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Noble Health Care Center

1501 North 8th Street, Noble, OK 73068 · Cleveland County · (405) 872-7102

110 certified beds, about 72 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375245 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 8, 2024, inspectors cited 12 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 47 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $16,350 in the last three years; the largest was $16,350, and the latest is dated July 1, 2026.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

62.4% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Stonegate Senior Living, an affiliated group of 24 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 47 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
1H
0I
Potential for more than minimal harm
20D
25E
1F
Potential for minimal harm
0A
0B
0C
July 1, 2026Complaint inspection · 1 citation
  1. 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) August 17, 2026
    Inspectors wroteBased on record review and interview, the facility failed to follow physician's orders for monitoring for weight loss by documenting weekly weights for 1 (#7) of 3 sampled residents reviewed for nutrition. The administrator identified 84 residents resided in the facility.
December 8, 2025Complaint inspection · 2 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · 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) December 11, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's call light was in reach for 1 (#1) of 7 sampled residents whose call lights were observed. The ADON identified 74 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) December 11, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain infection control practice during incontinent care for 1 (#1) of 3 sampled residents observed for incontinent care. The ADON identified 74 residents resided in the facility.
June 24, 2025Complaint inspection · 1 citation
  1. H
    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 · Actual harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free from abuse for 4 (#1, #2, #3, and #4) of 4 sampled residents reviewed for abuse. The DON identified 81 residents resided in the facility.
January 23, 2025Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to perform weekly skin assessments for one (#4) of three sampled residents reviewed for skin assessment and monitoring. The BOM identified 78 residents who resided in the facility.
December 30, 2024Complaint inspection · 2 citations
  1. 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.
    F584 · 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) January 24, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure housekeeping services maintained a clean environment. The DON reported 74 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 24, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure staff used infection control measures when getting ice for a resident (name unknown). The DON reported 74 residents resided in the facility.
August 8, 2024Standard inspection · 12 citations
  1. 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 · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to assess, monitor, and intervene for: A. a resident who tested positive for COVID-19 for one (Res #6) of one sampled resident reviewed for COVID-19, and B. a resident with a PICC line for one (Res #31) of one sampled resident reviewed for IV therapy. The administrator identified 82 residents resided in the facility.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure food was palatable and served at appetizing temperatures during meals. The Administrator identified 80 residents received services from the kitchen.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure food items were labeled, dated, and stored according to the facility policy. The administrator identified 80 residents received services from the kitchen.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observations, record review, and interviews the facility failed to follow their enhanced barrier precautions while providing wound care for one (# 3) of 20 residents that required enhanced barrier precautions and failed to follow infection control practices during medication pass. The Administrator identified 81 residents resided in the facility.
  5. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to maintain an antibiotic stewardship program and infection surveillance to monitor antibiotic use for residents from April 2024 through June 2024. The MDS coordinator identified 6 residents who were prescribed antibiotics.
  6. D
    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, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation and interview, the facility failed to promote resident dignity by staff standing over residents while assisting them to eat. The administrator identified 81 residents resided in the building and 17 required assistance with eating.
  7. 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) October 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents were offered the choice to formulate an advanced directive for two (#7 and #40) of 24 sampled residents whose advance directive acknowledgements were reviewed. The administrator identified 81 residents resided in the facility.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurately coded on two of the MDS assessments completed for one (#7) of 19 sampled residents reviewed for accurate assessments. The Administrator identified 81 residents resided in the facility.
  9. D
    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, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on record review, and interview, the facility failed to complete neurological checks per protocol after an unwitnessed fall for one (#71) of seven sampled residents reviewed for accidents. The administrator identified 82 residents resided in the facility.
  10. D
    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, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to obtain a physician order for the placement of a foley catheter for one (#31) of three sampled residents reviewed for catheters. The administrator identified 82 residents resided in the facility.
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to supervise a resident while administering a breathing treatment for one (#49) of one sampled residents reviewed for respiratory treatments. The administrator identified 82 residents resided in the facility.
  12. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure psychotropic medications were monitored for target behaviors and side effects for one (#28) of five sampled residents reviewed for unnecessary medications. The DON identified 50 residents received psychotropic medications.
July 11, 2023Standard inspection · 15 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure: a. the kitchen was kept clean and maintained in good repair, b. food products were properly thawed, c. soiled/damp cloths were properly stored, and d. staff changed their gloves and/or washed their hands after touching parts of their body before handling food. The DM identified 71 residents received services from the kitchen.
  2. 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 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff were seated while providing feeding assistance for one (#1) resident and failed to ensure staff did not refer to residents as feeders. The Resident Census and Conditions of Residents form, dated 07/05/23, documented five residents were dependent on staff for eating.
  3. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure resident electronic medical records were kept confidential during medication pass. The Resident Census and Conditions of Residents form, dated 07/05/23, documented 72 residents resided in the facility.
  4. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. change nebulizer tubing according to physician orders for one (#49) of two residents sampled for respiratory care and, b. date oxygen tubing according to physician orders for one (#59) of two residents sampled for respiratory care. The Resident Census and Conditions of Residents form, dated 07/05/23, documented eight residents received respiratory treatment.
