{"schema_version":"1.0.0","facility":{"id":"cms-375317","ccn":"375317","name":"Heritage Hills Living & Rehabilitation Center","source_name":"HERITAGE HILLS LIVING & REHABILITATION CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OK","address":{"line1":"411 North West Street","city":"Mcalester","state":"OK","zip":"74502","county_name":"Pittsburg County","county_fips":"40121","county_method":"name_match","ssa_county_code":"600","urban":false},"location":{"lat":34.9491,"lon":-95.781,"method":"cms_published_coordinates"},"phone":"9184232920","certification":{"authority":"CMS","ccn":"375317","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1997-08-01","certified_beds":81,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/375317"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":81,"avg_residents_per_day":57.4},"ownership_type":"For profit - Individual","ownership_class":"for_profit","legal_business_name":"HERITAGE HILLS NURSING CENTER INC","flags":{"ccrc":false,"abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.23114,"lpn_hprd":0.68091,"rn_hprd":0.30366,"licensed_hprd":0.98456,"total_nurse_hprd":3.2157,"weekend_total_nurse_hprd":2.93036,"weekend_rn_hprd":0.18897,"pt_hprd":0.00196,"nursing_turnover_pct":53.4,"rn_turnover_pct":60,"administrators_left":1,"case_mix_index":0.96721,"case_mix_index_ratio":0.68584,"case_mix_total_nurse_hprd":2.67537,"adjusted_total_nurse_hprd":4.6519,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-10-31","cycle1_deficiencies":12,"cycle1_score":104,"cycle2_date":"2023-08-10","cycle23_deficiencies":30,"cycle23_score":196,"total_weighted_score":127,"infection_control_citations":0},"cms_penalty_counts":{"fines":1,"fine_total":73288,"payment_denials":1,"total":2},"operator_id":"op-heritage-hills-nursing-center-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/375317","provenance":[{"source_id":"cms_provider_info","source_record_id":"375317","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"375317","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":11,"health_count":8,"fire_count":3,"complaint_count":6,"latest_date":"2026-06-09","latest_standard_health":"2024-10-31","earliest_date":"2022-09-02","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":64,"health_count":52,"fire_count":12,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":15,"by_severity":{"potential":63,"actual_harm":1},"by_scope_severity":{"E":34,"D":19,"G":1,"F":10},"by_concept":{"resident_rights":15,"clinical_care":23,"environment_life_safety":13,"food_nutrition":2,"infection_prevention":4,"medication":5,"emergency_preparedness":2},"type_ids":["cms-f0569","cms-f0842","cms-f0600","cms-f0689","cms-f0583","cms-f0584","cms-f0656","cms-k0324","cms-k0374","cms-k0912","cms-f0812","cms-f0880","cms-f0641","cms-f0695","cms-f0610","cms-f0644","cms-f0657","cms-f0684","cms-f0686","cms-f0758","cms-f0760","cms-f0552","cms-f0561","cms-f0638","cms-f0642","cms-f0645","cms-f0661","cms-f0756","cms-f0757","cms-f0761","cms-e0024","cms-e0026","cms-k0222","cms-k0345","cms-k0347","cms-k0353","cms-k0372","cms-f0578","cms-f0921","cms-f0924","cms-f0925"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":1,"fine_total":73288,"payment_denials":1,"latest_date":"2024-10-31"},"ownership_summary":{"disclosures":16,"organizations":4,"individuals":10,"not_available":false}},"row":{"id":"cms-375317","ccn":"375317","name":"Heritage Hills Living & Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OK","city":"Mcalester","zip":"74502","county_fips":"40121","county_name":"Pittsburg County","address":"411 North West Street","beds":81,"residents":57.4,"ownership":"for_profit","operator_id":"op-heritage-hills-nursing-center-inc","operator_name":"Heritage Hills Nursing Center Inc","lat":34.9491,"lon":-95.781,"overall":1,"health_rating":1,"staffing_rating":3,"qm_rating":2,"nurse_hprd":3.22,"turnover":53.4,"abuse":true,"inspections":11,"last_inspection":"2026-06-09","deficiencies":64,"serious":1,"ij":0,"open":0,"penalties":2,"fines_total":73288,"deficiency_type_ids":["cms-f0569","cms-f0842","cms-f0600","cms-f0689","cms-f0583","cms-f0584","cms-f0656","cms-k0324","cms-k0374","cms-k0912","cms-f0812","cms-f0880","cms-f0641","cms-f0695","cms-f0610","cms-f0644","cms-f0657","cms-f0684","cms-f0686","cms-f0758","cms-f0760","cms-f0552","cms-f0561","cms-f0638","cms-f0642","cms-f0645","cms-f0661","cms-f0756","cms-f0757","cms-f0761","cms-e0024","cms-e0026","cms-k0222","cms-k0345","cms-k0347","cms-k0353","cms-k0372","cms-f0578","cms-f0921","cms-f0924","cms-f0925"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-heritage-hills-nursing-center-inc","name":"Heritage Hills Nursing