Cottonwood Creek Skilled Nursing & Therapy
2300 Iowa Avenue, Chickasha, OK 73023 · Grady County · (405) 224-6456
120 certified beds, about 68 residents a day · For profit - Partnership · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375144 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 6, 2025, inspectors cited 5 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 23 health citations since November 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.81 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.23 of those hours.
42.2% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bridges Health, an affiliated group of 33 nursing homes.
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.
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 23 health citations on file.
February 6, 2025Standard inspection, Complaint inspection · 6 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation record review, and interview, the facility failed to follow their policy on insulin administration for 2 (#27 and #39) of 3 sampled residents reviewed for medication administration. The DON identified 20 residents residing in the facility received insulin.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate for 1 (#8) of 18 assessments verified for accuracy. The administrator identified 76 residents resided in the facility.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview the facility failed to ensure the OHCA was notified of a new mental health diagnosis for 1 (#2) of 1 resident sampled for preadmission screening and resident review. The administrator reported 76 residents resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen was administered as ordered for 1 (#30) of 18 sampled residents reviewed for following physician orders. The administrator reported 76 residents resided in the facility.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who received an anticoagulant medication had an acceptable diagnosis/indication for the use of the medication for 1 (#56) of 5 sampled residents reviewed for unnecessary medications. The administrator identified 76 residents who resided in the facility.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview the facility failed to ensure residents right to privacy in their rooms for 2 (#27 and #39) of 3 sampled residents observed for resident rights. The administrator identified 76 residents resided in the facility. A Essentials of Resident Rights policy, dated 2020, read in part, Each resident has the right to enjoy privacy in their room. Always knock before entering a room, and if the resident is able to respond, wait for a response. Knock even when the door is open and the resident can see you, or if the resident cannot respond to let them know you are there. 1. Resident #39 had diagnoses which included chronic obstructive pulmonary disease and type two diabetes mellitus with diabetic neuropathy. Resident #39's significant change assessment, dated 01/11/25, showed the resident required partial/moderate to total assistance with their ADLs. [...]
December 14, 2023Standard inspection, Complaint inspection · 5 citations
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure call devices were within reach for four (#3, 32, 51, and #63) and failed to ensure a resident's preference to have a microwave in their room was accommodated for one (#19) of six sampled residents reviewed for accommodation of needs. The administrator identified 69 residents resided in the facility. 1. Res #19 had diagnoses which included GERD, constipation, vitamin deficiency, anemia, diverticulosis, and diabetes. A resident handbook, read in part, .For your safety, and because of fire and safety regulations, the following items may not be used in the facility: [...]
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure menus were followed for one of one meal service observed. The DON identified 56 residents who received a diet with regular or mechanical soft texture.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was kept clean and maintained in good repair. The DON identified 65 received services from the kitchen. Four resident received nutrition and hydration solely through a feeding tube.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure wound care treatments were completed as ordered for one (#3) of one sampled resident reviewed for pressure ulcers. The DON identified 12 residents with pressure ulcers in the facility.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure tube feedings were administered timely for one (#53) of one sampled residents reviewed for tube feeding. The DON identified four residents received tube feedings.
November 18, 2022Standard inspection · 12 citations
- E 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.
Inspectors wroteBased on record review, interview, and observation, it was determined the facility failed to ensure an Oklahoma Do Not Resuscitate (DNR) consent form was: a. available in the facility for a resident with a physician order for DNR status for (#14) b. dated when signed by the resident for one (#39) of 24 residents whose code status were reviewed. The Resident Census and Conditions of Residents report, documented 69 residents who resided in the facility.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, observation, and interview, it was determined the facility failed to ensure a comprehensive care plan was developed to meet the residents' medical and nursing needs for three (#44, 49, and #61) of 19 sampled residents whose care plans were reviewed. The facility failed to: a. develop a care plan related to the smoking status for Res #61 and b. develop a care plan for restorative care and ROM for Res #44 and #49. The Resident Census and Conditions of Residents report, documented 69 residents who resided in the facility.
- E 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident with limited ROM received services to increase, maintain, or prevent further decline in ROM for three (#44, 49, and #61) of three residents reviewed for limited ROM. The Resident Census and Conditions of Residents report, documented 45 residents who had contractures.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review, observation, and interview, the facility failed to provide sufficient staff to meet the needs of the residents. The Resident Census and Conditions of Residents report, documented 69 residents who resided in the facility.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to administer medications as ordered as the physician for one (#11) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 11/14/22, documented 69 residents resided in the facility.
