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Heartway at York Manor Health and Rehab

500 South York, Muskogee, OK 74403 · Muskogee County · (918) 682-6724

60 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375132 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 15, 2025, inspectors cited 18 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 41 health citations since October 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 3.21 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

69.4% 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.

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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
11E
6F
Potential for minimal harm
0A
0B
0C
September 15, 2025Standard inspection, Complaint inspection · 18 citations
  1. F
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to maintain evidence of grievances with resolutions for 1 (#8) of 1 sampled resident sampled reviewed for grievances. The administrator identified 41 residents resided in the facility.
  2. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to include the actual and working hours of licensed and unlicensed staff on the daily posted staffing and failed to ensure disciplines were included on the nurse staffing data for 7 (09/08/25 through 09/14/25) of 7 days reviewed for posted nurse staffing. The DON identified 41 residents resided in the facility.
  3. F
    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, widespread · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure kitchen equipment was properly dried before storing, the ice machine was free of debris and build-up and cross contamination was prevented during 2 of 2 meal services observed. The DON identified 41 residents ate meals from the kitchen.
  4. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to implement an antibiotic stewardship program. The DON identified 41 residents resided in the facility.
  5. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure an individual was designated as the infection preventionist. The DON identified 41 residents resided in the facility.
  6. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide care for 1 (#4) of 1 sampled resident reviewed for nephrostomy care. The administrator identified one resident who had a nephrostomy in the facility.
  7. 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) November 17, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure ordered medication was available for 2 (#45 and #11) of 10 sampled residents were reviewed for medication availability. The DON identified 41 residents received medications.
  8. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide rationales for gradual dose reductions for 4 (#8, 45, 9 and #11) of 5 sampled residents reviewed for unnecessary medications. The DON identified 27 residents resided in the facility and received psychotropic medications.
  9. 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 · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident representatives were notified of a change in condition for 1 (#9) of 1 sampled resident reviewed for notification of change. The DON identified 41 residents resided in the facility.
  10. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a recapitulation of the resident's stay had been completed and discharge medication information had been provided for 1 (#44) of 1 sampled resident who was reviewed for discharge. The DON identified one resident had been discharged in the past 3 months.
  11. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure assessments were encoded and transmitted for 2 (#9 and #45) of 12 sampled residents whose assessments were reviewed. The DON identified 41 residents resided in the facility.
  12. 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) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure assessments were accurate for 1 (#16) of 12 sampled residents whose assessments were reviewed. The DON identified 41 residents resided in the facility.
  13. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure care plans were comprehensive for 2 (#16 and #4) of 12 sampled residents reviewed for comprehensive care plans. The DON identified 41 residents resided in the facility.
  14. 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 · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to revise and accurately revise a care plan for 2 (#9 and #4) of 2 residents sampled were reviewed for care plans. The administrator identified 41 residents resided in the facility.
  15. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication error rate of 5% or less. Two medication errors were observed out of 31 opportunities, which indicated a 6.25% medication error rate. The DON identified 41 residents receive medications in the facility. On 09/10/25 at 8:19 a.m., CMA #2 was observed to administer Budesonide-Fomotorol Fumarate (a corticosteroid medication for chronic obstructive pulmonary disease) 80-4.5 mcg/act 2 puffs to Resident #45. CMA #2 was not observed to encourage or instruct Resident #45 to rinse their mouth after using the inhaler. Resident #45 was not observed to receive Daliresp (a medication for chronic obstructive pulmonary disease) 250 MCG tablet by mouth. An undated policy titled Administration of Inhalers by Certified Medication Aides, read in part, Encourage mouth rinse if corticosteroid inhaler was used. [...]
  16. 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 · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure medications were secured for 1 (treatment cart #1) of 1 treatment carts observed. The DON identified two treatment carts in the facility.
  17. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure menus were followed for 1 meal of 1 meal observed. The DON identified 41 residents ate meals from the kitchen.
  18. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure trash cans were covered in the kitchen for 1 (the trash can by the handwashing sink) of 2 trash cans observed in the kitchen. The human resources employee identified 2 trash cans in the kitchen, and the DON identified 41 residents received nourishment from the kitchen.
January 29, 2025Standard inspection · 6 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide written notices of transfer to residents transferred to acute care hospitals by the facility for three (#17, 27, and #45) of three sampled residents reviewed for discharges and hospitalizations. The ADON stated nine residents had transferred to an acute care hospital in the previous three months.
  2. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing in a prominent place accessible to residents and visitors. The administrator identified 42 residents who resided in the facility.