Center Inc","legal_name":"HERITAGE HILLS NURSING CENTER INC","facility_count":1,"states":["OK"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-1996-revocable-trust-of-charles-f-hardy-iii","owner_type":"organization","owner_name":"1996 Revocable Trust of Charles F Hardy III","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-24"},{"owner_id":"org-1996-revocable-trust-of-patricia-hardy","owner_type":"organization","owner_name":"1996 Revocable Trust of Patricia Hardy","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-24"},{"owner_type":"individual","owner_name":"William Anderson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-01","owner_name_raw":"ANDERSON, WILLIAM"},{"owner_type":"individual","owner_name":"Charles Hardy","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, CHARLES"},{"owner_type":"individual","owner_name":"Patricia Hardy","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, PATRICIA"},{"owner_type":"individual","owner_name":"Ashlie Nystrom","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-22","owner_name_raw":"NYSTROM, ASHLIE"},{"owner_type":"individual","owner_name":"Charles Hardy","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, CHARLES"},{"owner_type":"individual","owner_name":"Patricia Hardy","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, PATRICIA"},{"owner_id":"org-1996-revocable-trust-of-charles-f-hardy-iii","owner_type":"organization","owner_name":"1996 Revocable Trust of Charles F Hardy III","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-24"},{"owner_id":"org-1996-revocable-trust-of-patricia-hardy","owner_type":"organization","owner_name":"1996 Revocable Trust of Patricia Hardy","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-24"},{"owner_id":"org-forvis-mazars-llp","owner_type":"organization","owner_name":"Forvis Mazars LLP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-02-01"},{"owner_id":"org-heritage-hills-nursing-properties","owner_type":"organization","owner_name":"Heritage Hills Nursing Properties","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-24"},{"owner_type":"individual","owner_name":"William Anderson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-01","owner_name_raw":"ANDERSON, WILLIAM"},{"owner_type":"individual","owner_name":"Charles Hardy","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, CHARLES"},{"owner_type":"individual","owner_name":"Patricia Hardy","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1993-01-01","owner_name_raw":"HARDY, PATRICIA"},{"owner_type":"individual","owner_name":"Ashlie Nystrom","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-22","owner_name_raw":"NYSTROM, ASHLIE"}],"inspections":[{"id":"cms-375317-20260609-health","ccn":"375317","date":"2026-06-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0569","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-10","cmp":1}]},{"id":"cms-375317-20251124-health","ccn":"375317","date":"2025-11-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1}]},{"id":"cms-375317-20250730-health","ccn":"375317","date":"2025-07-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0583","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-20","cmp":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-20","cmp":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-20","cmp":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-20","cmp":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-20","cmp":1}]},{"id":"cms-375317-20241227-health","ccn":"375317","date":"2024-12-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","cmp":1}]},{"id":"cms-375317-20241031-fire","ccn":"375317","date":"2024-10-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","std":1,"tv":"New"},{"t":"cms-k0912","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","std":1,"tv":"New"}]},{"id":"cms-375317-20241031-health","ccn":"375317","date":"2024-10-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2024-11-25","cmp":1,"std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1,"std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1,"std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-25","std":1}]},{"id":"cms-375317-20231012-health","ccn":"375317","date":"2023-10-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Infection