Elk Crossing
811 West Elk, Duncan, OK 73533 · Stephens County · (580) 475-0750
120 certified beds, about 106 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2016
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375566 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 23, 2026, inspectors cited 4 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 8 health citations since March 2023 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 5.75 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
46.4% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
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 8 health citations on file.
April 23, 2026Standard inspection · 4 citations
- 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, record review, and interview, the facility failed to ensure food was prepared and served in a sanitary manner that minimized the risk of infection/cross contamination during 2 of 2 meal preparation and service observations. The dietary manager identified 109 residents received nutrition from the kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control practices were followed for residents with urinary catheters for 2 (#1 and #13) of 2 sampled residents reviewed for urinary catheters. The administrator identified two residents with urinary catheters resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure allegations of abuse were reported to the OSDH as required for 1 (#7) of 1 sampled resident reviewed for abuse. The administrator identified 109 residents who resided in the facility.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a baseline care plan for a urinary catheter for 1 (#13) of 2 sampled residents reviewed for urinary catheters. The administrator identified 2 residents with urinary catheters resided in the facility. On 04/22/26 at 12:50 p.m., Resident #13 was observed in their wheelchair with a catheter bag hanging under the wheelchair and lying on the floor. An undated policy titled Baseline Care Plan, showed the baseline care plan will include immediate care needs, activities of daily living assistance needs, and any required precautions or equipment. A baseline care plan for Resident #13, dated 04/15/26, contained no documentation of a urinary catheter. The baseline care plan showed Resident #13 required two or more staff assistance with toileting. [...]
April 25, 2024Standard inspection, Complaint inspection · 2 citations
- 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 proper food service sanitation and storage requirements were followed. The Long Term Care Facility Application for Medicare and Medicaid, dated 04/22/24, documented 83 residents resided in the facility. The CDM identified one resident 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 resident assessments were accurate for one (#59) of 18 sampled residents whose resident assessments were reviewed. The Long Term Care Facility Application for Medicare and Medicaid, dated 04/22/24, documented 83 residents resided in the facility.
March 23, 2023Standard inspection · 2 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to: a. document the provision of information and education regarding the risks, benefits, and potential side effects of the influenza and/or pneumococcal vaccinations, and; b. maintain a signed consent or declination from the resident or resident's representative for four (#17, 47, 53, and #60) of five residents reviewed for vaccinations. The Resident Census and Conditions of Residents, dated 03/20/23, documented 66 residents resided in the facility.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review and interview, it was determined the facility failed to: a. maintain documentation in the resident's medical record regarding the education provided to the resident or resident's representative regarding the benefits, risks and potential side effects associated with the COVID-19 vaccine before administration, and; b. maintain documentation of a signed consent or refusal in the resident's medical record for the COVID-19 vaccine for one (#17) of five residents reviewed for vaccinations. The Resident Census and Conditions of Residents, dated 03/20/23, documented 66 residents resided in the facility.
Fire safety inspections
3 fire safety citations on file: 2 on April 23, 2026, 1 on April 25, 2024.
Every fire safety citation3 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
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) | 5.75 | 3.79 | 3.86 |
| Registered nurses | 0.29 | 0.34 | 0.69 |
| All nursing staff on weekends | 5.38 | 3.44 | 3.42 |
| Nurse aides | 4.27 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 46.4% | 55.5% | 45.8% |
| Registered nurse turnover | 50.0% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.38 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 5.90 on weekdays and 5.38 on weekends, 9% 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 5.87 in April to June 2025 to 5.75 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 | 5.75 | 0.29 | 5.90 | 5.38 | 0.0% | 0 of 90 | 106 |
| Oct to Dec 2025 | 6.11 | 0.31 | 6.34 | 5.52 | 0.0% | 0 of 92 | 97 |
| Jul to Sep 2025 | 5.88 | 0.29 | 6.15 | 5.19 | 0.0% | 0 of 92 | 100 |
| Apr to Jun 2025 | 5.87 | 0.35 | 6.11 | 5.26 | 0.0% | 0 of 91 | 99 |
| 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
Staff pay at this home
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.
Official wage estimates for Oklahoma
| 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.
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 | 14.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 5.4 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.5 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.4 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 3.0 | 1.8 |
Owners and operators
Legal business name: JLG HEALTHCARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gregston, Jeff | 5% or greater direct ownership interest | Individual | 75% | 02/02/2012 |
| Greiner, Kenneth | 5% or greater direct ownership interest | Individual | 20% | 02/02/2012 |
| Miller, Douglas | 5% or greater direct ownership interest | Individual | 5% | 02/02/2012 |
| Gregston, Jeff | Corporate officer | Individual | 02/02/2012 | |
| Stewart, Bethany | Operational/managerial control | Individual | 08/30/2016 | |
| Gregston, Jeff | Adp of the SNF | Individual | 02/02/2012 | |
| Greiner, Kenneth | Adp of the SNF | Individual | 02/02/2012 | |
| Ivory, Matt | Adp of the SNF | Individual | 04/09/2025 | |
| Miller, Douglas | Adp of the SNF | Individual | 02/02/2012 | |
| Stewart, Bethany | Adp of the SNF | Individual | 04/11/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 23, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 23, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Wilkins Health & Rehabilitation Community Duncan, 2.3 mi · 5 of 5 stars · 8 citations
- Meridian Nursing Home Comanche, 7.9 mi · 5 of 5 stars · 1 citation
- Gregston Nursing Home, Inc. Marlow, 8.2 mi · 4 of 5 stars · 6 citations
- Marlow Nursing & Rehab Marlow, 8.2 mi · 3 of 5 stars · 30 citations
- Temple Manor Nursing Home Temple, 23.8 mi · 5 of 5 stars · 2 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 Elk Crossing's Medicare star rating?
- CMS rates Elk Crossing 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elk Crossing get at its last inspection?
- 4 health deficiencies at the standard inspection on April 23, 2026. The Oklahoma average is 6.4.
- Has Elk Crossing been fined?
- CMS lists no fines in the last three years.
- Does Elk Crossing 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 Elk Crossing?
- CMS lists 10 owners and managers. Legal business name: JLG HEALTHCARE LLC.
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.