  3. 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 21, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. the deep fryer was cleaned after use; and b. refrigerated items were labeled and dated for the residents. The dietary manager identified 40 residents who received meals prepared by the kitchen and two residents who received nutrition via tube feeding.
  4. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the facility medical director participated in the quality assessment and performance improvement program. The ADON stated there were 42 residents residing at the facility.
  5. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a NOMNC form was provided to a resident within the mandated time frame for one (#10) of three sampled residents reviewed for beneficiary notices. The ADON reported there had been five discharges from Medicare covered part A services in the past six months.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control practices were followed for one (#26) of two sampled residents who were reviewed for wound care. The DON identified three residents who were currently receiving wound care treatments.
October 16, 2023Standard inspection, Complaint inspection · 17 citations
  1. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility with one resident who required tube feedings.
  2. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents on the resident trust fund had the right to manage their own financial affairs for three (#1, 37, and #38) of three residents reviewed for trust funds. The facility administrator reported 39 residents were on the trust fund.
  3. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure quarterly statements were provided to the residents who were on the trust fund for one (#27) of three residents reviewed for trust funds. The administrator reported 39 residents were on the trust fund.
  4. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments accurately reflected the residents' status for three (#12, 23, and #28) of 16 sampled residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented a census of 42 residents.
  5. 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) November 28, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure: a. dirty linens were stored properly. b. proper PPE was present in the laundry room. c. a program was designed to help prevent the development of Legionnaires' disease and Pontiac fever cased by Legionella bacteria. The Resident Census and Conditions of Residents form documented a census of 42 residents.
  6. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents code status was documented correctly throughout the residents' clinical records for one (#31) and a DNR consent form documented complete information for one (#3) of two residents reviewed for code status. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  7. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · 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) November 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to notify a representative of a discharge to the hospital for one (#96) of three residents sampled for discharges. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  8. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure a significant change assessment was submitted to CMS within 14 days of completion for one (#7) of 21 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  9. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident with a newly evident possible serious mental disorder was referred to OHCA for one (#12) of one sampled resident whose PASRR screening was reviewed. The Resident Census and Conditions of Residents form documented a census of 42 residents.
  10. 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) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, it was determined the facility failed to ensure baths were performed for one (#31) of three residents sampled for ADLs. The Resident Census and Conditions of Residents form documented a census of 42 residents.
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to administer oxygen according to physician orders for one (#3) of one resident reviewed for respiratory care. The Resident Census and Conditions of Residents form documented 10 residents received respiratory treatments.
  12. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents with a diagnosis of post traumatic stress disorder received culturally competent trauma informed care in order to eliminate or mitigate triggers which could cause re-traumatization of the resident for one (#39) of one resident reviewed for behavior. The Resident Census and Conditions of Residents form documented 34 residents had psychiatric diagnoses and two had behavioral needs.
  13. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to review the risks and benefits of side rails with the resident or resident representative and obtain an informed consent prior to installation for two (#13 and #28) of two sampled residents reviewed for side rails. The administrator identified 15 residents in the facility had bed rails on their beds.
  14. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure the services of an RN was available in the facility eight hours daily seven days a week and failed to ensure an RN was designated to serve as the DON. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  15. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · 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 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the attending physician documented they had reviewed a consultant pharmacist's recommendation or provide a rational for disagreeing with a request to reduce a medication for one (#23) of five residents whose medications were reviewed. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  16. D
    Ensure that residents are free from significant medication errors.
    F760 · 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 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure significant medication errors did not occur for one (#23) of five residents whose medications were reviewed. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
  17. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · 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) November 28, 2023
    Inspectors wroteBased on observation and interview, the facility failed to prepare food in a form which met the individual needs of residents for one (#10) of one resident reviewed for a mechanically altered diet. The Resident Census and Conditions of Residents form documented a nine resident in the facility with mechanically altered diets and one resident who required tube feedings.

