Federal inspection record · CMS data as of October 1, 2026

The Highlands at Owasso

10098 N 123 E Ave, Owasso, OK · (918) 928-4800

CMS overall rating

1 of 5

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Certified beds
105
Residents per day
89
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 21, 2014

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Oklahoma homes

The Highlands at Owasso carries 99 inspection points. That is fewer than 16% of Oklahoma's 281 rated homes.

5★4★3★2★1★+9 homes above 193.505102550100inspection points → fewer is better on the leftThis home · 99 pts · 1★

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 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 4 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. J

    Ensure that residents are free from significant medication errors.

    March 13, 2026 · Complaint inspection · Pharmacy Service · F760 · Not yet marked corrected

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 2, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

Everything else, by area of care

Environmental4E
  1. D

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    August 31, 2026 · Complaint · F914 · Corrected October 9, 2026

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    January 16, 2025 · Complaint · F919 · Corrected January 27, 2025

  3. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    December 13, 2024 · Complaint · F925 · Corrected January 21, 2025

  4. E

    Keep all essential equipment working safely.

    January 23, 2024 · Complaint · F908 · Corrected February 23, 2024

Pharmacy Service4D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 2, 2026 · Complaint · F755 · Corrected March 15, 2026

  2. D

    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.

    February 2, 2026 · Complaint · F761 · Corrected March 15, 2026

  3. D

    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.

    May 6, 2025 · Standard · F761 · Corrected June 30, 2025

  4. D

    Ensure that residents are free from significant medication errors.

    December 13, 2024 · Complaint · F760 · Corrected January 21, 2025

Nutrition and Dietary4E
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 6, 2025 · Standard · F812 · Corrected June 30, 2025

  2. D

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

    December 13, 2024 · Complaint · F804 · Corrected January 21, 2025

  3. E

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

    January 23, 2024 · Complaint · F804 · Corrected February 8, 2024

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 23, 2024 · Standard · F812 · Corrected February 8, 2024

Resident Rights3E
  1. D

    Keep residents' personal and medical records private and confidential.

    August 31, 2026 · Complaint · F583 · Corrected October 9, 2026

  2. D

    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.

    August 31, 2026 · Complaint · F584 · Corrected October 9, 2026

  3. E

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    May 6, 2025 · Standard · F582 · Corrected June 30, 2025

Quality of Life and Care2D
  1. D

    Provide or obtain dental services for each resident.

    February 2, 2026 · Complaint · F791 · Corrected March 15, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 6, 2025 · Complaint · F689 · Corrected February 28, 2025

Infection Control2F
  1. F

    Provide and implement an infection prevention and control program.

    May 6, 2025 · Complaint · F880 · Corrected June 30, 2025

  2. D

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Complaint · F880 · Corrected January 27, 2025

Nursing and Physician Services1F
  1. F

    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.

    May 6, 2025 · Complaint · F727 · Corrected May 18, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 9, 2024 · Complaint · F609 · Corrected August 15, 2024

Inspection history

  1. 2025-05-06

    14 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  2. 2024-01-23

    8 health deficiencies · 1 fire-safety deficiencies

    Top issue: Environmental (3 deficiencies)

  3. 2023-02-08

    1 health deficiencies · 7 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 20 min of nursing staff time a day, 7 min of it from a registered nurse.

This home

4 h 20 min

Oklahoma average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 80% of nursing staff and 88% of registered nurses left in the past year.

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

$23,323 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-13Fine$14,901
2026-02-02Fine$8,422

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.82.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse3.62.81.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better98.6%91.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better98.6%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better3.6%4.8%3.2%
Percentage of long-stay residents who have depressive symptoms0.8 pts better2.6%3.4%13.5%
Percentage of long-stay residents who lose too much weight2.7 pts better0.5%3.2%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts worse29.4%26.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.7 pts better12.1%17.8%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.8 pts better3.2%13.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts better2.3%13.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts better0.5%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection2.7 pts better0.0%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.4 pts better3.0%16.4%18.3%
Percentage of long-stay residents with pressure ulcers2.7 pts better2.0%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.4 pts better95.9%76.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse15.8%15.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better1.3%1.8%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.9 pts better93.5%74.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts worse33.5%26.8%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Cox, Steven5% Or Greater Indirect Ownership Interest · Individual100%3 facilities
Golf Course Property Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Cox, StevenW-2 Managing Employee · Individual0%3 facilities
Golf Course Property IncOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. F

    Properly provide smoke detection systems in areas open to corridors.

    May 6, 2025 · K347 · Corrected July 30, 2025

  2. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 23, 2024 · K321 · Corrected February 16, 2024

  3. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    February 8, 2023 · K362 · Corrected April 10, 2023

  4. C

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 8, 2023 · K345 · Corrected April 10, 2023

Egress3F
  1. 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.

    May 6, 2025 · K222 · Corrected July 30, 2025

  2. F

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

    February 8, 2023 · K291 · Corrected April 10, 2023

  3. 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.

    February 8, 2023 · K222 · Corrected April 10, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    May 6, 2025 · K911 · Corrected July 30, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 8, 2023 · K918 · Corrected April 10, 2023

Miscellaneous2F
  1. F

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

    February 8, 2023 · K761 · Corrected April 10, 2023

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 8, 2023 · K741 · Corrected April 10, 2023

·

Other homes nearby

  1. Sequoyah Pointe Living Center

    Owasso, OK · Conhold

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 24 min
    Fines
    $52,192
  2. Worst citation, 3 yrs
    J
    Nursing / resident / day
    5 h 2 min
    Fines
    $18,155
  3. Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 17 min
    Fines
    $17,641