Parkland Manor Living Center
922 West Parkland Avenue, Prague, OK 74864 · Lincoln County · (405) 567-2201
78 certified beds, about 35 residents a day · For profit - Individual · Medicare and Medicaid since 2000
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375385 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 16 health citations since June 2023 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 4.08 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
68.6% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Elmbrook Management Company, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
106/23
1105/24
111/24
101/25
212/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
8E
0F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 2 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure accuracy of a level I PASRR assessment for 1 (#3) of 2 sampled residents reviewed for PASRR assessments. The administrator identified 32 residents resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to change oxygen tubing per the facility policy for 1 (#30) of 2 sampled residents reviewed for respiratory care. The DON identified one resident with PRN oxygen therapy.
January 27, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident representative was notified in a timely manner when a resident experienced a change in condition for one (#1) of three sampled residents reviewed for change in condition. The DON identified 17 residents who resided in the facility.
November 1, 2024Complaint inspection · 1 citation
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. medications were administered as ordered for one (#2); b. an accurate account of controlled medications was maintained for two (#2 and #4); and c. a physician ordered medication was available to administer for one (#4) of three sampled residents reviewed for pain. The BOM identified 17 residents with orders for pain medication resided in the facility.
May 31, 2024Standard inspection · 11 citations
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure accuracy of a level I PASARR assessment for three (#8, 10, and #13) of three residents reviewed for PASARR assessments. The administrator identified 21 residents who resided in the facility.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, the facility failed to ensure the residents were free from accident hazards fro one (#8) for two residents sampled for accidents. The administrator reported 21 residents resided in the facility.
- E Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were administered separately and PEG tube placement was verified prior to the administration of medications for one (#17) of one resident reviewed for tube feedings. The DON identified one resident who received medications via PEG tube.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were administered according to physician orders for two (#1 and #5) of six residents who were observed for medication administration. The administrator identified 21 residents who resided in the facility.
- 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure a. a PRN psychotropic medication was limited to 14 days for two (#1 and #17); b. a GDR (gradual dose reduction) was attempted for one (#15); and c. routine/PRN psychotropic medications were not received unless for a specific diagnosis for two (#15 and #17) of five residents reviewed for unnecessary medications. The administrator identified 21 residents who resided in the facility.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the medication error rate was less than 5%. A total of 31 opportunities were observed with two errors. The total medication error rate was 6.45%. The administrator identified 21 residents who received medications in the facility.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview, the facility failed to ensure the removal of expired/use by date medications/supplies from the medication storage room, medication cart, and treatment cart. The administrator reported 21 residents resided in the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure accurate coding of a MDS assessment for an indwelling catheter for one (#5) of 12 residents whose MDS assessments were reviewed. The administrator identified 21 residents who resided in the facility.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plans were developed/implemented for four (#9, 19, 11, and #13,) of 14 residents sampled for care plans. The Administrator reported 21 residents resided in the facility.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure physician's orders were followed for leg rest to wheelchair and pressure offload boots when out of bed for one (#19) of one resident sampled for physician's orders. The Administrator reported 21 residents resided in the facility.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview, the facility failed to ensure the consulting pharmacist identified irregularities and/or clinically significant risks which may result or be associated with psychotropic medications for two (#1 and #15) of five residents reviewed for unnecessary medications. The administrator identified 21 residents who resided in the facility.
June 21, 2023Standard inspection · 1 citation
- D Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review and interview, the facility failed to electronically submit quarterly direct care staffing information as required by the Centers for Medicare Services (CMS). The Resident Census and Conditions of Residents form, dated 06/20/23 documented 20 residents resided in the facility.
Fire safety inspections
3 fire safety citations on file: 3 on December 4, 2025.
Every fire safety citation3 citations
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.08 | 3.79 | 3.86 |
| Registered nurses | 0.46 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.61 | 3.44 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.62 | ||
| Nursing staff turnover (share who left in a year) | 68.6% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.83 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 4.26 on weekdays and 3.61 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.76 in April to June 2025 to 4.08 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.08 | 0.46 | 4.26 | 3.61 | 0.0% | 1 of 90 | 35 |
| Oct to Dec 2025 | 4.12 | 0.43 | 4.42 | 3.36 | 0.0% | 0 of 92 | 33 |
| Jul to Sep 2025 | 3.83 | 0.31 | 3.97 | 3.45 | 0.0% | 21 of 92 | 28 |
| Apr to Jun 2025 | 4.76 | 0.57 | 5.02 | 4.12 | 0.0% | 5 of 91 | 23 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.1 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.8 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.1 | 3.0 | 1.8 |
Owners and operators
Legal business name: PARKLAND MANOR LIVING CENTER LLC. CMS links this home to Elmbrook Management Company, a group of 11 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Washita Valley Ivestments | Operational/managerial control | Organization | 03/27/2007 | |
| Justice, Julie | Operational/managerial control | Individual | 04/30/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on November 1, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 27, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
Other nursing homes nearby
- Meeker Nursing Center Meeker, 11.7 mi · 3 of 5 stars · 15 citations
- The Regency Skilled Nursing and Therapy Shawnee, 15.6 mi · 5 of 5 stars · 13 citations
- Shawnee Care Center Shawnee, 16.8 mi · 1 of 5 stars · 54 citations
- Shawnee Colonial Estates Nursing Home Shawnee, 16.9 mi · 1 of 5 stars · 19 citations
- Seminole Care and Rehabilitation Center Seminole, 17.2 mi · 4 of 5 stars · 22 citations
- Seminole Pioneer Nursing Home Seminole, 17.8 mi · 1 of 5 stars · 33 citations
- Stroud Nursing & Rehab Stroud, 18.3 mi · 2 of 5 stars · 17 citations
- Chandler Therapy & Living Center LLC Chandler, 18.6 mi · 2 of 5 stars · 52 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Parkland Manor Living Center's Medicare star rating?
- CMS rates Parkland Manor Living Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Parkland Manor Living Center get at its last inspection?
- 2 health deficiencies at the standard inspection on December 4, 2025. The Oklahoma average is 6.4.
- Has Parkland Manor Living Center been fined?
- CMS lists no fines in the last three years.
- Does Parkland Manor Living 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 Parkland Manor Living Center?
- CMS lists 2 owners and managers, and links the home to Elmbrook Management Company. Legal business name: PARKLAND MANOR LIVING CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.