C76

SAND SPRINGS NURSING AND REHABILITATION

Grade C 76/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

173

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

1025 NORTH ADAMS, SAND SPRINGS, OK 74063
9182455908

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.22h
LPN
1.20h
CNA
2.68h
Total
4.09h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SULLIVAN SAND SPRINGS TR

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2013

45%

TENANT ONE, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2013

SULLIVAN, JAMES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2013

COMPREHENSIVE MANAGEMENT SERVICES, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2013

SULLIVAN, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2013

ALLRED, AMY

IndividualW-2 MANAGING EMPLOYEESince May 2018

ARMSTRONG BANK

Organization5% OR GREATER MORTGAGE INTERESTSince Aug 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (19)

June 21, 2024Health11 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 9, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 9, 2024
0700EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Aug 9, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Aug 9, 2024
0732EMinimal harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 9, 2024
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Aug 9, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 9, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 9, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 9, 2024
0909DMinimal harm, Isolated

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.

Environmental Deficiencies

Corrected Aug 9, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 9, 2024
May 12, 2023Health2 deficiencies
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jun 26, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jun 26, 2023
May 1, 2023Health1 deficiency
0773DMinimal harm, Isolated

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Administration Deficiencies

Corrected Jun 12, 2023
November 6, 2019Health5 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Dec 23, 2019
0623DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Dec 23, 2019
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Dec 23, 2019
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 23, 2019
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Dec 23, 2019

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Frequently Asked Questions

What is the CareGrader rating for SAND SPRINGS NURSING AND REHABILITATION?

SAND SPRINGS NURSING AND REHABILITATION in SAND SPRINGS, Oklahoma has a CareGrader grade of C (Average), with a composite score of 76.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for SAND SPRINGS NURSING AND REHABILITATION?

SAND SPRINGS NURSING AND REHABILITATION has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SAND SPRINGS NURSING AND REHABILITATION have?

SAND SPRINGS NURSING AND REHABILITATION has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does SAND SPRINGS NURSING AND REHABILITATION have?

SAND SPRINGS NURSING AND REHABILITATION has 173 certified beds with approximately 60 current residents (35% occupancy). The facility is located at 1025 NORTH ADAMS, SAND SPRINGS, Oklahoma 74063. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.