  5. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were administered according to physician orders for one (#20) of three residents sampled for medication pass. The Resident Census and Conditions of Residents form documented 72 residents resided in the facility.
  6. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medication error rate was less than 5%. A total of 27 opportunities were observed with 11 errors. Total medication error rate was 39.29%. The Resident Census and Conditions of Residents form documented 72 residents resided in the facility.
  7. 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 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure: a. expired supplies and medications were disposed of, b. a medication label accurately documented the physician order for one (#20) of three sampled residents observed during medication pass, c. medications and vaccines were labeled with the date opened, d. non-medication food items were not stored in medication refrigerators, and e. temperature logs for medication refrigerators were completed. The Resident Census and Conditions of Residents form documented 72 residents resided in the facility.
  8. E
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure labs were collected as ordered by the physician for two (#38 and #42) of five sampled residents reviewed for lab services.
  9. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure proper hand hygiene was performed during medication administration. The Resident Census and Conditions of Residents form documented 30 residents resided in the facility.
  10. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident did not self administer medications without a physician order for one (#59) of one sampled resident observed for self administration of medications. The Resident Census and Conditions of Residents report, dated 07/05/23, documented 72 residents resided in the facility.
  11. 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) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to notify the Office of the State Long-Term Care Ombudsman of resident transfer/discharge for one (#19) of two residents sampled for hospitalization. The Resident Census and Conditions of Residents form, dated 07/05/23, documented 72 residents resided in the facility.
  12. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a new diagnosis of possible serious mental illness for a level II resident review for one (#64) of one residents sampled for PASARRs. The Resident Census and Conditions of Residents form, dated 07/05/23, documented 72 residents resided in the facility.
  13. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to update the care plan with fall interventions for one (#1) of one resident sampled for falls. The Resident Census and Conditions of Residents form, dated 07/05/23, documented 72 residents resided in the facility.
  14. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents were bathed as scheduled for one (#125) of one sampled resident reviewed for bathing. The Resident Census and Conditions of Residents report, dated 07/05/23, documented 72 residents resided in the facility.
  15. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure timely physician response to monthly pharmacy medication regimen reviews for one (#38) of five residents sampled for unnecessary medications. The Resident Census and Conditions of Residents form, dated 07/05/23, documented 72 residents resided in the facility.
December 8, 2021Standard inspection · 13 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on record review and interviews, the facility failed to act upon grievances presented to staff during resident council meetings. The Resident Census and Conditions of Residents report, dated 11/30/21, documented 95 residents resided in the facility.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on interview and record review, the facility failed to provide bathing services for six (#47, 77, 85, 145, 146, and #196) of nine sampled residents reviewed for ADL care. The Resident Census and Conditions of Residents report documented 95 residents who resided at the facility.
  3. 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) February 7, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe environment for two (#12 and #196) of two residents reviewed for accident hazards. The Resident Census and Conditions of Residents report documented 95 residents who resided at the facility.
  4. E
    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, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide supplements as ordered for one (#12) of two sampled residents reviewed for nutrition. The Resident Census and Conditions of Residents report documented 12 residents with unplanned weight loss/gain.
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wrote2. Res #6 had diagnoses which chronic respiratory failure with hypoxia, chronic diastolic heart failure, dependence on supplemental oxygen and COPD. A physician order, dated 03/21/20, documented the resident was to receive oxygen 2 lpm via NC. A breathing patterns care plan, last reviewed 08/24/21, documented to administer oxygen as ordered. On 11/30/21 at 11:48 a.m., the resident was observed with a portable O2 tank in place on the back of her W/C. The gauge on the portable O2 tank was observed to be full and the dial was set on zero. At 1:00 p.m., the DON was shown the resident's portable O2 tank. She was asked if the resident was supposed to be on continuous O2. She stated she was, but was not sure what the order was for. She was asked if the dial was set at zero. She stated it was. [...]
  6. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on record review and interview, it was determined the facility failed to administered pain medications as ordered for three (#5, 24, and #146) of three residents reviewed for pain management. The Resident Census and Conditions of Residents identified 64 residents on a pain management program.
  7. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a sufficient number of staff on a 24-hour basis to meet the needs of the residents. The Resident Census and Conditions of Residents report documented 95 residents resided in the facility.
  8. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on record review and interview, it was determined the facility failed to have medications available and/or administer medications as ordered for five (#52, 84, 85, 145, and #146) of ten sampled residents reviewed for pharmacy services. The Resident Census and Conditions of Residents identified 95 residents who resided in the facility.
  9. E
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide food that accommodates residents' preferences for seven (#12,14, 33, 47, 61, 70, and #79) seven residents sampled for food preferences. The Resident Census and Conditions of Residents identified 95 residents who resided in the facility.
  10. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide meals in a timely manner. The Resident Census and Conditions of Residents identified 95 residents who resided in the facility.
  11. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on observation and interview, the facility failed to maintain the kitchen in good repair and clean. The RD identified 94 residents received services from the kitchen.
  12. 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 · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on interview and record review, the facility failed to ensure a dependent resident was not transported and left at his home alone for one (#245) of two residents sampled for abuse and neglect. The Resident Census and Conditions of Residents report documented 95 residents who resided at the facility.
  13. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on interview and record review, the facility failed to notify OSDH within two hours of an allegation of abuse for two (#13 and #79) of three resident sampled for abuse. The Resident Census and Conditions of Residents report documented 95 residents who resided at the facility.

