Ardmore, OK

Lakeland Manor, Inc

5-star overall rating with 5-star inspections with $12,606 in total fines with 2 fire-safety deficiencies in the latest cycle

604 Lake Murray Drive, Ardmore, OK

(580) 223-4501

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

62

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2000-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing

LPN hours / resident day

0.74

Licensed practical nurse staffing

Aide hours / resident day

3.13

Nurse aide staffing

Weekend hours

3.80

Weekend nurse staffing

RN turnover

78%

Annual RN turnover

Total nurse turnover

82%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.6
2.3
1.3 pts worse
1.9
1.7 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.9
1.2 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.0%
90.3%
4.3 pts worse
93.4%
7.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.0%
94.6%
2.6 pts worse
95.5%
3.5 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.8%
4.5%
1.3 pts worse
3.3%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 5.6%
3.3%
2.3 pts worse
11.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.7%
3.6%
1.1 pts worse
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.0%
25.3%
2.3 pts better
19.6%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.0%
18.6%
0.4 pts worse
16.7%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 14.3%
15.5%
1.2 pts better
16.3%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.0%
14.1%
3.9 pts worse
14.9%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
2.1%
1.5 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.4%
2.8%
1.6 pts worse
1.7%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.3%
17.8%
11.5 pts worse
19.8%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.3%
5.1%
1.2 pts worse
5.1%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.8%
75.0%
4.8 pts better
81.7%
1.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
17.1%
8.9 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 5.5%
1.9%
3.6 pts worse
1.6%
3.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79.3%
74.0%
5.3 pts better
79.7%
0.4 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.9%
27.0%
2.1 pts better
23.9%
1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-12-28 · Fire 2023-12-28

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-09-14 · Fire 2022-09-14

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-04

E · Potential for more than minimal harm 2025-02-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-04

E · Potential for more than minimal harm 2023-12-28

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-03-26

F · Potential for more than minimal harm 2022-09-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-10-16

F · Potential for more than minimal harm 2022-09-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-10-16

F · Potential for more than minimal harm 2022-09-14

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 2022-10-16

F · Potential for more than minimal harm 2022-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-16

C · Minimal harm 2022-09-14

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-10-16

Inspection history

Recent health citations

G · Actual harm 2025-02-27

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-02-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-04

E · Potential for more than minimal harm 2024-08-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-05

E · Potential for more than minimal harm 2024-07-17

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 2024-08-01

D · Potential for more than minimal harm 2024-07-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-01

E · Potential for more than minimal harm 2022-09-14

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 2022-10-17

E · Potential for more than minimal harm 2022-09-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-17

D · Potential for more than minimal harm 2022-09-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-17

D · Potential for more than minimal harm 2022-09-14

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 2022-10-17

D · Potential for more than minimal harm 2022-09-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-10-17

Penalties and ownership

What sits behind the stars

$8,278 2025-02-27

Fine

Fine · fine $8,278

Fine

$0 2025-02-27

Payment Denial

Payment Denial · denial start 2025-04-03 · 1 days

1 day denial

$4,328 2023-12-26

Fine

Fine · fine $4,328

Fine

Ownership

Clanton, Amy

5% Or Greater Indirect Ownership Interest · Individual

50% 1 facilities 2022-05-01
Clanton, Troy

5% Or Greater Indirect Ownership Interest · Individual

50% 1 facilities 2022-05-01
Clanton, Amy

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-01
Clanton, Amy

Corporate Director · Individual

0% 1 facilities 2022-05-01
Clanton, Troy

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-01
Clanton, Troy

Corporate Director · Individual

0% 1 facilities 2022-05-01
Darlene Investment Group Ii, Inc.

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2022-05-01
Darlene Investment Group Lakeland Manor Inc

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2022-05-01

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Staffing
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Fines
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