Hennessey Nursing & Rehab
705 East 3rd Street, Hennessey, OK 73742 · Kingfisher County · (405) 853-4390
50 certified beds, about 30 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2005
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375485 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 7 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 32 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $33,924 in the last three years; the largest was $33,924, and the latest is dated April 15, 2024.
Nurses and nurse aides worked 5.11 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
64.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bradford Montgomery, an affiliated group of 11 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.
807/23
404/24
1308/24
703/26
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
22D
5E
3F
Potential for minimal harm
0A
0B
0C
March 26, 2026Standard inspection, Complaint inspection · 7 citations
- F Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, record review, and interview, the facility failed to post the most recent state survey results in a place readily accessible to residents, family members, and legal representatives of the residents. The administrator identified 27 residents resided in the facility.
- F 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours seven days per week. The administrator identified 27 residents resided in the facility.
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on record review and interview, the facility failed to ensure the food service supervisor completed certification as a certified dietary manager within three years of beginning employment per State requirement. The administrator identified 27 residents who received meals from the kitchen.
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify a physician of a resident's change in condition for 1 (#24) of 1 sampled resident reviewed for self-administration of medication. The DON identified nine residents who received breathing treatments in the facility.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident had a physician order and an assessment to self-administer medications for 1 (#24) of 1 sampled resident reviewed for self-administration of medication. The DON identified nine residents who received breathing treatments in the facility.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to ensure the care plan was revised to show a new skin alteration for 1 (#28) of 3 residents reviewed for care plans. The administrator reported 27 residents resided in the facility.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's breathing treatment was accurately documented for 1 (#24) of 1 sampled resident reviewed for self-administration of medication. The DON identified nine residents who received breathing treatments in the facility.
August 7, 2024Standard inspection · 13 citations
- E 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to complete bed rail safety assessments, review the risks and benefits of bed rails with the resident or resident representative, and obtain informed consent prior to installation of bed rails for three (#13, #15, and #82) of three sampled residents with bed rails in use. The DON identified 33 residents resided in the facility.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure influenza and pneumococcal vaccinations were offered for four (#15, 18, 22, and #82) of five residents reviewed for immunizations. The DON identified 33 residents resided in the facility.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were not involuntarily discharged for one (#30) of three sampled discharged residents. The DON identified 33 residents resided in the facility.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to provide notice of a facility initiated discharged for one (#30) of three sampled discharged residents. The DON identified 33 residents resided in the facility.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge MDS assessment was completed within the required timeframe for one (#11) of three sampled residents whose discharge assessments were reviewed. The DON identified 33 residents resided in the facility.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, the facility failed to ensure a baseline care plan was completed in a timely manner for one (#131) of 12 sampled residents reviewed for baseline care plans. The DON identified 33 residents resided in the facility.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement a comprehensive care plan for one (#132) of one sampled resident reviewed for the use of a urinary catheter. The DON identified 33 residents resided in the facility. Three residents had urinary catheters in the facility.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary and discharge instructions were completed upon discharge for one (#11) of three sampled residents whose discharge paperwork was reviewed. The DON identified 33 residents resided in the facility.
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on record review and interview, the facility failed to have a process in place to identify a resident's code status for one (#131) of three sampled residents reviewed for advanced directives.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen was administered as ordered by the physician and oxygen tubing was changed for one (#27) of one sampled resident reviewed for respiratory care. The DON identified two residents who received continuous oxygen therapy in the facility.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on record review and interview, the facility failed to complete a nurse aide performance review once every 12 months for two (CNA #1 and CNA #2) of five employee files reviewed. The DON identified 33 residents resided in the facility.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to: a. implement a physician order for a gradual dose reduction for one (#26); b. have a physician response to a gradual dose reduction recommendation for one (#6) of five sampled residents reviewed for unnecessary medications. The DON identified 33 residents resided in the facility. 18 residents received psychotropic's in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper infection control practices were followed during the administration of medication for one (#13) of seven sampled residents observed during medication administration. The DON identified 33 residents resided in the facility.
April 15, 2024Complaint inspection · 4 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteOn 04/11/24 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to assess, monitor, and intervene for a resident experiencing a significant change in condition and ensure a resident received prescribed antibiotic therapy to treat pneumonia. 03/08/24 Resident #1 had acute change of condition, very weak, unable to stand/sit, 3-4 person assist to transfer, irregular HR, O2 sats 80%, incontinent B&B, and decline in mental status. MD notified. Not sent to ER. 03/19/24 Resident #1's condition deteriorates and they requested to be sent to ER. Returned from ER same day with DX: pneumonia and orders for Augmentin 875mg-125mg tab- 1 tab oral q12hrs x7days. Their physician was not notified of new order, the medication order was not submitted to the pharmacy, and the medication was not placed on the MAR. [...]
