Meridian Nursing Home
179791 N 2820 Rd, Comanche, OK 73529 · Stephens County · (580) 439-2398
63 certified beds, about 46 residents a day · For profit - Individual · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375426 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 26, 2024, inspectors cited 0 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 1 health citation since October 2022 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 3.65 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
45.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Elmbrook Management Company, 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.
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 1 health citation on file.
November 26, 2024Standard inspection · 0 citations
August 31, 2023Standard inspection · 0 citations
October 27, 2022Standard inspection · 1 citation
- E 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 use the services of a registered nurse for at least eight consecutive hours a day, seven days a week. A Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
Fire safety inspections
5 fire safety citations on file: 1 on August 31, 2023, 4 on October 27, 2022.
Every fire safety citation5 citations
- E Have power receptacles that are properly grounded.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct testing and exercise requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.65 | 3.79 | 3.86 |
| Registered nurses | 0.33 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.44 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 45.5% | 55.5% | 45.8% |
| Registered nurse turnover | 33.3% | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.32 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 3.82 on weekdays and 3.23 on weekends, 15% 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 3.45 in April to June 2025 to 3.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.65 | 0.33 | 3.82 | 3.23 | 0.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 3.71 | 0.28 | 3.84 | 3.40 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 3.52 | 0.34 | 3.56 | 3.41 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.45 | 0.34 | 3.52 | 3.26 | 0.1% | 1 of 91 | 40 |
| 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 | 22.4 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 17.5 | 15.4 |
Owners and operators
Legal business name: MERIDIAN HEALTH CARE, LLC. CMS links this home to Elmbrook Management Company, a group of 11 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Washita Valley Investments LLC | 5% or greater direct ownership interest | Organization | 50% | 05/11/2004 |
| Justice, Julie | Indirect ownership interest | Individual | 04/30/2016 | |
| Coble, Tom | Corporate officer | Individual | 05/11/2004 | |
| Lodes, Jason | Corporate officer | Individual | 03/06/2023 | |
| Meridian Health Care, LLC | Operational/managerial control | Organization | 05/11/2004 | |
| Coble, Tom | Operational/managerial control | Individual | 05/11/2004 | |
| Dixson, James | Operational/managerial control | Individual | 07/01/2023 | |
| Lodes, Jason | Operational/managerial control | Individual | 03/06/2023 | |
| Stults, Tina | Operational/managerial control | Individual | 02/27/2025 | |
| Meridian Health Care, LLC | Adp of the SNF | Organization | 05/11/2004 | |
| Washita Valley Investments LLC | Adp of the SNF | Organization | 05/11/2004 | |
| Coble, Tom | Adp of the SNF | Individual | 05/11/2004 | |
| Dixson, James | Adp of the SNF | Individual | 07/01/2023 | |
| Justice, Julie | Adp of the SNF | Individual | 04/30/2016 | |
| Lodes, Jason | Adp of the SNF | Individual | 03/06/2023 | |
| Stults, Tina | Adp of the SNF | Individual | 02/27/2025 |
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.
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on October 27, 2022: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- Wilkins Health & Rehabilitation Community Duncan, 5.6 mi · 5 of 5 stars · 8 citations
- Elk Crossing Duncan, 7.9 mi · 4 of 5 stars · 8 citations
- Gregston Nursing Home, Inc. Marlow, 16 mi · 4 of 5 stars · 6 citations
- Marlow Nursing & Rehab Marlow, 16 mi · 3 of 5 stars · 30 citations
- Temple Manor Nursing Home Temple, 18.2 mi · 5 of 5 stars · 2 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 Meridian Nursing Home's Medicare star rating?
- CMS rates Meridian Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Meridian Nursing Home get at its last inspection?
- 0 health deficiencies at the standard inspection on November 26, 2024. The Oklahoma average is 6.4.
- Has Meridian Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Meridian 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 Meridian Nursing Home?
- CMS lists 16 owners and managers, and links the home to Elmbrook Management Company. Legal business name: MERIDIAN HEALTH CARE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.