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Osage Nursing Home, LLC

822 West Osage, Nowata, OK 74048 · Nowata County · (918) 273-2012

50 certified beds, about 24 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375474 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 5, 2025, inspectors cited 9 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 19 health citations since May 2021 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 4.24 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

40.9% 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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
12E
0F
Potential for minimal harm
0A
0B
0C
February 5, 2025Standard inspection · 9 citations
  1. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide residents who received Medicare part A services a Notice of Medicare Non-Coverage form for 3 (#20, 25, and #27) of 3 sampled residents reviewed beneficiary notices. The DON identified 10 residents who had been discharged from skilled services during the six months prior to the survey.
  2. E
    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, pattern · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a care plan was revised after a resident had multiple falls for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in 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) March 14, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure damaged and uneven flooring did not exist in a room of a resident who had fallen because of a damaged floor for 1 (#25) of 2 sampled residents reviewed for falls. The DON stated 29 residents resided in the facility.
  4. 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) March 14, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the temperature log was maintained for the medication refrigerator in the medication room. The administrator reported the facility census was 26.
  5. 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) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a dishwasher temperature and appropriate amount of sterilizing solution was used when cleaning resident dishes in the kitchen. The DON stated 26 residents receive their meals from the facility kitchen.
  6. 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 · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 1 (#18) of 5 sampled residents reviewed for unnecessary medications. The administrator reported the facility census was 26.
  7. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the accuracy of an MDS assessment for 1 (10) of 5 sampled residents reviewed for MDS accuracy. The administrator reported the facility census was 26.
  8. 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 · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive care plan was developed for 1 (#18) of 18 sampled residents whose care plans were reviewed. The administrator reported the facility census was 26.
  9. 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) March 14, 2025
    Inspectors wroteBased on observation, record reviewed, and interview, the facility failed to ensure gloves were changed during catheter care for 1 (#17) of 1 sampled resident reviewed for catheter care. The DON reported one resident in the facility with a urinary catheter.
November 17, 2023Standard inspection · 6 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on record review and interview, the facility failed to fully develop the activities section of a comprehensive care plan for one (#20) of 12 sampled residents reviewed for comprehensive care plans. The DON reported 32 residents resided in the facility.
  2. 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) January 2, 2024
    Inspectors wroteBased on record review and interview the facility failed to maintain licensed nurses on duty in the facility on a 24 hour basis. The DON reported there were 32 residents in the facility.
  3. E
    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, pattern · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on observation and interview the facility failed to provide timely response to a resident calling out for assistance for one (#25) of 24 sampled resident reviewed for call lights. The DON reported 32 residents resided in the facility. Resident #25 had diagnoses which included generalized weakness and age related physical debility. On 11/14/23 at 2:39 p.m., a repeated call for assistance was heard coming from inside Resident #25's room. The resident was repeatedly saying, help, help me. Over a period of 11 minutes two staff members (one unidentified and CNA #2) were observed passing by the resident's room as they called out. Neither checked on the resident but continued walking up and down the hallways assisting others. [...]
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure section F (Preferences for Routines and Activities) in an annual assessment was completed for one (#20) of 12 sampled residents reviewed for comprehensive assessments. The DON identified 32 residents at the facility.
  5. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on record review and interview, the facility failed to conduct a significant change assessment following an elopement and a fall with fracture for one (#17) of 12 sampled residents reviewed for significant change assessments. The DON reported 32 residents resided in the facility.
  6. 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) January 2, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not prescribed Risperdal [antipsychotic medication] for the diagnosis of Alzheimer's disease and failed to ensure a resident was assessed for the existence of an approved condition prior to the administration of Risperdal for one (#28) of five sampled resident reviewed for unnecessary medication. The DON reported six residents had active orders for antipsychotic medications.
May 13, 2021Standard inspection · 4 citations
  1. E
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to have the previous survey results available to all residents and to have the COVID-19 focused infection control survey results in the survey book. The facility identified 25 residents resided at the facility.
  2. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 29, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure yearly NA competency reviews were completed for four (CNA #1, #2, #3, and CNA #4) of four CNAs who had worked at the facility for over one year and were reviewed for yearly NA competency reviews. The facility identified 25 residents who resided at the facility.
  3. 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) June 24, 2021
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff implemented the facility's infection control policies and procedures as evidenced by the failure of staff to wear the required PPE when they provided care for a quarantined resident (#126) and wash/sanitize their hands between residents on the medication pass. The facility identified 25 residents who resided in the facility.
  4. 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) June 24, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure code status was documented for two (#15 and #126) of 16 residents whose clinical records were reviewed for advance directives. This had the potential to affect 25 residents who resided in the facility.

Fire safety inspections

2 fire safety citations on file: 1 on February 5, 2025, 1 on November 17, 2023.

Every fire safety citation2 citations
  1. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 5, 2025 · Corrected (the home has a date of correction)
  2. 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 · November 17, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)4.243.793.86
Registered nurses0.480.340.69
All nursing staff on weekends3.603.443.42
Nurse aides2.56
Licensed practical nurses1.21
Nursing staff turnover (share who left in a year)40.9%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who leftnot reported

CMS expects 2.81 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.50 on weekdays and 3.60 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.10 in April to June 2025 to 4.24 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.240.484.503.60 19.3%0 of 9024
Oct to Dec 20254.010.524.163.61 8.2%1 of 9226
Jul to Sep 20253.920.544.103.46 3.7%0 of 9226
Apr to Jun 20254.100.614.293.61 20.5%1 of 9126
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Osage Nursing Home, LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
13.913.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.94.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.013.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.917.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.43.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Osage Nursing Home, LLC's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

NameRoleTypeShareSince
Carolyn D Leaverton Revocable Trust5% or greater direct ownership interestOrganization5%02/13/2023
Sandra Cheek Farmer Trust5% or greater direct ownership interestOrganization8%05/08/2012
Steven R. Tubbs Revocable Trust5% or greater direct ownership interestOrganization14%01/01/2023
Cheek, Barnie5% or greater direct ownership interestIndividual8%01/11/2005
Estep, Patsy5% or greater direct ownership interestIndividual6%05/08/2012
Haskins, Lloyd5% or greater direct ownership interestIndividual6%01/11/2005
McGrew, Justin5% or greater direct ownership interestIndividual6%05/08/2012
McGrew, JustinW-2 managing employeeIndividual01/01/2008

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. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on February 5, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 5, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on November 17, 2023: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 5, 2025: "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."

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 Osage Nursing Home, LLC's Medicare star rating?
CMS rates Osage Nursing Home, LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Osage Nursing Home, LLC get at its last inspection?
9 health deficiencies at the standard inspection on February 5, 2025. The Oklahoma average is 6.4.
Has Osage Nursing Home, LLC been fined?
CMS lists no fines in the last three years.
Does Osage Nursing Home, 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 Osage Nursing Home, LLC?
CMS lists 8 owners and managers, and links the home to Oklahoma Nursing Homes, Ltd.. Legal business name: OSAGE NURSING CENTER, LLC.

Sources

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