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Home / Oklahoma / Miami

Miami Nursing Center, LLC

1100 East Street Northeast, Miami, OK 74354 · Ottawa County · (918) 542-3335

82 certified beds, about 64 residents a day · For profit - Individual · Medicare and Medicaid since 2000

Special Focus Facility candidate CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375388 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 14, 2025, inspectors cited 8 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 42 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $15,928 in the last three years; the largest was $15,928, and the latest is dated August 14, 2025.

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 0.34 of those hours.

42.4% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Oklahoma Nursing Homes, Ltd., an affiliated group of 7 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.

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 42 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
13E
1F
Potential for minimal harm
0A
0B
0C
February 27, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident medication administration records and controlled drug count sheets accurately recorded the disposition of medications for 3 (#1, 7, and #8) of 6 sampled residents reviewed for medical record accuracy. The DON identified 19 residents at the facility were prescribed narcotics.
December 23, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to provide an environment free from abuse for 1 (#5) of 3 sampled residents whose clinical records were reviewed for abuse. The DON identified 68 residents resided in the facility.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to minimize the risk of spreading infection for 1 (#6) of 1 sampled resident exposed to COVID-19. The DON identified six residents and seven facility staff members who contracted COVID-19 since 12/01/25.
September 15, 2025Complaint inspection · 1 citation
  1. J
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    F603 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 16, 2025
    Inspectors wroteOn 09/08/25 an IJ situation was determined to exist related to involuntary seclusion for 1 (#1) of 3 sampled residents reviewed for involuntary seclusion. Resident #1 was told they had to eat at a table in another room alone due to their behavior. On 09/09/25 at 2:15 p.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 09/09/25 at 2:25 p.m., the facility administrator and the DON were notified of the IJ situation and provided a copy of the IJ template. On 09/09/25 at 5:30 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal read in part, At 2:57pm on 9/9/2025 the DON and Care plan coordinator met with resident #1. Advised resident #1 that beginning with evening meal on 9/9/2025 she would be offered 3 locations for her meals to be taken. [...]
August 14, 2025Standard inspection · 8 citations
  1. K
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteOn 08/12/25 an Immediate Jeopardy (IJ) situation was determined to exist related to pain management during wound care for 1 (#27) of 4 sampled residents reviewed for pain. On 08/13/25 at 1:00 p.m., the OSDH was notified and verified the existence of the IJ situation. On 08/13/25 at 1:39 p.m., the facility administrator and DON were notified of the IJ situation and provided a copy of the IJ template. On 08/13/25 at 5:20 p.m., an acceptable plan of removal was submitted to the OSDH. The plan of removal read in part, a pain assessment was completed on Resident #27 at 3:00 p.m., on 08/13/25. PCP [primary care physician] for Resident #27 was contacted and a new order for Tramadol, an analgesic, was obtained. Staff will offer PRN [as needed] pain medication approximately 30 minutes prior to wound care. Care plan for Resident #27 will be updated accordingly. [...]
  2. 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) September 8, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to:ensure opened containers in the reach in refrigerator were properly labeled; andensure the top of the oven was free of grime and debris. The DON identified 65 residents received meals prepared in the kitchen.
  3. E
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a facility assessment included residents with wounds and the training and competency required to treat wounds. The DON identified four residents with wounds resided in the facility.
  4. E
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure training was provided for staff on wound care. The DON identified four residents had wounds in the facility.
  5. 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) September 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure an advance directive was offered to 1 (#30) of 1 sampled resident reviewed for advance directives. The DON identified 69 residents resided in the facility.
  6. 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) September 15, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to notify of a room change for 1 (#3) of 1 sampled resident reviewed for notification of change. The DON identified 69 residents resided in the facility.
  7. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure unnecessary psychotropic medications were not administered to 1 (#74) of 5 sampled residents reviewed for unnecessary medications. The DON identified 57 residents received psychotropic medications in the facility.
  8. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure nurses were competent in identifying and assessing pain during wound care for 1 (#27) of 4 sampled residents reviewed for wound care. The DON identified four residents had wounds in the facility.
May 21, 2025Complaint inspection · 4 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide catheter care as ordered for 1 (#5) of 3 sampled residents reviewed for catheter care. The DON reported the census was 67.
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the accuracy of medical records for 1 (#5) of 3 sampled residents reviewed for catheter care. The DON reported the census was 67.