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to accurately assess residents' risk for and initiate dietary measures to aide in the prevention of avoidable pressure ulcers for one (#1) of two sampled residents reviewed for pressure ulcers. The Administrator identified 31 residents resided in the facility.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure care of a peripheral intravenous central catheter in accordance with professional standards of practice for one (#1) of one sampled resident reviewed for treatment of an intravenous catheter. The Administrator identified 31 residents resided in the facility.
- D 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 and interview, the facility failed to ensure medication was administered as ordered for one (#3) of one resident reviewed for medications being given as ordered. The administrator identified 31 residents resided in the facility.
July 6, 2023Standard inspection · 8 citations
- E 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 ensure a resident with a new diagnosis of mental illness was referred to OHCA for evaluation and determination of specialized services for three (#6, 10, and #14) of three sampled residents reviewed for PASARR. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 15 residents with psychiatric diagnoses.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure accurate records medication allergies for two (#6 and #14) of five sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 30 residents resided in the facility.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide a resident call system that would allow the resident to call for staff assistance for one (#5) of 24 sampled residents reviewed for accessibility of call lights. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 30 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 ensure a resident with evidence of mental illness was referred to OHCA for evaluation and determination of specialized services for one (#24) of four sampled residents reviewed for PASRR. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 15 residents with psychiatric diagnoses.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to update the person-centered care plan for existing and newly developed wounds for one (#13) of 12 sampled residents whose care plans were reviewed. The Resident Census and Conditions of Residents form, dated 07/03/23, documented 30 residents resided in the facility.
- 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to assess residents for the use of bed rails, educate residents and/or representatives on the risks and benefits of bed rails, and obtain an informed consent prior to the installation of bed rails for one (#28) of one sampled resident reviewed for bed rails. The DON identified one resident had bed rails at the top and bottom of their bed.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview,the facility failed to ensure physician orders lab was collected for one (#6) of five sampled residents reviewed for labs. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 30 residents resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure staff wore gloves when administrating insulin injection to one (#27) of one resident observed for insulin administration. The Resident Census and Conditions of Residents report, dated 07/03/23, documented 30 residents resided in the facility and five residents received injections.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 15, 2024 | Fine | $33,924 |
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.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.11 | 3.79 | 3.86 |
| Registered nurses | 0.36 | 0.34 | 0.69 |
| All nursing staff on weekends | 4.50 | 3.44 | 3.42 |
| Nurse aides | 3.66 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 64.5% | 55.5% | 45.8% |
| Registered nurse turnover | 57.1% | 53.6% | 42.9% |
| Administrators who left | 0 |
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 5.36 on weekdays and 4.50 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.00 in April to June 2025 to 5.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.11 | 0.36 | 5.36 | 4.50 | 0.0% | 6 of 90 | 30 |
| Oct to Dec 2025 | 4.55 | 0.32 | 4.82 | 3.87 | 0.0% | 8 of 92 | 33 |
| Jul to Sep 2025 | 5.15 | 0.54 | 5.48 | 4.30 | 3.4% | 1 of 92 | 30 |
| Apr to Jun 2025 | 5.00 | 0.47 | 5.22 | 4.46 | 12.2% | 1 of 91 | 32 |
| 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 | 20.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.2 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 3.0 | 1.8 |
Owners and operators
Legal business name: HENNESSEY NURSING & REHABILITATION LLC. CMS links this home to Bradford Montgomery, a group of 11 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Montgomery, Bradford | 5% or greater direct ownership interest | Individual | 100% | 05/08/2017 |
| Torson, Julie | W-2 managing employee | Individual | 04/13/2022 |
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 10 problems in this area, most recently on March 26, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on August 7, 2024: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 26, 2026: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 7, 2024: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
Other nursing homes nearby
- Cimarron Nursing Center Kingfisher, 18 mi · 5 of 5 stars · 6 citations
- First Shamrock Care Center Kingfisher, 18.2 mi · 1 of 5 stars · 34 citations
- Greenbrier Village Health and Rehabilitation Enid, 19.7 mi · 1 of 5 stars · 24 citations
- The Commons Enid, 20 mi · 4 of 5 stars · 20 citations
- Enid Senior Care Enid, 20.6 mi · 3 of 5 stars · 16 citations
- The Living Center Enid, 21.1 mi · 5 of 5 stars · 12 citations
- Garland Road Nursing & Rehab Center Enid, 21.1 mi · 1 of 5 stars · 33 citations
- Summers Healthcare, LLC Okeene, 23.7 mi · 4 of 5 stars · 8 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 Hennessey Nursing & Rehab's Medicare star rating?
- CMS rates Hennessey Nursing & Rehab 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hennessey Nursing & Rehab get at its last inspection?
- 7 health deficiencies at the standard inspection on March 26, 2026. The Oklahoma average is 6.4.
- Has Hennessey Nursing & Rehab been fined?
- Yes. CMS lists 1 fine totaling $33,924 in the last three years.
- Does Hennessey Nursing & 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 Hennessey Nursing & Rehab?
- CMS lists 2 owners and managers, and links the home to Bradford Montgomery. Legal business name: HENNESSEY NURSING & REHABILITATION 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.