- 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure residents were free from unnecessary psychotropic medications for one (#42) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, documented 43 residents who received psychoactive medications.
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on record review and interview, the facility failed to guarantee the person designated to serve as the DM met the State requirement for DM. The Resident Census and Conditions of Residents report, dated 11/14/22, documented 69 residents resided in the facility. The corporate nurse consultant #1 identified three residents received nutrition and hydration solely through a feeding tube.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained clean and in good repair. The Resident Census and Conditions of Residents report, dated 11/14/22, documented 69 residents resided in the facility. The corporate nurse consultant #1 identified three residents received nutrition and hydration solely through a feeding tube.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure assessments accurately reflected the resident's status for one (#11) of 19 sampled residents reviewed for MDS accuracy. The Resident Census and Conditions of Residents report, dated 11/14/22, documented 69 residents resided in the facility.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, and interview, the facility failed to ensure a dependent resident was bathed as scheduled for one (#49) of one sampled resident reviewed for ADLs. The Resident Census and Conditions of Residents report, documented 69 residents who resided in the facility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation and interview, it was determined the facility failed to respond, in a timely manner, to one (#61) of one sampled residents who was unsupervised while smoking outside in a designated smoking area. The resident was not able to get back into the facility on her own. The DON identified 13 residents who are smokers at the facility.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was ongoing communication with the dialysis center and ongoing assessment of a resident before and after dialysis for one (#54) of one sampled resident reviewed for dialysis services. The Resident Census and Conditions of Residents report, dated 11/14/22, documented two residents received dialysis services.
Fire safety inspections
9 fire safety citations on file: 1 on February 6, 2025, 8 on November 18, 2022.
Every fire safety citation9 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.81 | 3.79 | 3.86 |
| Registered nurses | 0.23 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.44 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 1.36 | ||
| Nursing staff turnover (share who left in a year) | 42.2% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.44 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 3.97 on weekdays and 3.40 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.81 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 | 3.81 | 0.23 | 3.97 | 3.40 | 0.9% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.89 | 0.23 | 3.98 | 3.68 | 0.1% | 1 of 92 | 67 |
| Jul to Sep 2025 | 3.74 | 0.21 | 3.91 | 3.32 | 0.4% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.77 | 0.19 | 3.87 | 3.52 | 0.4% | 0 of 91 | 68 |
| 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.
Quality measures
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 | 8.6 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.5 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 28.8 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 7.2 | 3.0 | 1.8 |
Owners and operators
Legal business name: CONVALESCENT CENTER OF GRADY COUNTY. CMS links this home to Bridges Health, a group of 33 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bridges Employee Stock Ownership Trust | 5% or greater indirect ownership interest | Organization | 100% | 12/31/2020 |
| Deroin, Kristy | W-2 managing employee | Individual | 12/31/2020 | |
| Coble, William | Corporate officer | Individual | 12/31/2020 | |
| Bridges Esop, Inc | Operational/managerial control | Organization | 12/31/2020 | |
| Coble, William | Operational/managerial control | Individual | 12/31/2020 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on February 6, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 6, 2025: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on December 14, 2023: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Oklahoma average of 3.44.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Glenhaven Retirement Village Chickasha, 0 mi · 2 of 5 stars · 29 citations
- Shanoan Springs Nursing and Rehabilitation Chickasha, 1.7 mi · 3 of 5 stars · 24 citations
- Chickasha Nursing Center, Inc Chickasha, 2 mi · 1 of 5 stars · 27 citations
- Anadarko Nursing & Rehab Anadarko, 16.1 mi · 1 of 5 stars · 18 citations
- Senior Village Healthcare Blanchard, 18.4 mi · 5 of 5 stars · 9 citations
- Tuttle Care Center Tuttle, 18.9 mi · 2 of 5 stars · 12 citations
- Lindsay Nursing & Rehab Lindsay, 24.3 mi · 3 of 5 stars · 17 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Cottonwood Creek Skilled Nursing & Therapy's Medicare star rating?
- CMS rates Cottonwood Creek Skilled Nursing & Therapy 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cottonwood Creek Skilled Nursing & Therapy get at its last inspection?
- 5 health deficiencies at the standard inspection on February 6, 2025. The Oklahoma average is 6.4.
- Has Cottonwood Creek Skilled Nursing & Therapy been fined?
- CMS lists no fines in the last three years.
- Does Cottonwood Creek Skilled Nursing & Therapy 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 Cottonwood Creek Skilled Nursing & Therapy?
- CMS lists 5 owners and managers, and links the home to Bridges Health. Legal business name: CONVALESCENT CENTER OF GRADY COUNTY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.