  3. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · 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) June 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide written notice of a room change for 1 (#4) of 3 sampled residents reviewed for room changes. The DON reported the census was 67.
  4. D
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 25, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide imaging services as ordered for 1 (#5) of 3 sampled residents reviewed for imaging services. The DON reported the census was 67.
October 17, 2024Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure appropriate hand hygiene was performed during catheter care for one (#1) of three residents reviewed for catheter care. The DON identified five residents with catheters in the facility.
July 22, 2024Standard inspection, Complaint inspection · 16 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation and interview, the facility failed to: a. provide for the residents' dignity for three (#55, #4, and #50) of three residents observed for full visual privacy and for two (#50 and #26) of two residents observed with signage to always keep the residents' door open; and, b. provide enough dishware to allow for meals to be served without use of disposable containers and/or cutlery. The DON identified 73 residents in the facility.
  2. E
    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
    F571 · 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) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents were not charged separately for services paid for by Medicare/Medicaid for one (Resident #174) of four residents who were charged room and board during covered periods of stay and for four (#8, #44, #55, and #174) of four residents charged for administrative supplies and whose monies were managed in the Resident Trust. The BOM identified 38 residents with funds in the Resident Trust.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure skin assessments were conducted for two (#42 and #3) and failed to ensure orders for intravenous care were obtained upon return from the hospital for one (#8) of three sampled residents who were reviewed for quality of care. The DON identified 73 residents who resided in the facility and one resident with intravenous access.
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide routine catheter care for one (Resident #2) of one resident whose records were reviewed for catheter care. The DON identified three residents with catheters in the facility.
  5. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents who received psychotropic medications were monitored for behaviors and side effects for three (#3, 44, and #28) of five residents who were reviewed for unnecessary medications. The DON identified 22 residents who received antipsychotic medications and 53 residents who received psychotropic medications.
  6. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. medications were secured for one (North hall) of three medication/treatment carts observed; b. medications were dated when opened for three (North hall, North hall main, and the treatment cart); and c. medications were not expired for one of one medication rooms observed. The DON identified five medication/treatment carts in the facility.
  7. D
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · 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) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to maintain a surety bond in an amount to cover the facility trust. The business office manager identified 38 residents in the facility trust. The surety bond, dated 10/07/22, documented the bond to cover the balance of the trust was in the amount of $90,000.00. The April 2024 bank statement documented the daily balance on 04/03/24 was $91,136.92 and on 04/09/24 the daily balance was $91,773.92. The May 2024 bank statement documented the daily balance on 05/03/24 was $92,755.93 and on 05/10/24 the daily balance was $92,739.71. The June 2024 bank statement documented the daily balance on 06/03/24 was $97,106.92 and on 06/10/24 the daily balance was $95,842.14. On 07/19/24 at 9:38 a.m., the administrator stated they thought the trust was around $70,000.00 and did not realize the trust had such a high balance. [...]
  8. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation and interview, the facility failed to provide a privacy curtain to allow for full visual privacy for two (#4 and #55) of two residents whose rooms were observed for a privacy curtains. The DON identified 73 residents resided in the facility. On 07/19/24 at 2:26 p.m., there was privacy curtain present for resident #4. On 07/19/24 at 2:30 p.m., the resident stated there had never been a curtain, and they would like to have one for visual privacy from their two roommates. On 07/19/24 at 2:44 p.m., CNA # 2 stated if resident #4 received incontinent care they pulled both curtains around the two roommates and shut the door. The CNA stated there was not a curtain to pull to provide full visual privacy for Resident #4. 2. Resident #55 had diagnoses which included dysphagia. On 07/15/24 at 10:30 a.m., Resident #55 stated they had episodes of incontinence. [...]
  9. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the care plan was revised for one (#8) of 16 sampled residents whose care plans were reviewed. The DON identified 73 residents who resided in the facility.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · 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) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure interventions were in place to prevent unnecessary weight loss for one (#33) of one resident reviewed for weight loss. The DON identified 73 residents resided in the facility.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was assessed after dialysis treatments for one (#64) of one resident reviewed for pre/post dialysis assessments. The DON reported four residents in the facility received dialysis treatments.
