503 South Main Street, Gore, OK 74435 · Sequoyah County · (918) 489-2299
70 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375295 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 17, 2025, inspectors cited 16 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 50 health citations since August 2022, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $23,879 in the last three years; the largest was $23,879, and the latest is dated March 17, 2025.
Nurses and nurse aides worked 4.19 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.19 of those hours.
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.
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 50 health citations on file.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement their abuse policy. The facility failed to:a. thoroughly investigate and document an abuse investigation; and b. notify the ombudsman of an abuse investigation for 1 (#1) of 3 sampled residents reviewed for abuse. The administrator identified 38 residents resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to conduct a complete and thorough investigation of abuse for 1 (#1) of 3 sampled residents reviewed for abuse. The administrator identified 38 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan interventions were comprehensive for 1 (#2) of 12 sampled residents reviewed for comprehensive care plans. The administrator identified 38 residents resided in the facility
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure hair nets were worn in the kitchen during food preparation for 1 of 2 food preparation observations. The DON identified 38 residents received nutrition from the kitchen.
Inspectors wroteOn 03/06/25 at 5:40 p.m., an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to implement their abuse policy and procedure by not: a. consulting with the attending physician to identify treatable conditions such as acute psychosis; b. making any changes to care plan approaches to any and all involved individuals; c. documenting in the residents clinical record all attempted interventions and their effectiveness; and d. consulting psychiatric services for asssistance in assessing the resident, identifying causes, and developing a care plan for interventions and management necessary or as may be recommended by the attending physician or interdisciplinary team after a allegation of sexual abuse. A facility policy titled Resident - Resident Altercations, revised September 2022, read in part, If two residents are involved in an altercation, staff: . [...]
Inspectors wroteOn 03/05/25, an immediate Jeopardy was determined to exist related to the facility's failure to implement fall interventions for Resident #3 who had severe cognitive impairment and was a high fall risk. A quarterly MDS assessment, dated 10/11/24, showed Resident #3 had one non injury fall and two or more falls with injury. Resident #3's Morse Fall Scale assessment, dated 09/24/24, showed Resident #3 was a high fall risk. On 11/03/24, Resident #3 fell from the bed with no injury. Resident #3's Morse Fall Scale assessment, dated 12/03/24, showed Resident #3 was a high fall risk. On 12/29/24, Resident #3 had an un-witnessed fall from their bed and had a small bruising noted to the right eyebrow and a small skin tear noted to their right hand. Resident #3's Morse Fall Scale assessment, dated 12/31/24, showed Resident #3 was a high fall risk. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent abuse for 1 (#20) of 3 sampled residents reviewed for abuse. This deficient practice resulted in harm to Resident #20 who experienced psychosocial harm as a result of the abuse. The administrator identified 44 residents resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. care plans were updated/revised for 1 (#3) of 16 sampled residents reviewed for updated/revised care plans; and b. the participation of the resident/resident's representative and the interdisciplinary team in the revision of the care plan for 1 (#12) of 16 sampled residents whose care plan were reviewed for participation of a resident/resident's representative and the interdisciplinary team in the revision of the care plan . This deficient practice resulted in a harm to Resident #3 after the resident experienced a fall with injury. The administrator identified 44 residents resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide trauma informed care after an incident of sexual abuse for 1 (#20) of 5 sampled residents reviewed for trauma informed care which resulted in a harm to Resident #20. The ADON identified 44 residents resided in the facility and 22 residents received mental health medications in the facility.
Inspectors wroteBased on record review and interview, the facility failed to report an allegation of neglect to the OSDH within two hours of the knowledge of the allegation for three (#9, 36 and #147) of three residents sampled for grievances. The administrator identified 44 residents who resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to provide a copy of the facility's bedhold policy to 2 (#9 and #147) of 2 sampled residents who were transferred out of the facility with the intention of returning to the facility. The administrator identified 44 residents residing in the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure MDS assessments were accurate for 2 (#3 and #13) of 16 sampled residents reviewed for accurate MDS assessments. The administrator identified 44 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan for 2 (#9 and #27) of 5 sampled residents whose clinical records were reviewed for unnecessary medications. The administrator identified 44 residents residing in the facility.
Inspectors wroteBased on record review and interview, the facility failed to provide informed consent for medications for 1 (#27) of 5 sampled residents whose clinical records were reviewed for unnecessary medications. The administrator identified 44 residents resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to assess the use of a geriatric chair to ensure the device was not a restraint for 1 (#3) of 2 sampled residents reviewed for restraints. The ADON identified four residents utilized geriatric chairs in the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change assessment was conducted after a resident was discharged from hospice services for 1 (#2) of 16 sampled residents reviewed for significant change assessments. The administrator identified 44 residents resided in the facility and three residents received hospice services.
Inspectors wroteBased on record review and interview, the facility failed to ensure a level I PASARR was completed after a new mental health diagnosis for 1 (#3) of 5 sampled residents reviewed for PASARRs. The ADON identified 22 residents had a mental health diagnosis.
