Latimer Nursing Home
103 Southwest 9th Street, Wilburton, OK 74578 · Latimer County · (918) 465-2255
48 certified beds, about 29 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375535 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 13, 2025, inspectors cited 5 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 21 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists 14 fines totaling $83,622 in the last three years; the largest was $14,679, and the latest is dated January 22, 2024.
Nurses and nurse aides worked 4.44 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
58.6% 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.
303/23
1305/24
505/25
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 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
11E
2F
Potential for minimal harm
0A
0B
0C
May 13, 2025Standard inspection, Complaint inspection · 5 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview, the facility failed to provide an environment free of urine odors for 1 of 2 halls. The Point of Care Rooms/Beds roster showed there were 14 residents residing on the South hall.
- 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 and interview, the facility failed to ensure a resident received their pain medication as ordered by the physician for 1 (#20) of 1 sampled resident reviewed for narcotic pain medication use. The MDS coordinator identified 15 residents received narcotic pain medications.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to utilize EBP for 1 (#21) of 1 resident who was observed to receive catheter care. The Matrix for Providers identified three residents with urinary catheters.
- 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 an admission resident assessment was completed within the required timeframe for 1 (#126) of 12 sampled residents whose resident assessments were reviewed. The administrator identified 27 residents 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, record review, and interview, the facility failed to ensure residents were assisted with incontinent care for 1 (#20) of 1 sampled resident reviewed for ADL care. The administrator identified 27 residents resided in the facility.
May 3, 2024Standard inspection · 13 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed develop, implement a policy and procedure for a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in building water systems. The administrator identified 23 residents who resided in the facility.
- E 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were offered the choice to formulate advanced directives for three (#17, 20 and #25) of six sampled residents reviewed for advanced directives. The administrator identified 23 residents residing in the facility.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate for three (#2, 5, and #16 ) of 14 sampled residents whose resident assessments were reviewed for accuracy. The administrator identified 23 residents who resided in the facility.
- E 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 record review and interview, the facility failed to implement a comprehensive care plan: a. for five (#6, 8, 10, 16, and #25) of five reviewed for bedrails, b. for one (#13) of one reviewed for hospice care, c. for two (#2 and #13) of two reviewed for respiratory care, and d. for three (#13, 16, an #21) of 4 reviewed for unnecessary medications. The administrator identified 23 residents who resided in the facility.
- 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 attempt appropriate alternatives and perform an entrapment risk assessment prior to installing bed or side- rails for (#6, 8, 9, 10, 13, 16, 17, and #25) of eight residents reviewed for accident hazards. The administrator identified 23 residents residing in the facility.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview, the facility failed to ensure a consultant pharmacist reviewed the medications of each resident in the facility monthly for four (#2, 10, 16, and #21) of five sampled residents reviewed for unnecessary medications. The administrator identified 23 residents who resided in the facility.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview, the facility failed to ensure medication cards were labeled appropriately with an expiration date for 49 of 55 sampled medication cards. The administrator identified 23 residents who 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 serve food under sanitary conditions for 23 residents who ate meals prepared by the kitchen. The administrator identified 23 residents who resided in the facility.
- E Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on observation, interview, and record review, it determined the facility failed to ensure regular inspections of resident beds equipped with side rails were conducted for eight (#6, 8, 9, 10, 13, 16,17, and #25) of eight residents reviewed for accident hazards. The administrator identified 23 residents residing in the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to ensure a resident was treated with dignity during a transfer for one (#1) of one sampled resident observed for dignity. The administrator identified 23 residents residing 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 observation, record review, and interview, the facility failed to revise a care plan for one (#11) of nine sampled residents whose care plans were reviewed for accuracy. The administrator identified 23 residents who resided 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 document a recapitulation of a resident's stay on a discharge summary for one (#26) of two sampled residents whose closed records were reviewed. The administrator identified 23 residents who resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement physician's orders for oxygen tubing care maintenance for two (#2 and #13) of two resident sampled for oxygen therapy. The administrator identified 23 residents residing in the facility.
