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Brentwood Extended Care & Rehab

841 North 38th Street, Muskogee, OK 74401 · Muskogee County · (918) 683-8070

90 certified beds, about 55 residents a day · For profit - Individual · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375174 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2025, inspectors cited 5 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 45 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 9 fines totaling $97,625 in the last three years; the largest was $32,709, and the latest is dated March 25, 2024.

Nurses and nurse aides worked 3.11 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 45 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
19E
1F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection, Complaint inspection · 5 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the required PBJ staffing data was submitted to CMS for the second quarter of FY 2025. The administrator identified 55 residents resided in the facility.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the facility administrator was aware of the provisions and responsibilities of the facility abuse policy which resulted in a substandard investigation of an abuse allegation for 1 (#59) of 15 sampled residents reviewed for abuse. The administrator reported 55 residents resided in the facility.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the OSDH was informed of an allegation of physical abuse by a staff member in the mandated time frame and the facility failed to contact the local law enforcement agency of an allegation of physical abuse by a staff member for 1 (#59) of 15 sampled resident reviewed for abuse. The administrator reported 55 residents resided in the facility.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to conduct a thorough investigation of an allegation of physical abuse for 1 (#59) of 15 sampled residents reviewed for abuse. The administrator reported 55 residents resided in the facility.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were bathed as scheduled for 1 (#6) of 2 sampled residents reviewed for assistance with activities of daily living. The administrator identified 55 residents resided in the facility.
December 27, 2024Complaint inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's legal representative was notified of inappropriate sexual behavior for three (#1, 3 and #4) of four sampled residents reviewed for abuse. The administrator identified 52 residents resided in the facility.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was free from abuse for one (#1) of four sampled residents reviewed for abuse. The administrator identified 52 residents resided in the facility.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the results of an abuse investigation were submitted to the SSA within five business days of the incident for one (#1) of four sampled residents reviewed for abuse. The administrator identified 52 residents resided in the facility.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on record review and interview, the facility failed to assess a resident after allegation of inappropriate sexual behavior for two (#3 and #4) of four sampled residents reviewed for abuse. The administrator identified 52 residents resided in the facility.
May 21, 2024Complaint inspection · 1 citation
  1. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteOn 05/20/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents were protected from falls with major injury. Res #1 had a non-injury fall on 04/11/24. Record review and interview confirmed hourly checks were not documented as completed. Res #1 had a fall on 04/14/24 resulting in a broken neck. On 05/17/24, Res #1's call light was observed unplugged, and wrapped up on top of the dresser. Res #2 had a fall with minor injury on 04/20/24. No interventions were developed following the fall according to facility policy. Res #2 had a fall on 04/23/24 resulting in a broken back. The intervention for this fall was to move the resident closer to the nurse's station. As of 05/20/24, the two rooms closest to the nurse's station are occupied and Res #2 was unable to be moved closer than current room. [...]
March 25, 2024Standard inspection · 21 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. the floors were maintained in a safe manner; b. the window blinds, wall, and wheelchair was in good repair for one (#30) of eight sampled resident rooms observed; and c. the washing machines were in proper working order. The administrator identified 49 residents who resided in the facility.
  2. E
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure quarterly resident assessments were completed within 14 days of the assessment reference date for two (#24 and #29) of four sampled residents whose resident assessments were reviewed. The administrator identified 49 residents who resided in the facility.
  3. E
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure the PASARR for a resident with a mental health diagnosis was filled out correctly and referred to the OHCA for two (#18 and #41) of three sampled residents reviewed for PASARR evaluations. The Administrator identified 49 residents resided in the facility.
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. baths were given as schedule for two (#15 and #16) of two sampled residents whose baths were reviewed; and b. assistance with eating was provided for one (#18) of one sampled resident who required assistance with eating. The administrator identified five residents who required assistance with eating and 47 residents who required assistance with bathing.
  5. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care was coordinated with hospice to ensure resident's medications were available for administration for one (#100) of two residents reviewed for hospice. The administrator identified 13 residents who received hospice services.
  6. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pain medication was administered as ordered for one (#100) of one sampled resident who was reviewed for pain management. The administrator identified 29 residents who received pain management.
  7. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure insulin and/or blood pressure medication was administered per physician's orders for two (#31 and #46) of three sampled residents whose medication regime was reviewed. The administrator identified 49 residents who resided in the facility.
  8. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. blood pressure machine was disinfected between residents for three (#14, 39, and #46) of three sampled residents who were observed during medication administration; b. soiled linens were not placed on the floor; c. nebulizer mouth piece was stored in a manner to prevent cross contamination for one (#100) of two sampled resident who had breathing treatments; d. a surveillance system was in place to identify infections and communicable diseases; and e. the buildings water system was assessed, monitored, and measures put in place to prevent the growth of Legionella and other opportunistic waterborne pathogens. The administrator identified 49 residents who resided in the facility and three residents who received nebulizer treatments.
