Federal inspection record · CMS data as of October 1, 2026
Mcmahon-Tomlinson Nursing Center
2007 NW 52Nd Street, Lawton, OK · (580) 357-3240
- Cited for abuse (CMS abuse icon)
- Certified beds
- 142
- Residents per day
- 125
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 19, 2014
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
Mcmahon-Tomlinson Nursing Center carries 73 inspection points. That is fewer than 32% 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
23 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 (2)
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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.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care6E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
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.
Environmental1E
- E
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.
Inspection history
2025-12-16
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-04-11
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-03-03
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 25 min of nursing staff time a day, 7 min of it from a registered nurse.
This home
4 h 25 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$6,338 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-16 | Fine | $6,338 |
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 days0.3 pts better | 1.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 2.7 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts better | 91.7% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 99.0% | 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 symptoms8.5 pts worse | 11.9% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 4.7% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 22.0% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 18.4% | 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 worsened4 pts better | 9.0% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts worse | 17.4% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 2.4% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 4.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 18.8% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.8% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts better | 93.8% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts worse | 18.0% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.6% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.9 pts better | 86.5% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better | 21.6% | 26.8% | 23.4% |
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Who owns and runs it
19 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 |
|---|---|---|---|
| Comanche County Hospital Authority | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fitch, Natalie | Corporate Director · Individual | 0% | 1 facilities |
| Fitch, Natalie | Corporate Officer · Individual | 0% | 1 facilities |
| Forrest, Stacy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Forrest, Stacy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Henry, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Jones, Robert | W-2 Managing Employee · Individual | 0% | 12 facilities |
| Jones, Robert | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kruger, George | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Kruger, George | Corporate Officer · Individual | 0% | 1 facilities |
| Kruger, George | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Legako, Edward | Corporate Director · Individual | 0% | 1 facilities |
| Legako, Edward | Corporate Officer · Individual | 0% | 1 facilities |
| Mccall, Charles | Corporate Director · Individual | 0% | 1 facilities |
| Mccall, Charles | Corporate Officer · Individual | 0% | 1 facilities |
| Smith, Brent | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Smith, Brent | Corporate Officer · Individual | 0% | 1 facilities |
| Smith, Brent | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zelbst, John | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
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