Control"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-03","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-03","cmp":1}]},{"id":"cms-375317-20230810-fire","ccn":"375317","date":"2023-08-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0912","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-05","std":1,"tv":"New"}]},{"id":"cms-375317-20230810-health","ccn":"375317","date":"2023-08-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":22,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0583","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0638","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0642","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0644","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0686","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-28","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-28","std":1}]},{"id":"cms-375317-20220902-fire","ccn":"375317","date":"2022-09-02","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0024","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-e0026","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1,"tv":"New"}]},{"id":"cms-375317-20220902-health","ccn":"375317","date":"2022-09-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0561","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0578","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-07","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-21","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0924","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2022-09-23","std":1}]}],"deficiency_types":{"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0638":{"code":"F-0638","title":"Assure that each resident’s assessment is updated at least once every 3 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0642":{"code":"F-0642","title":"Ensure a qualified health professional conducts resident assessments.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-e0024":{"code":"E-0024","title":"Establish policies and procedures for volunteers.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0222":{"code":"K-0222","title":"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.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0578":{"code":"F-0578","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0924":{"code":"F-0924","title":"Put firmly secured handrails on each side of hallways.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-375317-pen-d20241031","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-10-31","denial_start":"2024-11-23","denial_days":2,"evidence_class":"VERIFIED","source_record_id":"375317|Payment Denial|2024-11-23"},{"id":"cms-375317-pen-f98222","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-31","amount":73288,"fine_id":"98222","evidence_class":"VERIFIED","source_record_id":"375317|Fine|98222"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375317&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OK","overall_rating":2.7,"health_inspection_rating":2.8,"qm_rating":2.8,"staffing_rating":2.7,"avg_residents_per_day":61.1,"cycle1_health_deficiencies":6.5,"cycle1_fire_deficiencies":2.5,"nurse_aide_hprd":2.55,"lpn_hprd":0.92,"rn_hprd":0.3357,"licensed_hprd":1.26,"total_nurse_hprd":3.81512,"weekend_total_nurse_hprd":3.44088,"weekend_rn_hprd":0.27,"pt_hprd":0.02,"nursing_turnover_pct":55.4,"rn_turnover_pct":52,"administrators_left":0.6,"case_mix_index":1.16825,"fines":0.8,"fine_amount":17843,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OK","name":"Oklahoma"},"county":{"fips":"40121","name":"Pittsburg County"},"zip":"74502","city":"Mcalester"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-375512","ccn":"375512","name":"Mitchell Care & Rehab Center","address":"315 West Electric Avenue","city":"Mcalester","state":"OK","zip":"74501","beds":100,"overall":4,"inspections":9,"last_inspection":"2025-03-27","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.8},{"id":"cms-375487","ccn":"375487","name":"Mcalester Nursing & Rehab","address":"615 E Morris Ave","city":"Mcalester","state":"OK","zip":"74501","beds":63,"overall":2,"inspections":9,"last_inspection":"2026-05-19","deficiencies":25,"serious":2,"ij":1,"open":0,"fines_total":17193,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.4},{"id":"cms-375384","ccn":"375384","name":"New Hope Retirement & Care Center","address":"1220 East Electric Blvd","city":"Mcalester","state":"OK","zip":"74501","beds":55,"overall":2,"inspections":10,"last_inspection":"2025-12-31","deficiencies":36,"serious":1,"ij":0,"open":0,"fines_total":7371,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-375340","ccn":"375340","name":"Walnut Grove Care & Rehab Center","address":"1001 South George Nigh Expressway","city":"Mcalester","state":"OK","zip":"74501","beds":80,"overall":2,"inspections":7,"last_inspection":"2025-02-28","deficiencies":31,"serious":1,"ij":1,"open":0,"fines_total":31460,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6}]}}