Fire safety inspections

19 fire safety citations on file: 6 on August 8, 2024, 7 on July 11, 2023, 6 on December 8, 2021.

Every fire safety citation19 citations
  1. F
    Have exits that are accessible at all times.
    K 271 · August 8, 2024 · Corrected (the home has a date of correction)
  2. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · August 8, 2024 · Corrected (the home has a date of correction)
  3. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 8, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 8, 2024 · Corrected (the home has a date of correction)
  5. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 8, 2024 · Corrected (the home has a date of correction)
  6. E
    Have proper medical gas storage and administration areas.
    K 923 · August 8, 2024 · Corrected (the home has a date of correction)
  7. F
    Conduct testing and exercise requirements.
    E 39 · July 11, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 11, 2023 · Corrected (the home has a date of correction)
  9. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 11, 2023 · Corrected (the home has a date of correction)
  10. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 11, 2023 · Corrected (the home has a date of correction)
  11. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · July 11, 2023 · Corrected (the home has a date of correction)
  12. C
    Provide properly protected cooking facilities.
    K 324 · July 11, 2023 · Corrected (the home has a date of correction)
  13. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2023 · Corrected (the home has a date of correction)
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 8, 2021 · Corrected (the home has a date of correction)
  15. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · December 8, 2021 · Corrected (the home has a date of correction)
  16. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 8, 2021 · Corrected (the home has a date of correction)
  17. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 8, 2021 · Corrected (the home has a date of correction)
  18. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 8, 2021 · Corrected (the home has a date of correction)
  19. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 8, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 1, 2026Fine $16,350

