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Emerald Care Center Southwest LLC

5600 South Walker, Oklahoma City, OK 73109 · Oklahoma County · (405) 632-7771

112 certified beds, about 67 residents a day · For profit - Individual · Medicare and Medicaid since 1993

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375135 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 13, 2024, inspectors cited 8 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 45 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated April 9, 2025.

Nurses and nurse aides worked 3.33 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

65.8% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Emerald Healthcare, an affiliated group of 14 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.

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
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
18D
26E
0F
Potential for minimal harm
0A
0B
0C
July 14, 2026Complaint inspection · 2 citations
  1. 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 verbal abuse for 1 (#3) of 3 sampled residents reviewed for abuse. The admissions coordinator identified 72 residents resided in the facility.
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 19, 2026
    Inspectors wroteBased on record review and interview, the facility failed to revise a care plan to include fall interventions for 1 (#3) of 3 sampled residents reviewed for fall interventions. The admissions coordinator identified 72 residents resided in the facility.
January 5, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) February 17, 2026
    Inspectors wroteBased on record review and interview, the facility failed to complete a Nursing admission Data Collection (an assessment used for elopement risk timely for 1 (#1) of 1 sampled resident reviewed for elopement. The administrator identified 71 residents resided in the facility.
April 9, 2025Complaint inspection · 6 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a urinalysis order was completed and an antibiotic was transcribed as ordered for 1 (#5) of 3 sampled residents reviewed for care and treatment. The administrator identified 63 residents resided in the facility.
  2. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide care consistent with professional standards of practice and in accordance with physician orders for: a. a PICC line for 1 (#1) of 3 sampled residents reviewed for infection control; and b. the administration of IV fluids for 1 (#12) of 3 sampled residents reviewed for medications as ordered. The DON identified six residents with IV lines resided in the facility.
  3. 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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow the menu for one of one meal service observed. The DON identified 63 residents who received their meals from the kitchen.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control was maintained during the provision of incontinent care and PICC line dressing change for 2 (#1 and #9) of 3 sampled residents reviewed for infection control. The administrator identified 63 residents resided in the facility.
  5. 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) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's: a. emergency contact and physician were notified of a resident's refusal of urine specimen collection for urinalysis for 1 (#5); and b. physician was notified of a resident's low blood sugar as ordered for 1 (#5) of 3 sampled residents reviewed for care and treatment. The administrator identified 63 residents resided in the facility.
  6. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a urinalysis order was completed in a timely manner for 1 (#7) of 3 sampled residents reviewed for care and treatment. The administrator identified 63 residents resided in the facility.
December 13, 2024Standard inspection · 8 citations
  1. 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) January 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed include and update a careplan for one (#27) of eight sampled residents whose careplans were reviewed. The administrator identified 64 residents resided in the facility.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a smoking assessment was completed for one (#27) of 19 residents sampled for smoking assessments. The DON identified 64 residents who resided in the facility.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure: a. the correct inhaler medication was provided to a resident for one (#21) of one sampeld resident reviewed for medication administration; b. medications were administered according to physicians orders for two (#37 and #116); and c. a resident's chart was updated with a new antibiotic order to be continued after an ER visit for one (#116) of two sampled residents reviewed for UTI's.
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 21, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure a medication cart was securely locked and attended to according to facility policy and procedure. The administrator identified 64 residents resided in the facility.
  5. 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) January 21, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. hair nets were worn appropriately; b. the kitchen was kept clean and maintained in good repair; c. food items were labeled, dated, and stored according to facility policy; and d. hand washing and glove usage were appropriate. The DON identified 60 residents ate from the kitchen.
  6. 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) January 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to follow the antibiotic stewardship policy by ensuring a standardized tool for initiation of antibiotics was completed for the treatment of UTI's for one (#37) of three sampled residents reviewed for UTI's. The administrator identified 64 residents resided in the facility.
  7. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide documentation pneumococcal vaccines were offered and/or administered for two (#37 and #216) of five sampled residents reviewed for immunizations. The administrator identified 64 residents resided in the facility.
  8. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 21, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain effective pest control. The administrator identified 64 residents resided in the facility.
October 12, 2024Complaint inspection · 2 citations
  1. 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 residents were free from abuse for one (#2) of two sampled residents reviewed for abuse. The DON identified 58 residents resided in the facility.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for one (#10) of three sampled residents reviewed for misappropriation of property. The DON identified 58 residents resided in the facility.
June 17, 2024Complaint inspection · 1 citation
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide ulcer care as ordered by the physician for two (#1 and #3) of three residents sampled for ulcer care. LPN #1 identified 61 residents resided in the facility.
May 17, 2024Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure ADL assistance was provided in a timely manner for one (#7) of four resident call lights observed for staff assistance in a timely manner. The administrator identified 51 residents resided in the facility.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to administer pain and nausea medication as ordered in a timely manner for one (#6) of three sampled residents reviewed for medication administration. The Administrator identified 65 residents resided in the facility. A Medication Administration and General Guidelines policy, read in part, Medications are administered in accordance with written orders of the attending physician. A physician's order dated 05/13/24, documented Norco 10-325 mg every 6 hours as needed for pain. A physician's order dated 05/13/24, documented Ondansetron 4 mg every 6 hours as needed for n/v. Review of Resident #6 MAR did not document the administration of prn pain nor nausea medications. Resident #5 had diagnosis which included senile degeneration of the brain and dysphagia. [...]