  9. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to have a system in place to assess residents for infections using standardized tools and criteria for the initiation of antibiotics. The administrator identified 49 residents resided in the facility.
  10. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide a SNF ABN to one (#23) of three sampled residents whose beneficiary notices reviewed. The MDS Coordinator identified four residents who were discharged from skilled services with Medicare benefit days remaining.
  11. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change resident assessment was completed within 14 days of the assessment reference date for one (#26) of four sampled residents whose resident assessment were reviewed. The administrator identified 49 residents who resided in the facility.
  12. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident assessment was accurate for two (#4 and #14) of four sampled residents whose resident assessments were reviewed. The administrator identified 49 residents who resided in the facility.
  13. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a new mental health diagnosis to OHCA for a PASRR level II evaluation for one (#23) of three sampled residents reviewed for PASRR. The Administrator reported 49 residents resided in the facility.
  14. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a baseline care plan included hospice services and interventions for pain management for one (#100) of two sampled residents who were on hospice. The administrator identified 49 residents who resided in the facility.
  15. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with limited range of motion were offered assistance with splints for one (#30) of two sampled residents reviewed for limited ROM. The administrator identified one resident who had a contracture and 14 residents who had limited range of motion.
  16. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview the facility failed to have physician orders for maintaining an indwelling urinary catheter for one (#36) of one sampled resident whose indwelling urinary catheter was reviewed. The administrator identified six residents who had indwelling urinary catheters.
  17. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow physician's orders for oxygen therapy for one (#4) of one resident sampled for oxygen therapy. The administrator reported 49 residents resided in the facility.
  18. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview the facility failed to document and retain the required staffing information. The administrator identified 49 residents who resided in the facility.
  19. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs without adequate indication for use one (#48) residents reviewed for unnecessary medications. The administrator identified 49 residents who resided in the facility.
  20. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the microwave used to heat up resident food after hours was in good repair. The administrator identified 49 residents who resided in the facility.
  21. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 9, 2024
    Inspectors wroteBased on observation and interview, the facility failed to place a call activation call button in an occupied room for one (#39) of one sampled resident reviewed for call lights. The administrator identified 49 residents resided in the facility.
November 21, 2023Complaint inspection · 1 citation
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteBased on observation and interview, it was determined the facility failed to provide a safe, clean, sanitary, homelike environment. The facility failed to ensure the ceiling in between the dining area and the common area was free from water leakage. The administrator identified 78 residents resided in the facility.
February 22, 2023Standard inspection · 13 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure resident assessments accurately reflected residents' status for five (#30, 33, 36, 45, and #46) of 14 residents whose assessments were reviewed. The facility failed to accurately code for: a. GDR dates were correct for Res #33. b. pressure ulcers for Res #36. c. diagnoses for Res #46. d. the presence of a urinary catheter for resident #45. e. GDR for Res #30. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to develop a comprehensive person-centered care plan for three (#16, 33, and #45) of 14 residents whose care plans that were reviewed. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to revise the care plan for one (#36) of 14 residents whose care plans were reviewed. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  4. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents were free from unnecessary psychotropic medications for one (#33) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 21 residents resided in the facility who receive antipsychotic medications.
  5. E
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure physician ordered laboratory tests were obtained for three (#6, 33 and #46) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure: a. the kitchen was clean and maintained in good repair. b. the staff prepared food in a sanitary work space. The corporate VPO identified 46 residents received services from the kitchen.
  7. E
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure the arbitration agreement documented the required wording. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  8. E
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    F848 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure the arbitration agreement documented the required wording. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  9. E
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to electronically submit direct care staffing data based on the facility payroll. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  10. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a DNR was signed by an individual with the authority to do so for one (#45) of 24 residents whose records were reviewed for advanced directives. The Resident Census and Conditions of Residents form documented 12 residents had advanced directives.
  11. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change assessment was completed when a resident experienced a major decline for one (#46) of 14 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form revealed 49 residents resided in the facility.
  12. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure accuracy of a level I PASRR for one (#36) of one resident who reviewed for PASRR evaluations. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.
  13. D
    Ensure staff are vaccinated for COVID-19
    F888 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure they followed their staff COVID vaccination policy by ensuring staff members completed the primary vaccination series or had obtained an exemption. The Resident Census and Conditions of Residents form documented 49 residents resided in the facility.