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)3.353.793.86
Registered nurses0.340.340.69
All nursing staff on weekends3.003.443.42
Nurse aides2.26
Licensed practical nurses0.75
Nursing staff turnover (share who left in a year)62.4%55.5%45.8%
Registered nurse turnover71.4%53.6%42.9%
Administrators who left1

CMS expects 3.53 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 3.50 on weekdays and 3.00 on weekends, 14% 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 3.32 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.343.503.00 0.0%1 of 9072
Oct to Dec 20253.390.323.493.12 0.0%0 of 9273
Jul to Sep 20253.400.223.513.14 0.1%0 of 9275
Apr to Jun 20253.320.223.482.91 1.7%0 of 9180
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.

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
2.913.613.9
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
0.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.94.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.61.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.213.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.14.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.117.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.027.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
24.116.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.62.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.43.01.8

Owners and operators

Legal business name: PF NHCC SNF OPS, LLC. CMS links this home to Stonegate Senior Living, a group of 24 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Pf Nhcc SNF Ops, LLC5% or greater direct ownership interestOrganization11/01/2020
Sanctuary LTC, LLC5% or greater direct ownership interestOrganization10/10/2019
Preservation Freehold Company5% or greater indirect ownership interestOrganization100%10/10/2019
Umb Bank National Association5% or greater mortgage interestOrganization09/23/2021
Pf Nhcc SNF Ops, LLCOperational/managerial controlOrganization11/01/2020
Stonegate Senior Living, LPOperational/managerial controlOrganization06/22/2022
Chance, JamesOperational/managerial controlIndividual11/01/2020
Taylor, JohnOperational/managerial controlIndividual11/01/2020
West, KasandraOperational/managerial controlIndividual02/17/2025
Campbell, ScottIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/08/2025
Fisher, JamesIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/09/2025
Langdon, ThomasIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/24/2025
McGehee, WilliamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/24/2025
Taylor, JohnIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/08/2025
Lifetime Wellness, Ltd.Adp of the SNFOrganization09/23/2021
Martus Financial Services, Inc.Adp of the SNFOrganization12/31/2023
Pharmerica Drug Systems LLCAdp of the SNFOrganization08/29/2017
Preservation Freehold CompanyAdp of the SNFOrganization09/23/2021
Rehab Pro LPAdp of the SNFOrganization09/23/2021
Sanctuary LTC, LLCAdp of the SNFOrganization09/23/2021
Stonegate Senior Living, LPAdp of the SNFOrganization11/21/2025
Igbekoyi, OladipoAdp of the SNFIndividual06/01/2025
Swain, TammyAdp of the SNFIndividual09/23/2025
West, KasandraAdp of the SNFIndividual02/17/2025

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on July 1, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on December 8, 2025: "Reasonably accommodate the needs and preferences of each resident."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on August 8, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on August 8, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the Oklahoma average of 3.44.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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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 Noble Health Care Center's Medicare star rating?
CMS rates Noble Health Care Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Noble Health Care Center get at its last inspection?
12 health deficiencies at the standard inspection on August 8, 2024. The Oklahoma average is 6.4.
Has Noble Health Care Center been fined?
Yes. CMS lists 1 fine totaling $16,350 in the last three years.
Does Noble Health Care Center 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 Noble Health Care Center?
CMS lists 24 owners and managers, and links the home to Stonegate Senior Living. Legal business name: PF NHCC SNF OPS, LLC.

Sources

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