Inspectors wroteBased on record review and interview, the facility failed to perform a gradual dose reduction or document the rationale for not performing a gradual dose reduction of an antipsychotic medication for 1 (#27) of 5 sampled residents reviewed for unnecessary medications. The administrator identified 22 residents with a mental health diagnoses.
Inspectors wroteBased on observation, record review, and interview, the facility failed to offer dental services for 1 (#13) of 16 sampled residents reviewed for dental services offered. The administrator identified 44 residents resided in the center.
Inspectors wroteBased on observation and interview, the facility failed to maintain the ice machine in a sanitary manner. The dietary manager identified 44 residents who utilized ice from the kitchen.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff who conducted Covid-19 testing received the appropriate training. The administrator identified 47 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's representative and the physician were notified of a fall for one (#1) of three sampled residents reviewed for falls. The administrator identified 47 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to assess a resident after a fall for one (#1) of three sampled residents reviewed for falls. The administrator identifed 47 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to investigate an allegation of abuse for two (#1 and #3) of three residents reviewed for allegations of abuse. The DON identified nine residents with allegations of abuse in the past six months.
Inspectors wroteBased on observation, record review, and interview, the facility failed to follow the menus for the residents. The administrator identified 50 residents who resided in the facility and ate meals prepared by the kitchen.
Inspectors wroteBased on observation and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The DON identified 46 resident residing in the facility who receive meals from the kitchen.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents did not experience resident to resident abuse for two (#9 and #147) of two residents sampled for abuse. The facility failed to ensure Res #30 did not touch or kiss Res #9 and #147. The DON reported the facility had two allegations of abuse in the last three months. The administrator identified 47 residents who resided in the facility.
Inspectors wroteBased on record review and interview the facility failed to ensure allegations of abuse were reported to OSDH, the administrator, and the residents' representatives for two (#9 and #147) for alligations of abuse. The DON reported the facility had two allegations of abuse in the last three months. The administrator identified 47 residents who resided in the facility.
Inspectors wroteBased on record review and interview the facility failed to conduct a thorough investigation into an allegation of abuse for two (#9 and #147) of two residents reviewed for abuse. The DON reported the facility had two allegations of abuse in the last three months. The administrator identified 47 residents who resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to obtain registry verification for one (CMA #1) of eight employee files reviewed for registry verification. The DON reported the facility had four CMAs.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide food that was palatable and at an appetizing temperature for the residents. The DON identified 46 resident residing in the facility who receive meals from the kitchen.
Inspectors wroteBased on observation and interview, the facility failed to ensure infection control practices were followed during wound care for two (#23 and #9) of three sampled resident for pressure ulcers. The DON identified the facility had five residents with pressure ulcers who resided in the facility.
Inspectors wroteBased on interview and record review, the facility failed to provide ABN notification for two (#9 and #41) of three residents who were reviewed for Medicare Part A services. The administrator identified 11 residents who were discharged from Medicare Part A with benefit days remaining in the past six months.
Inspectors wroteBased on record review and interview, the facility failed to ensure assessments were submitted to CMS within 14 days of completion for three (#14, 29, #38 ) of 18 residents whose assessments were reviewed. The administrator identified 47 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure baseline care plans were developed within 48 hours of admission for one (#20) of 18 sampled residents reviewed for care plans. The administrator identified 47 residents resided in the facility.
Inspectors wroteBased on record review and interview, the facility failed to notify the physician, assess, and intervene timely for one (#20) of one sampled resident reviewed for hospitalization. The DON identified 19 residents were sent to the hospital in the past three months.
Inspectors wroteBased on observation, record review, and interview, the facility failed to (ensure the physician was notified and interventions in place for weight loss) (act and maintain acceptable parameters of nutritional status) for one (#28) of one sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents form documented 47 residents resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to assess for the need and risk of using bed rails for one (#13) of one sampled resident reviewed for bed rail usage. The CMS 671 form documented 47 residents resided at the facility. Res #13 was diagnoses which included anxiety, atrial fibrillation, rheumatoid arthritis, and chronic obstructive pulmonary disease. On 05/26/23 a bed rail consent was signed. A quarterly assessment, dated 09/09/23, documented the resident's cognition was intact and independent to minimal assistance with all ADLs. On 11/08/23 at 3:49 p.m., an observation was made of the resident's bed. Bed rails were observed secured to each side of the resident's bed. The EHR was reviewed and revealed no documentation related to a bed rail assessment. On 11/13/23 at 12:35 p.m., MDS Coordinator #1 stated they could not find a bed rail assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a diagnosis for the use of a psychotropic medication for one #(39) of five sampled residents reviewed for unnecessary medications. The DON reported 34 resident in the facility who received psychotropic medications.
Inspectors wroteBased on observation, record review, and interview, the facility failed to follow a therapeutic diet and menu for the residents who received a pureed diet. The DM identified two residents resided in the facility who had a pureed diet.
