Cycle 1
Health 2025-05-06 · Fire 2025-05-06
16 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Enid, OK
Garland Road Nursing & Rehab Center
1-star overall rating with 1-star inspections with Special Focus status with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1404 North Garland Road, Enid, OK
(580) 234-2526
Overall
1 / 5
CMS overall stars
Health inspections
1 / 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
118
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stonegate Senior Living
Operator or chain grouping
Approved since
2008-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.30
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
2.89
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
0.95
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
2.56
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.07
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
55%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,613
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.01% · Performance 21.76% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.44% · Performance 8.43% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.49
Baseline 73.68% · Performance 59.09% · Measure score 2.49 · Achievement 1.12 · Improvement 2.49
Adjusted total nurse staffing
2.10
Baseline 3.39 hours · Performance 3.67 hours · Measure score 2.10 · Achievement 2.10 · Improvement 0.69
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 10.37% · Lower 95% interval 7.14% |
| Discharge to community | 54.71% |
50.57%
4.1 pts better
|
No Different than the National Rate · Eligible stays 111 · Observed rate 45.95% · Lower 95% interval 44.4% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 78 · Denominator 78 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 78 |
| Discharge self-care score | 56.76% |
53.69%
3.1 pts better
|
Numerator 21 · Denominator 37 |
| Discharge mobility score | 75.68% |
50.94%
24.7 pts better
|
Numerator 28 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 2.56% |
2.29%
0.3 pts worse
|
Numerator 2 · Denominator 78 · Adjusted rate 2.42% |
| Healthcare-associated infections requiring hospitalization | 8.42% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 62 · Observed rate 12.9% · Lower 95% interval 5.46% |
| Staff COVID-19 vaccination coverage | 37.23% |
8.2%
29 pts better
|
Numerator 35 · Denominator 94 |
| Staff flu vaccination coverage | 13.27% |
42%
28.7 pts worse
|
Numerator 13 · Denominator 98 |
| Discharge function score | 78.38% |
56.45%
21.9 pts better
|
Numerator 29 · Denominator 37 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 15.79% |
25.2%
9.4 pts worse
|
Numerator 6 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.9
0.4 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
90.3%
3.8 pts better
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 100.0% · Q3 93.3% · Q4 88.8% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
94.6%
4.2 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
4.5%
1.6 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.7% · Q3 2.7% · Q4 5.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
3.3%
2.6 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
3.6%
0.8 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 0.0% · Q3 1.6% · Q4 3.2% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.4% |
25.3%
4.1 pts worse
|
19.6%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.6% · Q2 40.3% · Q3 20.6% · Q4 15.9% · 4Q avg 29.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.6% |
18.6%
7 pts worse
|
16.7%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 31.2% · Q3 20.8% · Q4 20.8% · 4Q avg 25.6% · 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 | 9.9% |
15.5%
5.6 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 11.7% · Q3 13.6% · Q4 4.3% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.3% |
14.1%
10.8 pts better
|
14.9%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.6% · Q3 6.5% · Q4 1.7% · 4Q avg 3.3% · 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 | 0.7% |
2.8%
2.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.9% |
17.8%
4.9 pts better
|
19.8%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.2% · Q3 12.8% · Q4 23.1% · 4Q avg 12.9% |
| Percentage of long-stay residents with pressure ulcers | 10.8% |
5.1%
5.7 pts worse
|
5.1%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 13.9% · Q3 8.3% · Q4 9.7% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.0% |
75.0%
13 pts worse
|
81.7%
19.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 74.1% · Q3 54.5% · Q4 29.8% · 4Q avg 62.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
17.1%
2.6 pts better
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.6% |
74.0%
0.6 pts better
|
79.7%
5.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
27.0%
8.6 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.8% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-22 · Fire 2023-12-22
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-01-06 · Fire 2023-01-06
13 health deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-06
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-05-06
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-05-06
K321 · Smoke Deficiencies
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 2025-06-16
E · Potential for more than minimal harm
2025-05-06
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-05-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-16
E · Potential for more than minimal harm
2023-12-22
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-15
F · Potential for more than minimal harm
2023-01-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-06
E · Potential for more than minimal harm
2023-01-06
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-06
Inspection history
Recent health citations
K · Immediate jeopardy
2026-01-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-09
K · Immediate jeopardy
2026-01-08
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 2026-01-09
E · Potential for more than minimal harm
2025-11-21
F657 · Resident Assessment and Care Planning Deficiencies
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 2025-12-12
E · Potential for more than minimal harm
2025-08-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-08-22
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-08-22
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-08-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-08-22
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-08-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-05-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-05-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-05-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-16
D · Potential for more than minimal harm
2025-05-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-16
D · Potential for more than minimal harm
2025-05-06
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 2025-06-16
D · Potential for more than minimal harm
2025-05-06
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 2025-06-16
D · Potential for more than minimal harm
2025-05-06
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-06-16
E · Potential for more than minimal harm
2023-12-22
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-01-23
E · Potential for more than minimal harm
2023-12-22
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 2024-01-23
E · Potential for more than minimal harm
2023-12-22
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-23
E · Potential for more than minimal harm
2023-12-22
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-01-23
E · Potential for more than minimal harm
2023-12-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-23
D · Potential for more than minimal harm
2023-12-22
F680 · Quality of Life and Care Deficiencies
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2024-01-23
E · Potential for more than minimal harm
2023-06-16
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-25
E · Potential for more than minimal harm
2023-06-16
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-25
F · Potential for more than minimal harm
2023-01-06
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-02-06
F · Potential for more than minimal harm
2023-01-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-06
E · Potential for more than minimal harm
2023-01-06
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 2023-02-06
E · Potential for more than minimal harm
2023-01-06
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-06
E · Potential for more than minimal harm
2023-01-06
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-02-06
E · Potential for more than minimal harm
2023-01-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-06
D · Potential for more than minimal harm
2023-01-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-02-06
D · Potential for more than minimal harm
2023-01-06
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-06
D · Potential for more than minimal harm
2023-01-06
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-06
D · Potential for more than minimal harm
2023-01-06
F690 · Quality of Life and Care Deficiencies
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 2023-02-06
D · Potential for more than minimal harm
2023-01-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-02-06
Penalties and ownership
What sits behind the stars
Ownership
Preservation Freehold Company
5% Or Greater Indirect Ownership Interest · Organization
Chance, James
Operational/Managerial Control · Individual
Pf Garland SNF Ops, LLC
5% Or Greater Direct Ownership Interest · Organization
Pf Garland SNF Ops, LLC
Operational/Managerial Control · Organization
Sanctuary Ltc, LLC
5% Or Greater Direct Ownership Interest · Organization
Stonegate Senior Living, LP
Operational/Managerial Control · Organization
Taylor, John
Operational/Managerial Control · Individual
Themer, Diane
Operational/Managerial Control · Individual
Umb Bank Na
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
The Commons
Enid, OK
4-star overall rating with 4-star inspections with $3,174 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Baptist Village Of Enid
Enid, OK
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Greenbrier Village Health and Rehabilitation
Enid, OK
3-star overall rating with 3-star inspections with $14,819 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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