Grace Skilled and Nursing Therapy Norman
4554 West Main, Norman, OK 73072 · Cleveland County · (405) 366-8800
136 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375122 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 11, 2026, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 9 health citations since April 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 3.60 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
46.8% 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 9 health citations on file.
February 11, 2026Standard inspection · 3 citations
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was notified before there room was changed for 1 (#29) of 6 sampled residents reviewed for notification of room change. The administrator identified 104 residents resided in the facility.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to ensure a bed hold policy was given to resident at the time of being discharged to the hospital for 1 (#29) of 6 sampled residents reviewed for bed hold policies given upon discharge. The administrator identified 104 residents resided in the facility.
- D 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 clean dishes were stored in a sanitary manner during 1 of 1 observation of the storage of dishes in the kitchen. The DM identified 100 residents received nutrition from the kitchen.
May 16, 2024Standard inspection · 3 citations
- 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 complete a new PASARR Level I assessment when a new serious mental illness diagnosis was received for one (#6) of three sampled residents reviewed for PASARR assessments. The DON identified 111 residents who resided in the facility.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nail care was performed for two (#26 and #94) of two residents reviewed for nail care. The DON reported 111 residents resided in the facility.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on record review and interview, the facility failed to ensure the physician was notified timely of a final culture and sensitivity from a urinalysis for one (101) of two sampled residents reviewed for antibiotic use. The DON reported 111 residents resided in the facility.
April 6, 2023Standard inspection · 3 citations
- 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, observation, and interview, the facility failed to ensure medications were administered in accordance with physician orders for one (#83) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 04/03/23, documented 115 residents resided in the facility.
- 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 Resident Census and Conditions of Residents report, dated 04/03/23, documented 115 residents. Two residents received nutrition and hydration solely through a feeding tube.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident's O2 concentrator was set according to physician's orders for one (#43) of one sampled resident reviewed for oxygen. The Resident Census and Conditions of Residents report, dated 04/03/23, documented 28 residents received respiratory treatments.
Fire safety inspections
17 fire safety citations on file: 6 on May 16, 2024, 5 on April 6, 2023, 6 on November 10, 2021.
Every fire safety citation17 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- 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 Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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) | 3.60 | 3.79 | 3.86 |
| Registered nurses | 0.42 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.44 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 55.5% | 45.8% |
| Registered nurse turnover | 53.8% | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 3.76 on weekdays and 3.22 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.60 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 | 3.60 | 0.42 | 3.76 | 3.22 | 0.6% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.53 | 0.39 | 3.64 | 3.25 | 0.7% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.61 | 0.44 | 3.74 | 3.29 | 0.5% | 0 of 92 | 108 |
| Apr to Jun 2025 | 3.61 | 0.50 | 3.79 | 3.16 | 0.9% | 0 of 91 | 108 |
| 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 | 7.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.7 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.0 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 3.0 | 1.8 |
Owners and operators
Legal business name: SECURITY HEALTH CARE LLC. 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 | Contracted managing employee | Individual | 07/01/1997 | |
| Deroin, Kristy | W-2 managing employee | Individual | 07/01/1997 | |
| 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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 11, 2026: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
- 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 February 11, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 16, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 16, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 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
- Medical Park West Rehabilitation & Skilled Care Norman, 0.8 mi · 1 of 5 stars · 47 citations
- Ignite Medical Resort Norman, LLC Norman, 1.3 mi · 1 of 5 stars · 23 citations
- 24th Place Norman, 1.9 mi · 1 of 5 stars · 33 citations
- Holiday Heights Healthcare Norman, 3.9 mi · 5 of 5 stars · 9 citations
- Noble Health Care Center Noble, 8 mi · 1 of 5 stars · 47 citations
- Thunder Care and Rehabilitation Moore, 9.7 mi · 1 of 5 stars · 42 citations
- Meadowlake Estates Oklahoma City, 9.8 mi · 1 of 5 stars · 33 citations
- Senior Village Healthcare Blanchard, 9.9 mi · 5 of 5 stars · 9 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 Grace Skilled and Nursing Therapy Norman's Medicare star rating?
- CMS rates Grace Skilled and Nursing Therapy Norman 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grace Skilled and Nursing Therapy Norman get at its last inspection?
- 3 health deficiencies at the standard inspection on February 11, 2026. The Oklahoma average is 6.4.
- Has Grace Skilled and Nursing Therapy Norman been fined?
- CMS lists no fines in the last three years.
- Does Grace Skilled and Nursing Therapy Norman 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 Grace Skilled and Nursing Therapy Norman?
- CMS lists 6 owners and managers, and links the home to Bridges Health. Legal business name: SECURITY HEALTH CARE 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.