Talihina, OK

Talihina Manor

2-star overall rating with 3-star inspections with $28,540 in total fines with 2 recent health deficiencies

First & Emmert Street, Talihina, OK

(918) 567-2279

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

69

Certified beds

Average residents

27

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bgm Estate

Operator or chain grouping

Approved since

1997-11-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.3
0.2 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
2.9
2.3 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
90.3%
9.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.6%
5.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
4.5%
2.3 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
3.3%
3.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.3%
3.6%
2.3 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.2%
25.3%
8.9 pts worse
19.6%
14.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.0%
18.6%
11.6 pts better
16.7%
9.7 pts better
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 21.3%
15.5%
5.8 pts worse
16.3%
5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.6%
14.1%
3.5 pts worse
14.9%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.2%
2.1%
0.1 pts worse
1.0%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.7%
2.8%
2.9 pts worse
1.7%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.5%
17.8%
2.3 pts better
19.8%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
5.1%
5.1 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
75.0%
21.4 pts better
81.7%
14.7 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-03 · Fire 2024-03-01

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-01 · Fire 2023-02-17

15 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-02-17 · Fire 2022-01-27

4 health deficiencies

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

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-02-17

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-02-17

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-17

E · Potential for more than minimal harm 2022-01-27

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 2022-02-16

E · Potential for more than minimal harm 2022-01-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-01-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-30

F · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-03-01

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 2024-03-31

E · Potential for more than minimal harm 2024-03-01

F775 · Administration Deficiencies

Health

Keep complete, dated laboratory records in the resident's record.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-03-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-03-01

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-03-01

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-03-01

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-03-01

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 2024-03-31

D · Potential for more than minimal harm 2024-03-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-03-31

D · Potential for more than minimal harm 2023-02-17

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 2023-03-15

D · Potential for more than minimal harm 2023-02-17

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 2023-03-15

D · Potential for more than minimal harm 2023-02-17

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 2023-03-15

D · Potential for more than minimal harm 2023-02-17

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 2023-05-17

Penalties and ownership

What sits behind the stars

$4,587 2023-05-30

Fine

Fine · fine $4,587

Fine

$4,545 2023-05-23

Fine

Fine · fine $4,545

Fine

$4,587 2023-05-15

Fine

Fine · fine $4,587

Fine

$4,235 2023-05-08

Fine

Fine · fine $4,235

Fine

$10,586 2023-04-17

Fine

Fine · fine $10,586

Fine

Ownership

Gilbert F. Green Trust

5% Or Greater Direct Ownership Interest · Organization

50% 3 facilities 2020-12-29
Bgm Estate LLC

5% Or Greater Direct Ownership Interest · Organization

25% 12 facilities 2020-12-29
Delores O. Mitchell Revocable Trust

5% Or Greater Direct Ownership Interest · Organization

25% 1 facilities 2020-12-29
Mitchell, Kelly

5% Or Greater Indirect Ownership Interest · Individual

6% 14 facilities 2020-12-29
Mitchell, Marcinda

5% Or Greater Indirect Ownership Interest · Individual

6% 11 facilities 2020-12-29
Mitchell, Robert

5% Or Greater Indirect Ownership Interest · Individual

6% 12 facilities 2020-12-29
Tabor, Angela

5% Or Greater Indirect Ownership Interest · Individual

6% 11 facilities 2020-12-29
Morgan, Michael

Corporate Officer · Individual

0% 5 facilities 2020-12-29
Taylor, Sandra

W-2 Managing Employee · Individual

0% 14 facilities 2020-12-29

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Health
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Staffing
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Fines
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#2

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1-star overall rating with 3-star inspections with $152,429 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$152,429
#3

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1-star overall rating with 2-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
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Fines
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