  12. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and interview, it was determined the facility failed to ensure the physician was notified of significant weight loss for one (#33) of one sampled resident who was reviewed for nutrition.
  13. D
    Post nurse staffing information every day.
    F732 · 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) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to post the required staffing information. The DON identified 73 residents resided in the facility.
  14. D
    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, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered per physician orders for one (#42) of seven sampled residents who were reviewed for unnecessary medications. The DON identified 73 residents who resided in the facility.
  15. D
    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, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain a sanitary kitchen environment, maintain a sanitary dish machine, and store foods according to professional standards of practice. The DON identified 71 residents who ate meals prepared in the kitchen. An invoice, dated 06/12/24, documented the ice machine was cleaned and the water filter replaced by a contracted company. On 07/15/24 at 7:50 a.m., the following observations were made in the kitchen: - four flies buzzing about and landing on food preparation tables, cookware, and dishware. - two ceiling vents positioned over food preparation tables were covered with a layer grease, dust, and debris. - an open one gallon bottle of apple juice in the refrigerator with no open date; - an open 20 ounce bottle of Pepsi and a 20 ounce bottle of Coke in the refrigerator with no open dates or names; [...]
  16. 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) September 3, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. Maintain an infection control program for enhanced barrier precautions by donning gowns prior to catheter care or wound care for two (#8 and #2) of two resident who received catheter care and/or wound care; and b. ensure catheter tubing and dignity bags were maintained in a manner to prevent cross contamination for one (#8) of two sampled residents reviewed for urinary catheters. The DON identified three residents with indwelling urinary catheters. [...]
April 4, 2024Complaint inspection · 3 citations
  1. D
    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.
    F584 · 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) May 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the physical environment was maintained in good repair. The Nursing Manager identified 73 residents resided in the facility.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review and interview, the facility failed to implement a comprehensive care plan for one (#1) of five residents reviewed for care plans. The DON identified 73 residents resided in the facility.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · 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) May 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. provide pressure ulcer care as ordered by the physician, b. complete weekly wound observations and measurements and, c. document refusals in the nursing notes. The Nursing Manager identified 73 residents resided in the facility.
November 20, 2023Complaint inspection · 1 citation
  1. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the call light system was functioning in one of six occupied resident rooms reviewed for call light functionality. The administrator reported the census was 65.
June 22, 2023Standard inspection · 5 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 31, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain safe water temperatures on the main hall for two (room [ROOM NUMBER] and room [ROOM NUMBER]) of nine rooms reviewed for safe water temperatures. The maintenance supervisor identified 27 residents who resided on the main hall.
  2. 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) July 31, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the ice machine was clean and sanitary. The DON identified 60 residents who received ice from the kitchen.
  3. 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) July 31, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure advance directives were periodically reviewed for changes for one (#1) of three sampled residents reviewed for advance directives. The Resident Census and Conditions of Residents form identified 63 residents who resided in the facility.
  4. 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 · Corrected (the home has a date of correction) July 31, 2023
    Inspectors wroteBased on record review and interview, the facility failed to provide a notice of transfer to one (#25) of three resident reviewed for discharges. The Resident Census and Conditions of Residents form identified 63 residents who resided in the facility. An incident note, dated 04/14/23 at 9:07 p.m., documented the resident #25 had been transferred to a hospital following a fall. On 06/21/23 at 1:58 p.m., the administrator was asked if resident #25 or their family had been given a written notice of transfer for the resident's hospitalization which began on 04/14/23. The administrator replied no written notice was given but the family had been contacted over the telephone.
  5. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 31, 2023
    Inspectors wroteBased on record review and interview, the facility had not provided a bed hold policy to one (#25) of three residents reviewed for discharges. The Resident Census and Conditions of Residents form identified 63 residents who resided in the facility. An incident note, dated 04/14/23 at 9:07 p.m., documented resident #25 had been transferred to a hospital following a fall. On 06/21/23 at 1:58 p.m., the administrator was asked if resident #25 or the family had been provided a copy of the bed hold policy on or after 04/14/23 when they were transferred to a hospital. The administrator replied the resident nor the family had be given the policy for that hospitalization.

