Federal inspection record · CMS data as of October 1, 2026
Gracewood Health & Rehab
6201 East 36th Street, Tulsa, OK · (918) 622-3430
- Cited for abuse (CMS abuse icon)
- Certified beds
- 121
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Bradford Montgomery
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 15, 2003
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Oklahoma homes
Gracewood Health & Rehab carries 71 inspection points. That is fewer than 33% 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
24 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)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care7E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- 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.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights3E
- 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.
- E
Keep residents' personal and medical records private and confidential.
Pharmacy Service3E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- D
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.
Resident Assessment and Care Planning2E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Administration2F
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F
Employ staff that are licensed, certified, or registered in accordance with state laws.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Inspection history
2026-04-06
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-01-14
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-28
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 58 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 58 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 75% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.6 pts better | 2.2 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better | 98.9% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 98.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 6.7% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 0.0% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 3.5% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better | 20.6% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication20.7 pts worse | 38.5% | 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 worsened5.8 pts better | 7.2% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 14.0% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 1.3% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 1.4% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.2 pts better | 5.2% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts better | 78.9% | 76.5% | 82.3% |
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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, Bradford | 5% Or Greater Direct Ownership Interest · Individual | 100% | 13 facilities |
| Poppell, Connie | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress1E
- 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.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Trinity Woods, Inc.
Tulsa, OK
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 36 min
- Fines
- $0
-
Emerald Care Center Tulsa
Tulsa, OK · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $41,324
-
Southern Hills Rehabilitation Center
Tulsa, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 46 min
- Fines
- $15,766