February 5, 2024Complaint inspection · 6 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide pressure ulcer treatment as ordered for three (#3, 5, and #8) of three sampled residents reviewed for pressure ulcers. The Resident Matrix, dated 02/01/24, documented two residents had pressure ulcers in the facility.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for two (#5 and #8) of three sampled residents reviewed for medication administration. The Resident Matrix, dated 02/01/24, documented 73 residents resided in the facility.
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications were not stored at a resident's bedside for one (#8) of three sampled residents reviewed for medication administration. The Resident Matrix, dated 02/01/24, documented 73 residents resided in the facility. The Administrator identified no residents in the facility with orders for bedside medications.
  4. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on record review and interview, the facility failed to obtain a physician ordered urinalysis for one (#3) of three sampled residents reviewed for a change in condition. The Resident Matrix, dated 02/01/24, documented 73 residents resided in the facility.
  5. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure adequate portion sizes were offered to residents for one of one meal service observed. The DON identified 69 residents received services from the kitchen in the facility.
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure wound care treatment was accurately documented for one (#8) of three sampled residents reviewed for pressure ulcers. The Resident Matrix, dated 02/01/24, documented two residents with pressure ulcers resided in the facility.
August 18, 2023Standard inspection · 13 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to notify the physician when: a. a resident's FSBS was out of range and when they administered glucagon for one (#44); b. a resident refused insulin administration for one (#44); c. a resident's routine insulin was held for one (#44); and d. a resident experienced a fall for one (#29) of 16 sampled residents reviewed for physician notification. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility. The facility Resident Matrix, dated 08/14/23, documented 23 residents who received insulin resided in the facility.
  2. 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) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to: a. intervene per physician's order when a resident's FSBS was out of range; and b. monitor blood pressure for a resident who received two medications to treat blood pressure and who received renal dialysis for one (#44) of eight sampled residents reviewed for medications administered as ordered. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility. The facility Resident Matrix, dated 08/14/23, documented 23 residents who received insulin resided in the facility.
  3. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide pressure ulcer treatment as ordered for one (#7) of three sampled residents reviewed for pressure ulcers. The Resident Census and Conditions of Resident report, dated 08/14/23, documented three residents with pressure ulcers, excluding stage one, resided in the facility.
  4. E
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. a tube feeding bag administering nutrition and hydration contained the date, time, and name of the staff who hung the feeding for administration for one (#29); b. a resident was provided tube feedings as ordered by the physician for one (#44); c. staff documented by mouth intake for a resident who had tube feeding orders for by mouth intake of less than 50 percent for one (#44); and d. tube feeding water flush order was implemented for one (#53) of four sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 08/14/23, documented five residents who received tube feedings resided in the facility.
  5. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for two (#29 and #44) of eight sampled residents reviewed for medication administration. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  6. 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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow the menu for two of two meals observed. The DON identified 56 residents who received their meals from the kitchen.
  7. 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) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. record food temperatures; b. ensure staff wore beard restraint during meal preparation; and c. ensure ice was stored in a manner to prevent cross contamination. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility. The DON reported six residents were NPO.
  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) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. the cap to prevent cross contamination was present on a tube feeding port for one (#29) of four sampled resident's reviewed for nutrition; b. linens contaminated with bodily fluids were removed from a resident's bed for one (#41) of 28 sampled residents observed for clean environment; and c. incontinent care was provided in a manner to prevent cross contamination for one (#1) of three sampled residents observed for incontinent care. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  9. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a call light was in reach for one (#29) of 28 sampled residents reviewed for call lights. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  10. D
    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, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide a clean, sanitary, homelike environment for one (#29) of 28 sampled residents reviewed for homelike environment. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  11. 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) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure MDS Resident Assessments were accurate for one (#48) of 21 sampled residents reviewed for MDS resident assessments. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  12. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure: a. physician ordered weekly weights were obtained for one (#170) of three sampled residents reviewed for weight loss, and b. physician ordered supplement of high protein high calorie was provided for one (#170) of four sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 08/14/23, documented 62 residents resided in the facility.
  13. D
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to offer bedtime snacks for one snack service observed. The DON identified 56 residents who received their meals from the kitchen.
December 21, 2021Standard inspection · 4 citations
  1. 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) February 1, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for four (#26, 46, 47, and #51) of four sampled residents reviewed for following physician's orders. The Census and Conditions of Residents Report documented 65 residents resided in the facility.
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 1, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to a. identify significant weight loss and intervene for one (#47), and b. identify a therapeutic diet preference and intervene for one (#51) of four residents reviewed for nutrition. The Census and Conditions of Residents Report documented 65 residents resided in the facility.
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 1, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to a. provide a separately locked, permanently affixed compartment for storage of controlled drugs; b. monitor the medication room temperature daily in one of one medication storage room observed for medication storage; c. store drugs in a containers labeled with a resident's name and identification of the drug; and d. discard medications from the medication cart for destruction after a resident was discharged from the facility and discard expired medications for three of four medication carts observed for medication storage. The Census and Conditions of Residents Report identified 65 residents who resided in the facility.
  4. 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) February 1, 2022
    Inspectors wroteBased on observation, and interview, the facility failed to a. remove expired food from the refrigerator, and b. store and label food in a safe manner for two of two refrigerators observed for food storage and labeling. The Director of Nursing reported 65 residents received meals from the kitchen.