Fire safety inspections

1 fire safety citation on file: 1 on February 3, 2020.

Every fire safety citation1 citation
  1. F
    Conduct testing and exercise requirements.
    E 39 · February 3, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 14, 2025Fine $15,928

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.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.653.793.86
Registered nurses0.340.340.69
All nursing staff on weekends3.423.443.42
Nurse aides2.62
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)42.4%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left0

CMS expects 2.70 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 3.75 on weekdays and 3.42 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.65 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.650.343.753.42 21.0%0 of 9064
Oct to Dec 20253.810.343.983.37 21.9%0 of 9266
Jul to Sep 20253.780.323.903.49 18.2%0 of 9267
Apr to Jun 20253.610.333.793.18 10.7%0 of 9167
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
10.913.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.82.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.14.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.213.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.617.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.427.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.116.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.82.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.63.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Miami Nursing Center, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.3% this home

No different from the national rate

US median of homes 51.5% · Oklahoma: 24 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 34 eligible stays.

Potentially preventable readmissions

10.4% this home

No different from the national rate

US median of homes 10.7% · Oklahoma: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 55 eligible stays.

Infections that led to a hospital stay

7.8% this home

No different from the national rate

US median of homes 7.1% · Oklahoma: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.

Self-care and mobility at discharge

56.4% this home

Median of homes: Oklahoma54.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 39 residents counted.

Falls with major injury

0.0% this home

Median of homes: Oklahoma0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Oklahoma2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: MIAMI NURSING CENTER, LLC. CMS links this home to Oklahoma Nursing Homes, Ltd., a group of 7 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Sandra Cheek Farmer Trust5% or greater direct ownership interestOrganization8%02/08/2023
Steven R. Tubbs Revocable Trust5% or greater direct ownership interestOrganization14%02/08/2023
Cheek, Barnie5% or greater direct ownership interestIndividual8%02/08/2023
Estep, Patsy5% or greater direct ownership interestIndividual6%01/01/2022
Haskins, Lloyd5% or greater direct ownership interestIndividual6%02/08/2023
McGrew, Justin5% or greater direct ownership interestIndividual6%07/18/2012
McGrew, JustinOperational/managerial controlIndividual01/01/2025
Sandra Cheek Farmer TrustTrustee of the SNFOrganization01/01/2025
Steven R. Tubbs Revocable TrustTrustee of the SNFOrganization01/01/2025

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on August 14, 2025: "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."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on August 14, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 27, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 23, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.42 hours per resident per day, below the Oklahoma average of 3.44.

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Miami Nursing Center, LLC's Medicare star rating?
CMS rates Miami Nursing Center, LLC 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Miami Nursing Center, LLC get at its last inspection?
8 health deficiencies at the standard inspection on August 14, 2025. The Oklahoma average is 6.4.
Has Miami Nursing Center, LLC been fined?
Yes. CMS lists 1 fine totaling $15,928 in the last three years.
Does Miami Nursing Center, LLC 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 Miami Nursing Center, LLC?
CMS lists 9 owners and managers, and links the home to Oklahoma Nursing Homes, Ltd.. Legal business name: MIAMI NURSING CENTER, LLC.

Sources

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