March 23, 2023Standard inspection · 3 citations
- F 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were informed and provided written information concerning the right to accept or refuse to formulate an advance directive. The Resident Census and Conditions of Residents, dated 03/21/23, documented a census of 27 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate for a resident with gradual dose reduction for one (#8) of one resident reviewed for antipsychotic medication and for a resident with behaviors for one (#10) of one resident reviewed for behaviors. A Roster Sample Matrix, dated 03/21/23, documented six residents were taking antipsychotic medications. The Resident Census and Conditions of Residents, dated 03/21/23, documented a census of 27 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to document a change in condition for one (#1) of one resident reviewed for a change in condition and obtain physician's orders for diabetic interventions for one (#4) of two residents reviewed for diabetes. A Roster Sample Matrix, dated 03/21/23, documented four residents were insulin dependent diabetics. The Resident Census and Conditions of Residents, dated 03/21/23, documented a census of 27 residents.
Fire safety inspections
13 fire safety citations on file: 4 on May 13, 2025, 4 on May 3, 2024, 5 on March 23, 2023.
Every fire safety citation13 citations
- F Have an alternate power supply for its alarm system.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Install corridor and hallway doors that block smoke.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Provide properly protected cooking facilities.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 22, 2024 | Fine | $14,679 |
| January 8, 2024 | Fine | $4,893 |
| January 2, 2024 | Fine | $4,545 |
| December 11, 2023 | Fine | $13,635 |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $4,587 |
| October 2, 2023 | Fine | $4,587 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
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) | 4.44 | 3.79 | 3.86 |
| Registered nurses | 0.32 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.72 | 3.44 | 3.42 |
| Nurse aides | 2.87 | ||
| Licensed practical nurses | 1.26 | ||
| Nursing staff turnover (share who left in a year) | 58.6% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.93 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 4.74 on weekdays and 3.72 on weekends, 22% 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 4.36 in April to June 2025 to 4.44 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 | 4.44 | 0.32 | 4.74 | 3.72 | 0.0% | 0 of 90 | 29 |
| Oct to Dec 2025 | 4.75 | 0.28 | 5.06 | 3.96 | 0.0% | 7 of 92 | 28 |
| Jul to Sep 2025 | 0.96 | 0.23 | 1.05 | 0.75 | 0.0% | 18 of 92 | 29 |
| Apr to Jun 2025 | 4.36 | 0.29 | 4.68 | 3.53 | 0.0% | 5 of 91 | 28 |
| 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 | 27.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 9.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.3 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 17.5 | 15.4 |
Owners and operators
Legal business name: LATIMER LONG TERM CARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tidwell, Darren | 5% or greater direct ownership interest | Individual | 50% | 07/11/2023 |
| Tidwell, Melissa | 5% or greater direct ownership interest | Individual | 50% | 11/01/2023 |
| Tidwell, Parker | W-2 managing employee | Individual | 07/11/2023 | |
| Tidwell, Darren | Corporate officer | Individual | 07/11/2023 | |
| Tidwell, Darren | Operational/managerial control | Individual | 01/22/2025 | |
| Tidwell, Darren | Adp of the SNF | Individual | 01/22/2025 |
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 6 problems in this area, most recently on May 13, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 13, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 13, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 13, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- Tidwell Living Center Wilburton, 0.2 mi · 5 of 5 stars · 11 citations
- Beare Manor Hartshorne, 14.3 mi · 5 of 5 stars · 11 citations
- Talihina Manor Talihina, 20 mi · 4 of 5 stars · 21 citations
- New Hope Retirement & Care Center McAlester, 24.1 mi · 2 of 5 stars · 27 citations
- McAlester Nursing & Rehab McAlester, 24.7 mi · 1 of 5 stars · 16 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 Latimer Nursing Home's Medicare star rating?
- CMS rates Latimer Nursing Home 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Latimer Nursing Home get at its last inspection?
- 5 health deficiencies at the standard inspection on May 13, 2025. The Oklahoma average is 6.4.
- Has Latimer Nursing Home been fined?
- Yes. CMS lists 14 fines totaling $83,622 in the last three years.
- Does Latimer Nursing Home 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 Latimer Nursing Home?
- CMS lists 6 owners and managers. Legal business name: LATIMER LONG TERM 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.