Gregston Nursing Home, Inc.
711 South Broadway, Marlow, OK 73055 · Stephens County · (580) 658-2319
96 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375425 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 22, 2025, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 6 health citations since January 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 4.20 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.
54.5% 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 6 health citations on file.
August 22, 2025Standard inspection · 3 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure dignity was maintained for residents who required staff assistance for eating for 7 (#2, 3, 31, 34, 44, 47, and #52) of 7 sampled residents observed during dining. The DON reported three residents were dependent on staff for eating.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on record review and interview, the facility failed to ensure all meals were served from the kitchen at an appetizing temperature. The DON reported 54 residents received meals from the kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure staff used proper infection control practice while assisting residents with eating for 3 (#2, 3, and #34) of 7 residents observed during dining. The DON reported three residents were dependent on staff assistance for eating.
March 7, 2024Standard inspection · 0 citations
January 13, 2023Standard inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview the facility failed to ensure MDS assessments accurately reflected the residents status for three (#17, 43, and #45) of eighteen sampled residents reviewed for assessments. The Resident Census and Conditions of Residents form documented 52 residents resided in the facility.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to accurately complete a preadmission screening to determine the need for a PASRR II for one (#43) of one sampled resident admitted to the facility. The Resident Census and Conditions of Residents documented 52 residents resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure and document scheduled cleaning for the BIPAP machine for one #43 of one sampled resident with a BIPAP. The Resident Census and Conditions of Residents documented 52 residents resided in the facility.
Fire safety inspections
10 fire safety citations on file: 3 on August 22, 2025, 1 on March 7, 2024, 6 on January 13, 2023.
Every fire safety citation10 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 Have proper medical gas storage and administration areas.
- E Properly provide smoke detection systems in areas open to corridors.
- 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 Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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) | 4.20 | 3.79 | 3.86 |
| Registered nurses | 0.24 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.88 | 3.44 | 3.42 |
| Nurse aides | 2.84 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 54.5% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.25 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 4.32 on weekdays and 3.88 on weekends, 10% 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 4.51 in April to June 2025 to 4.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.24 | 4.32 | 3.88 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 4.75 | 0.40 | 4.88 | 4.40 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 5.01 | 0.18 | 5.21 | 4.53 | 0.0% | 0 of 92 | 51 |
| Apr to Jun 2025 | 4.51 | 0.15 | 4.62 | 4.24 | 0.0% | 0 of 91 | 54 |
| 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 | 35.2 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.7 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.2 | 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 | 18.7 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 3.0 | 1.8 |
Owners and operators
Legal business name: GREGSTON NURSING HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gregston, Jeff | 5% or greater direct ownership interest | Individual | 11/01/2002 | |
| Gregston, Jillian | Operational/managerial control | Individual | 03/02/2022 | |
| Gregston, Jeff | Adp of the SNF | Individual | 11/01/2002 | |
| Gregston, Jillian | Adp of the SNF | Individual | 03/02/2022 | |
| Ivory, Matt | Adp of the SNF | Individual | 04/09/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 13, 2023: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 22, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 22, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 22, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Marlow Nursing & Rehab Marlow, 0.5 mi · 3 of 5 stars · 30 citations
- Elk Crossing Duncan, 8.2 mi · 4 of 5 stars · 8 citations
- Wilkins Health & Rehabilitation Community Duncan, 10.4 mi · 5 of 5 stars · 8 citations
- Meridian Nursing Home Comanche, 16 mi · 5 of 5 stars · 1 citation
- Lindsay Nursing & Rehab Lindsay, 23.5 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 Gregston Nursing Home, Inc.'s Medicare star rating?
- CMS rates Gregston Nursing Home, Inc. 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 Gregston Nursing Home, Inc. get at its last inspection?
- 3 health deficiencies at the standard inspection on August 22, 2025. The Oklahoma average is 6.4.
- Has Gregston Nursing Home, Inc. been fined?
- CMS lists no fines in the last three years.
- Does Gregston Nursing Home, Inc. 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 Gregston Nursing Home, Inc.?
- CMS lists 5 owners and managers. Legal business name: GREGSTON NURSING HOME INC.
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.