Fire safety inspections

9 fire safety citations on file: 6 on September 15, 2025, 2 on January 29, 2025, 1 on October 16, 2023.

Every fire safety citation9 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 15, 2025 · Corrected (the home has a date of correction)
  2. F
    Have properly located and lighted "Exit" signs.
    K 293 · September 15, 2025 · Corrected (the home has a date of correction)
  3. F
    Have an alternate power supply for its alarm system.
    K 344 · September 15, 2025 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · September 15, 2025 · Corrected (the home has a date of correction)
  5. E
    Install an approved automatic sprinkler system.
    K 351 · September 15, 2025 · Corrected (the home has a date of correction)
  6. D
    Have power receptacles that are properly grounded.
    K 912 · September 15, 2025 · Corrected (the home has a date of correction)
  7. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · January 29, 2025 · Corrected (the home has a date of correction)
  8. E
    Provide properly protected cooking facilities.
    K 324 · January 29, 2025 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 16, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.213.793.86
Registered nurses0.310.340.69
All nursing staff on weekends3.393.443.42
Nurse aides2.40
Licensed practical nurses0.50
Nursing staff turnover (share who left in a year)69.4%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left0

CMS expects 2.36 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 3.13 on weekdays and 3.39 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.11 in April to June 2025 to 3.21 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.210.313.133.39 6.2%0 of 9039
Oct to Dec 20253.190.333.113.37 5.3%1 of 9240
Jul to Sep 20253.100.463.023.31 2.4%0 of 9239
Apr to Jun 20253.110.453.043.29 2.8%0 of 9141
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.

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.

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
7.913.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.21.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.92.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.54.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.313.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
48.617.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.02.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.83.01.8

Owners and operators

Legal business name: HEARTWAY CORPORATION.

NameRoleTypeShareSince
Tno Holdings, LLC5% or greater mortgage interestOrganization12/21/2021
Barton, BlaineManaging control - governing bodyIndividual03/15/2023
Blue, RandallManaging control - governing bodyIndividual03/15/2023
Salyer, ThomasManaging control - governing bodyIndividual03/15/2023
Sanford, AndrewManaging control - governing bodyIndividual03/15/2023
Barton, BlaineCorporate directorIndividual03/15/2023
Blue, RandallCorporate directorIndividual03/15/2023
Darby, JanCorporate directorIndividual02/05/2025
Salyer, ThomasCorporate directorIndividual03/15/2023
Sanford, AndrewCorporate directorIndividual03/15/2023
Barton, BlaineCorporate officerIndividual03/15/2023
Baucom, KathyCorporate officerIndividual03/15/2023
Blue, RandallCorporate officerIndividual03/15/2023
Darby, JanCorporate officerIndividual02/05/2025
Salyer, ThomasCorporate officerIndividual03/15/2023
Sanford, AndrewCorporate officerIndividual03/15/2023
Forvis Mazars LLPOperational/managerial controlOrganization01/09/2023
Barton, BlaineOperational/managerial controlIndividual03/15/2023
Baucom, KathyOperational/managerial controlIndividual09/10/2010
Blue, RandallOperational/managerial controlIndividual03/15/2023
Breashears, ShirleyOperational/managerial controlIndividual03/16/2023
Hermance, TerryOperational/managerial controlIndividual08/01/2023
Marshall, AndreaOperational/managerial controlIndividual09/08/2023
Salyer, ThomasOperational/managerial controlIndividual03/15/2023
Sanford, AndrewOperational/managerial controlIndividual03/15/2023
Bokf,naAdp of the SNFOrganization11/16/2021
Forvis Mazars LLPAdp of the SNFOrganization03/26/2025
Nutrition Management Services Inc.Adp of the SNFOrganization01/01/2013
Baucom, KathyAdp of the SNFIndividual09/20/2010
Blue, RandallAdp of the SNFIndividual03/15/2023
Breashears, ShirleyAdp of the SNFIndividual03/16/2023
Hermance, TerryAdp of the SNFIndividual08/01/2023
Marshall, AndreaAdp of the SNFIndividual09/08/2023
Sanford, AndrewAdp of the SNFIndividual03/15/2023
Taylor, JustinAdp of the SNFIndividual01/08/2024

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on September 15, 2025: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on September 15, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on September 15, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on September 15, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.39 hours per resident per day, below the Oklahoma average of 3.44.

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Common questions

What is Heartway at York Manor Health and Rehab's Medicare star rating?
CMS rates Heartway at York Manor Health and Rehab 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heartway at York Manor Health and Rehab get at its last inspection?
18 health deficiencies at the standard inspection on September 15, 2025. The Oklahoma average is 6.4.
Has Heartway at York Manor Health and Rehab been fined?
CMS lists no fines in the last three years.
Does Heartway at York Manor Health and Rehab 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 Heartway at York Manor Health and Rehab?
CMS lists 35 owners and managers. Legal business name: HEARTWAY CORPORATION.

Sources

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