02

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

4.20

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 56% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.61%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 17.24% · Lower 95% interval 6.68%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.66	1.02 0.6 pts worse
Drug regimen review with follow-up	87.5%	95.27% 7.8 pts worse	Numerator 28 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 1.92%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 77
Staff flu vaccination coverage	10.24%	42% 31.8 pts worse	Numerator 13 · Denominator 127
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	10%	25.2% 15.2 pts worse	Numerator 2 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.1	2.3 0.8 pts worse	1.9 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	5.2	2.9 2.3 pts worse	1.8 3.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.2 · Observed 5.4 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	90.3% 8.8 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.2%	94.6% 0.6 pts better	95.5% 0.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	4.5% 1.3 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 3.8% · Q4 4.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.1%	3.3% 11.8 pts worse	11.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 16.3% · Q3 17.4% · Q4 15.9% · 4Q avg 15.1%
Percentage of long-stay residents who lose too much weight	1.1%	3.6% 2.5 pts better	5.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 2.3% · 4Q avg 1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.6%	25.3% 5.7 pts better	19.6% About the same	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 18.4% · Q3 17.4% · Q4 20.5% · 4Q avg 19.6%
Percentage of long-stay residents who received an antipsychotic medication	16.0%	18.6% 2.6 pts better	16.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q3 20.0% · Q4 21.2% · 4Q avg 16.0% · 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	0.0%	15.5% 15.5 pts better	16.3% 16.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.6%	14.1% 7.5 pts better	14.9% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 2.1% · Q3 2.3% · Q4 2.4% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.1% 2.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.8% 2.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.9%	17.8% 7.9 pts better	19.8% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 20.1% · Q3 2.4% · Q4 2.5% · 4Q avg 9.9%
Percentage of long-stay residents with pressure ulcers	8.1%	5.1% 3 pts worse	5.1% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 4.6% · Q3 10.3% · Q4 17.0% · 4Q avg 8.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.8%	75.0% 7.8 pts better	81.7% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 78.3% · Q4 82.8% · 4Q avg 82.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.8%	17.1% 6.3 pts better	12.0% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.0% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.3%	74.0% 9.3 pts better	79.7% 3.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.6%	27.0% 8.4 pts better	23.9% 5.3 pts better	Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 20.0% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-08 · Fire 2024-04-05

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-05 · Fire 2023-01-26

7 health deficiencies

Top issue: Infection Control (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-01-26 · Fire 2020-01-16

17 health deficiencies

Top issue: Resident Rights (6 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2023-01-26

K222 · Egress Deficiencies

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 2023-03-01

C · Minimal harm 2020-01-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-08

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-04

D · Potential for more than minimal harm 2025-08-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-04

J · Immediate jeopardy 2025-04-04

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-04-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-19

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-04-17

E · Potential for more than minimal harm 2024-04-05

F758 · Pharmacy Service Deficiencies

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 2024-05-08

E · Potential for more than minimal harm 2024-04-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-08

E · Potential for more than minimal harm 2024-04-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-08

E · Potential for more than minimal harm 2024-04-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-05

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-05

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-05-08

E · Potential for more than minimal harm 2023-12-06

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-10

E · Potential for more than minimal harm 2023-03-28

F584 · Resident Rights Deficiencies

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 2023-04-21