Fire safety inspections

14 fire safety citations on file: 5 on March 25, 2024, 5 on February 22, 2023, 4 on July 19, 2021.

Every fire safety citation14 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 25, 2024 · Corrected (the home has a date of correction)
  2. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 25, 2024 · Corrected (the home has a date of correction)
  3. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 25, 2024 · Corrected (the home has a date of correction)
  4. C
    Have properly located and lighted "Exit" signs.
    K 293 · March 25, 2024 · Corrected (the home has a date of correction)
  5. C
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 25, 2024 · Corrected (the home has a date of correction)
  6. 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.
    K 222 · February 22, 2023 · Corrected (the home has a date of correction)
  7. E
    Conform to length requirements for dead end corridors.
    K 251 · February 22, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 22, 2023 · Corrected (the home has a date of correction)
  9. E
    Provide properly protected cooking facilities.
    K 324 · February 22, 2023 · Corrected (the home has a date of correction)
  10. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 22, 2023 · Corrected (the home has a date of correction)
  11. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 19, 2021 · Corrected (the home has a date of correction)
  12. 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.
    K 222 · July 19, 2021 · Corrected (the home has a date of correction)
  13. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 19, 2021 · Corrected (the home has a date of correction)
  14. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 19, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 25, 2024Fine $32,709
February 12, 2024Fine $4,938
January 22, 2024Fine $14,814
January 8, 2024Fine $4,938
January 2, 2024Fine $4,587
December 11, 2023Fine $13,762
November 20, 2023Fine $4,587
November 13, 2023Fine $4,587
October 23, 2023Fine $12,703

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.113.793.86
Registered nurses0.220.340.69
All nursing staff on weekends2.943.443.42
Nurse aides2.23
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)not reported55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who leftnot reported

CMS expects 2.83 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.94 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.11 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.110.223.182.94 0.0%4 of 9055
Oct to Dec 20252.830.292.922.60 0.0%7 of 9252
Jul to Sep 20253.220.313.312.98 0.0%1 of 9255
Apr to Jun 20253.290.223.412.99 0.0%3 of 9156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.313.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
8.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.92.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.84.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.013.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.64.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
46.917.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.83.01.8

Owners and operators

Legal business name: BRENTWOOD EXTENDED CARE & REHAB. LLC.

NameRoleTypeShareSince
Montgomery, Montie5% or greater direct ownership interestIndividual100%02/01/2007
Montgomery, MontieW-2 managing employeeIndividual02/01/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on March 25, 2024: "Assure that each resident’s assessment is updated at least once every 3 months."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 31, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 5 problems in this area, most recently on July 31, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on July 31, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Oklahoma average of 3.44.

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Brentwood Extended Care & Rehab's Medicare star rating?
CMS rates Brentwood Extended Care & Rehab 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brentwood Extended Care & Rehab get at its last inspection?
5 health deficiencies at the standard inspection on July 31, 2025. The Oklahoma average is 6.4.
Has Brentwood Extended Care & Rehab been fined?
Yes. CMS lists 9 fines totaling $97,625 in the last three years.
Does Brentwood Extended Care & Rehab accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brentwood Extended Care & Rehab?
CMS lists 2 owners and managers. Legal business name: BRENTWOOD EXTENDED CARE & REHAB. LLC.

Sources

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