Fire safety inspections

8 fire safety citations on file: 2 on December 13, 2024, 4 on August 18, 2023, 2 on December 21, 2021.

Every fire safety citation8 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 13, 2024 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 13, 2024 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 18, 2023 · Corrected (the home has a date of correction)
  4. 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 · August 18, 2023 · Corrected (the home has a date of correction)
  5. 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 · August 18, 2023 · Corrected (the home has a date of correction)
  6. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 18, 2023 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 21, 2021 · Corrected (the home has a date of correction)
  8. E
    Have an externally vented heating system.
    K 522 · December 21, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 9, 2025Fine $8,278
April 9, 2025Payment Denial 3 days from May 2, 2025

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)3.333.793.86
Registered nurses0.400.340.69
All nursing staff on weekends3.003.443.42
Nurse aides2.18
Licensed practical nurses0.75
Nursing staff turnover (share who left in a year)65.8%55.5%45.8%
Registered nurse turnover42.9%53.6%42.9%
Administrators who left0

CMS expects 3.40 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 3.47 on weekdays and 3.00 on weekends, 14% 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 3.34 in April to June 2025 to 3.33 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.330.403.473.00 0.0%0 of 9067
Oct to Dec 20253.360.313.433.19 0.0%0 of 9269
Jul to Sep 20253.270.413.363.05 0.0%0 of 9267
Apr to Jun 20253.340.463.473.02 0.0%0 of 9164
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.

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. If you work here, your report helps start one.

Official wage estimates for Oklahoma

JobMedianMiddle halfEmployed
Oklahoma, all employers
CNAs (nursing assistants)$17.27$15.82 to $18.3919,410
LPNs and LVNs$28.04$24.06 to $29.8411,540
Registered nurses$39.87$37.19 to $47.5538,270
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Emerald Care Center Southwest LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
9.713.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.61.90.8
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
2.44.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.213.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.64.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.817.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.827.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.716.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.93.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Emerald Care Center Southwest LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

51.8% this home

No different from the national rate

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. 60 eligible stays.

Potentially preventable readmissions

11.7% 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. 101 eligible stays.