Inspectors wroteBased on observation, record review, and interview, the facility failed to inspect and maintain records for residents utilizing bed rails. The Resident Census and Conditions of Residents form, documented 47 residents resided at the facility.
Inspectors wroteBased on record review and interview, the facility failed to: a. complete neurological checks for two (#9 and #93) of two sampled residents reviewed for falls and b. notify a physician of abnormal blood sugars as ordered for one (#15) of five sampled residents reviewed for medications. Resident Census and Conditions of Residents report, dated 08/01/22, documented 45 residents resided in the facility.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure lancets were disposed of properly for two (#31 and #34) of three sampled residents observed during medication administration. The Resident Census and Conditions of Residents report, dated 08/01/22, documented 45 residents resided in the facility and 10 residents received insulin injections.
Inspectors wroteBased on record review and interview, the facility failed to ensure CNA competency evaluations were completed annually for three (CNA #4, 5 and #6) of three sampled staff records reviewed.
Inspectors wroteBased on record review, observations, and interview, the facility failed to: a. wear appropriate PPE when providing care to two Covid-19 positive residents (#6 and #9) of five sampled residents and b. ensure a glucometer was cleaned between three (#13, 31, and #34) of three sampled residents reviewed for infection control.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure residents were provided privacy during administration of FSBS and insulin for one (#13) of three sampled residents reviewed for privacy. The Resident Census and Conditions of Residents report, dated 08/01/22, documented 45 residents resided in the facility and 10 residents received insulin injections.
Inspectors wroteBased on record review and interview, the facility failed to ensure baseline care plans were completed for one (#93) of one sampled resident reviewed for baseline care plans. The Resident Census and Conditions of Residents report, dated 08/01/22, documented 45 residents resided in the facility.
Inspectors wroteBased on record review, observation, and interview, the facility failed to revise a care plan for one (#15) of 14 sampled residents reviewed for care plans. The Resident Census and Condition of Residents report, dated 08/01/22, documented a census of 45.
Inspectors wroteBased on record review, observation, and interview the facility failed to provide a suction machine at bedside for one (#39) of one sampled resident reviewed for tracheostomy. The Resident Census and Condition of Residents report, dated 08/01/22, documented one resident with a tracheostomy.
Inspectors wroteBased on record review and interview, it was determined the facility failed to ensure the resident's progress note was completed with correct time and details of an incident for one (#93) of two sampled residents reviewed for falls. The Resident Census and Conditions of Residents report, dated 08/01/22, documented 45 residents resided in the facility.
4 fire safety citations on file: 2 on March 17, 2025, 2 on August 4, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| March 17, 2025 | Fine | $23,879 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.19 | 3.79 | 3.86 |
| Registered nurses | 0.19 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.43 | 3.44 | 3.42 |
| Nurse aides | 3.20 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.49 on weekdays and 3.43 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.50 in April to June 2025 to 4.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.19 | 0.19 | 4.49 | 3.43 | 17.8% | 0 of 90 | 46 |
| Oct to Dec 2025 | 5.25 | 0.19 | 5.56 | 4.48 | 15.5% | 0 of 92 | 44 |
| Jul to Sep 2025 | 5.74 | 0.23 | 6.02 | 5.05 | 0.0% | 2 of 92 | 45 |
| Apr to Jun 2025 | 5.50 | 0.22 | 5.73 | 4.94 | 0.0% | 3 of 91 | 43 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Oklahoma, all employers | |||
| CNAs (nursing assistants) | $17.27 | $15.82 to $18.39 | 19,410 |
| LPNs and LVNs | $28.04 | $24.06 to $29.84 | 11,540 |
| Registered nurses | $39.87 | $37.19 to $47.55 | 38,270 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.2 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 13.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.8 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.3 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.7 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.1 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 3.0 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Community Health Care of Gore's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Oklahoma: 24 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 19 eligible stays.
11.2% this home
No different from the national rate
US median of homes 10.7% · Oklahoma: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 36 eligible stays.
7.4% this home
No different from the national rate
US median of homes 7.1% · Oklahoma: 0 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 25 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Oklahoma54.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
2.9% this home
Median of homes: Oklahoma0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 34 residents counted.
6.6% this home
Median of homes: Oklahoma2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 34 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Oklahoma100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GORE HEALTH SERVICES, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Montgomery, Schuyler | 5% or greater direct ownership interest | Individual | 100% | 02/01/2005 |
| Montgomery, Schuyler | Corporate director | Individual | 02/01/2005 | |
| Montgomery, Colton | Operational/managerial control | Individual | 06/06/2016 | |
| Anderson, William | Adp of the SNF | Individual | 12/08/2025 | |
| Montgomery, Colton | Adp of the SNF | Individual | 06/06/2016 | |
| Montgomery, Schuyler | Adp of the SNF | Individual | 06/06/2016 |
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.
Chosen from this home's own inspection record.
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.