Cycle 1
Health 2024-06-07 · Fire 2024-06-07
16 health deficiencies
Top issue: Infection Control (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Lawton, OK
Lawton Post Acute & Rehab
1-star overall rating with 1-star inspections with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1700 Northwest Fort Sill Blvd, Lawton, OK
(580) 355-1616
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
95
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-03-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.29
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.97
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.01
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
4.31
CMS adjusted total nurse staffing hours
Case-mix index
1.26
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
11,286
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.60% · Performance 24.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.10% · Performance 9.03% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.22
Baseline 4.06 hours · Performance 4.56 hours · Measure score 5.22 · Achievement 5.22 · Improvement 2.43
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.63% |
10.72%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 69 · Observed rate 23.19% · Lower 95% interval 9.77% |
| Discharge to community | 37.7% |
50.57%
12.9 pts worse
|
Worse than the National Rate · Eligible stays 60 · Observed rate 30% · Lower 95% interval 28.42% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.45% |
95.27%
0.2 pts better
|
Numerator 105 · Denominator 110 |
| Falls with major injury | 2.73% |
0.77%
2 pts worse
|
Numerator 3 · Denominator 110 |
| Discharge self-care score | 65% |
53.69%
11.3 pts better
|
Numerator 39 · Denominator 60 |
| Discharge mobility score | 55% |
50.94%
4.1 pts better
|
Numerator 33 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 4.55% |
2.29%
2.3 pts worse
|
Numerator 5 · Denominator 110 · Adjusted rate 3.76% |
| Healthcare-associated infections requiring hospitalization | 9.03% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 14.55% · Lower 95% interval 5.62% |
| Staff COVID-19 vaccination coverage | 0.81% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 123 |
| Staff flu vaccination coverage | 13.41% |
42%
28.6 pts worse
|
Numerator 11 · Denominator 82 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 36 · Denominator 60 |
| Transfer of health information to provider | 96.83% |
95.95%
0.9 pts better
|
Numerator 61 · Denominator 63 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.35% |
25.2%
17.9 pts worse
|
Numerator 5 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.9 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.9
0.3 pts better
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.0% |
90.3%
1.7 pts better
|
93.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.2% · Q2 100.0% · Q3 100.0% · Q4 93.9% · 4Q avg 92.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.6%
2.5 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
4.5%
1.1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.0% · Q3 3.1% · Q4 3.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
3.3%
7.5 pts worse
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 1.6% · Q3 8.3% · Q4 12.5% · 4Q avg 10.8% |
| Percentage of long-stay residents who lose too much weight | 1.0% |
3.6%
2.6 pts better
|
5.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.1% · 4Q avg 1.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
25.3%
13.5 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.5% · Q3 14.3% · Q4 8.0% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
18.6%
3.3 pts better
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 16.3% · Q3 15.4% · Q4 19.4% · 4Q avg 15.3% · 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 | 23.6% |
15.5%
8.1 pts worse
|
16.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
14.1%
6 pts worse
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 26.5% · Q3 22.9% · Q4 18.8% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.7% |
2.1%
3.6 pts worse
|
1.0%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.3% · Q3 3.8% · Q4 3.5% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.8%
1.6 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 3.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
17.8%
2.3 pts worse
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 20.8% · Q3 25.1% · Q4 20.2% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
5.1%
2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.2% · Q3 5.1% · Q4 5.9% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.0% |
75.0%
10 pts better
|
81.7%
3.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.8% · Q2 86.7% · Q3 92.9% · Q4 77.0% · 4Q avg 85.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
17.1%
3 pts better
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 19.0% · Expected 15.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.9%
0.8 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 2.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.1% |
74.0%
3.1 pts better
|
79.7%
2.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
27.0%
0.8 pts worse
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 36.2% · Expected 31.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-27 · Fire 2023-04-27
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2022-03-14 · Fire 2022-03-14
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-07
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-06-07
K344 · Smoke Deficiencies
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-06-07
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-06-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-06-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-12
F · Potential for more than minimal harm
2023-04-27
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 2023-08-23
F · Potential for more than minimal harm
2023-04-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-23
E · Potential for more than minimal harm
2023-04-27
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-08-23
C · Minimal harm
2023-04-27
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-23
C · Minimal harm
2023-04-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-23
E · Potential for more than minimal harm
2022-03-14
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 2022-03-15
E · Potential for more than minimal harm
2022-03-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-01
E · Potential for more than minimal harm
2022-03-14
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-04-01
E · Potential for more than minimal harm
2022-03-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
E · Potential for more than minimal harm
2025-03-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-03-12
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 2025-04-01
E · Potential for more than minimal harm
2025-01-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-14
G · Actual harm
2024-06-07
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 2024-09-12
E · Potential for more than minimal harm
2024-06-07
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-06-07
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 2024-11-01
E · Potential for more than minimal harm
2024-06-07
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-06-07
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 2024-09-12
E · Potential for more than minimal harm
2024-06-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-06-07
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-01
E · Potential for more than minimal harm
2024-06-07
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-06-07
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-06-07
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-06-07
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 2024-09-12
D · Potential for more than minimal harm
2024-06-07
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-06-07
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 2024-09-12
E · Potential for more than minimal harm
2023-04-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-15
E · Potential for more than minimal harm
2023-04-27
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 2023-06-15
E · Potential for more than minimal harm
2023-04-27
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-06-15
D · Potential for more than minimal harm
2023-04-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-15
E · Potential for more than minimal harm
2023-03-14
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-04-11
Penalties and ownership
What sits behind the stars
Ownership
Lawton Post Acute & Rehab,llc
5% Or Greater Direct Ownership Interest · Organization
1700 Nw Fort Sill Blvd LLC
Operational/Managerial Control · Organization
Bokf,na
Operational/Managerial Control · Organization
Bokf,na
5% Or Greater Mortgage Interest · Organization
Family Tk5 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Family Tk5 Holdings LLC
Operational/Managerial Control · Organization
Galbasini, Kevin
Operational/Managerial Control · Individual
K & Jg Holdings 2 LLC
Operational/Managerial Control · Organization
K & Jg Holdings LLC
Operational/Managerial Control · Organization
Kopian Property 2 LLC
Operational/Managerial Control · Organization
Kopion Healthcare Holdings LLC
Operational/Managerial Control · Organization
Lamb Living Trust May 25, 2018
Operational/Managerial Control · Organization
Lamb, Mark
Operational/Managerial Control · Individual
Lawton Post Acute & Rehab,llc
Operational/Managerial Control · Organization
Pratt, Kylene
5% Or Greater Indirect Ownership Interest · Individual
Pratt, Todd
5% Or Greater Indirect Ownership Interest · Individual
Pratt, Todd
General Partnership Interest · Individual
Pratt, Todd
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Mcmahon-Tomlinson Nursing Center
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1-star overall rating with 2-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Willow Park Health Care Center
Lawton, OK
1-star overall rating with 1-star inspections with $58,171 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Montevista Rehabilitation And Skilled Care
Lawton, OK
1-star overall rating with 2-star inspections with $27,782 in total fines with 8 recent health deficiencies
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