Infections that led to a hospital stay

8.1% 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. 60 eligible stays.

Self-care and mobility at discharge

40.3% this home

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. 72 residents counted.

Falls with major injury

0.0% 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. 113 residents counted.

New or worsened pressure ulcers

4.3% 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. 113 residents counted.

Medication list given at discharge

92.3% this home

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. 26 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.

Owners and operators

Legal business name: GARDEN MANOR REHAB AND NURSING OF SOUTHWEST LLC. CMS links this home to Emerald Healthcare, a group of 14 nursing homes averaging 1.3 stars overall.

NameRoleTypeShareSince
Admn GroupDirect ownership interestOrganization03/17/2017
David M Fistel Ok LLCDirect ownership interestOrganization03/17/2017
Jw Oklahoma Holdings, LLCDirect ownership interestOrganization03/17/2017
Lme Family Holdings LLCDirect ownership interestOrganization03/17/2017
Moussaieff Family Holdings LLCDirect ownership interestOrganization03/17/2017
Mrw Partners LLCDirect ownership interestOrganization03/17/2017
Njny17 LLCDirect ownership interestOrganization03/17/2017
Okl Holdings LLCDirect ownership interestOrganization03/17/2017
SandrDirect ownership interestOrganization03/17/2017
Ycok Holdings LLCDirect ownership interestOrganization03/17/2017
Bankers Trust Company5% or greater security interestOrganization03/17/2017
Awopeju, OlukayodeOperational/managerial controlIndividual06/15/2020
Fleischmann, DavidOperational/managerial controlIndividual01/17/2022
Gopin, BrianOperational/managerial controlIndividual04/15/2019
Lee, RebekahOperational/managerial controlIndividual07/28/2021
Admn GroupAdp of the SNFOrganization03/17/2017
David M Fistel Ok LLCAdp of the SNFOrganization03/17/2017
Emerald Healthcare LLCAdp of the SNFOrganization03/17/2017
Evolve Therapy Services LLCAdp of the SNFOrganization07/21/2021
Forvis Mazars LLPAdp of the SNFOrganization03/17/2017
Jw Oklahoma Holdings, LLCAdp of the SNFOrganization03/17/2017
Limestone Fiscal Services LLCAdp of the SNFOrganization01/27/2024
Lme Family Holdings LLCAdp of the SNFOrganization03/17/2017
Merch Pay IncAdp of the SNFOrganization03/17/2017
Moussaieff Family Holdings LLCAdp of the SNFOrganization03/17/2017
Mrw Partners LLCAdp of the SNFOrganization03/17/2017
Njny17 LLCAdp of the SNFOrganization03/17/2017
Okl Holdings LLCAdp of the SNFOrganization03/17/2017
SandrAdp of the SNFOrganization03/17/2017
Saul N Friedman & CompanyAdp of the SNFOrganization03/17/2017
Wellsky CorporationAdp of the SNFOrganization06/01/2024
Ycok Holdings LLCAdp of the SNFOrganization03/17/2017
Awopeju, OlukayodeAdp of the SNFIndividual06/19/2025
Fleischmann, DavidAdp of the SNFIndividual01/17/2022
Gopin, BrianAdp of the SNFIndividual04/15/2019
John, TeneyAdp of the SNFIndividual06/30/2025
Lee, RebekahAdp of the SNFIndividual07/28/2021
Miner, LaquetaAdp of the SNFIndividual09/19/2022
Smith, MelissaAdp of the SNFIndividual03/17/2017
Vanbrunt, AmyAdp of the SNFIndividual03/17/2017

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on January 5, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on December 13, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on April 9, 2025: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 14, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the Oklahoma average of 3.44.

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Common questions

What is Emerald Care Center Southwest LLC's Medicare star rating?
CMS rates Emerald Care Center Southwest LLC 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Emerald Care Center Southwest LLC get at its last inspection?
8 health deficiencies at the standard inspection on December 13, 2024. The Oklahoma average is 6.4.
Has Emerald Care Center Southwest LLC been fined?
Yes. CMS lists 1 fine totaling $8,278 in the last three years.
Does Emerald Care Center Southwest LLC 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 Emerald Care Center Southwest LLC?
CMS lists 40 owners and managers, and links the home to Emerald Healthcare. Legal business name: GARDEN MANOR REHAB AND NURSING OF SOUTHWEST LLC.

Sources

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