Federal inspection record · CMS data as of October 1, 2026
Cleveland Care And Rehab Center
900 N Division St, Cleveland, OK · (918) 358-3135
- Certified beds
- 90
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Mgm Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 24, 2003
1
How this home got 3 stars
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
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Cleveland Care And Rehab Center carries 36 inspection points. That is fewer than 65% 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
32 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)
-
J
Prepare residents for a safe transfer or discharge from the nursing home.
Everything else, by area of care
Resident Rights7E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Assure the security of all personal funds of residents deposited with the facility.
- 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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service6E
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning4E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary2E
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services1E
- E
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.
Inspection history
2025-12-08
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-04-05
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2023-01-26
16 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 47 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 100% of registered nurses left in the past year, along with 2 administrators.
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
$14,069 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-19 | Fine | $14,069 |
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 days0.8 pts worse | 3.0 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 3.6 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 99.5% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 2.3% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.4 pts worse | 12.8% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 1.8% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 23.7% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.7 pts better | 13.1% | 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 worsened11.7 pts better | 1.3% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.5 pts better | 4.1% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts better | 7.2% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.5 pts worse | 10.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 83.8% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit15.7 pts better | 0.0% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.7 pts better | 83.3% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.9 pts worse | 34.7% | 26.8% | 23.4% |
·
Who owns and runs it
6 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 |
|---|---|---|---|
| Jfb Ok Trust | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 8 facilities |
| Ok SNF Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 8 facilities |
| Ok SNF Investments, LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 8 facilities |
| Southeast Ventures Trust | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 8 facilities |
| Friedman, Naftali | Corporate Officer · Individual | 0% | 7 facilities |
| Upshaw, Billie | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1C
- C
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.
Smoke1C
- C
Inspect, test, and maintain automatic sprinkler systems.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
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Southern Oaks Care Center
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-
Fairfax Behavioral Health & Memory Care Community
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- G
- Nursing / resident / day
- 3 h 11 min
- Fines
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