Home / Oklahoma / Pauls Valley
Pauls Valley Care Center
1413 South Chickasaw Street, Pauls Valley, OK 73075 · Garvin County · (405) 238-6411
71 certified beds, about 37 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375463 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 4 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 15 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $50,778 in the last three years; the largest was $50,778, and the latest is dated December 18, 2025.
Nurses and nurse aides worked 2.87 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.23 of those hours.
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.
403/23
604/24
512/25
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
6E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection, Complaint inspection · 5 citations
- G 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 residents were free from injuries resulting in a fracture for 1 (#3) of 4 sampled residents reviewed for accidents. The DON identified 36 residents resided in the facility.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not involuntarily discharged during hospitalization for 1 (#40) of 3 sampled residents reviewed for discharge. The DON identified 36 residents resided in the facility.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to provide a:a. bed hold policy upon transfer;b. discharge notice to the resident and/or representative; andc. copy of the discharge notice to the ombudsman for 1 (#40) of 3 sampled residents reviewed for discharge. The DON identified 36 residents resided in the facility.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive assessments were completed within 14 days for 1 (#3) of 12 sampled residents reviewed for comprehensive assessments. The DON identified 36 residents 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 the initiation of a comprehensive nutrition care plan for 1 (#1) of 12 sampled residents reviewed for care plans. The DON identified 36 residents resided in the facility.
April 18, 2024Standard inspection, Complaint inspection · 6 citations
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and interview, the facility failed to complete and submit quarterly reviews of the minimum data set in the required timeframe's for eight (#3, 7, 11, 12, 14,16, 17, and #23) of 10 residents whose clinical records were reviewed for completion/submission of the resident assessments. The administrator identified 34 residents. Census:
- E 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 observation, record review, and interview the facility failed to develop a comprehensive person-centered care plan for two (#1 and #80) of 12 residents reviewed for care plans. The facility failed to develop care plans related to: a) smoking for resident #1 and #80, and b) falls for one resident #80. The Administrator reported 34 residents resided in the facility.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation and interview, the facility failed to provide wound care in a manner to reduce the risk of infection or cross contamination for one (#17) of two residents observed for wound care. The director of nursing identified 4 residents with wounds. Resident census:
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to store hazardous chemicals in a secure manner. The director of nursing identified one wandering resident who ambulated throughout the facility. Facility census:
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to maintain sanitary conditions in the kitchen. There was standing water in the kitchen, an active water leak from the three compartment sink, and broken/missing floor tiles. This had the potential to effect all residents. The administrator identified 34 residents resided in the facility.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review and interview the facility failed to ensure the resident's representative was included in discharge planning for one (#30) of three residents reviewed for discharges. The Administrator reported 34 residents resided in the facility.
March 10, 2023Standard inspection · 4 citations
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview, the facility failed to electronically transmit MDS assessments, within 14 days after completion, for 11 (#1, 4, 5, 6, 9, 14, 19, 20, 22, 23, and #24) of 11 residents reviewed for resident assessments. The Resident Census and Conditions of Residents form documented 21 residents resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure: a. an Oxygen in Use sign was in place per the facility's policy and, b. oxygen tubing was labeled with date and initials when changed per professional nursing standards for two (#1 and #178) of two residents reviewed for oxygen therapy. The Resident Census and Conditions of Residents, dated 03/08/23, documented 21 residents resided in the facility.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to designate a registered nurse to serve as the Director of Nursing on a full time basis. The Resident Census and Conditions of Residents form documented 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, observation, and interview, the facility failed to act upon a pharmacy recommendation, to consider a dose reduction of an antipsychotic medication, for one (#9) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 21 residents resided in the facility.
Fire safety inspections
16 fire safety citations on file: 8 on December 18, 2025, 4 on April 18, 2024, 4 on March 10, 2023.
Every fire safety citation16 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have an alternate power supply for its alarm system.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Install corridor and hallway doors that block smoke.
- F Have power receptacles that are properly grounded.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Have properly located and lighted "Exit" signs.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Provide properly protected cooking facilities.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 18, 2025 | Payment Denial | 3 days from February 7, 2026 |
| April 18, 2024 | Fine | $50,778 |
| April 18, 2024 | Payment Denial | 28 days from June 27, 2024 |
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.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.87 | 3.79 | 3.86 |
| Registered nurses | 0.23 | 0.34 | 0.69 |
| All nursing staff on weekends | 2.67 | 3.44 | 3.42 |
| Nurse aides | 1.82 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.07 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 2.95 on weekdays and 2.67 on weekends, 9% 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 2.93 in April to June 2025 to 2.87 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 | 2.87 | 0.23 | 2.95 | 2.67 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.06 | 0.24 | 3.13 | 2.86 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 2.72 | 0.21 | 2.80 | 2.50 | 0.0% | 0 of 92 | 38 |
| Apr to Jun 2025 | 2.93 | 0.25 | 2.95 | 2.86 | 0.0% | 0 of 91 | 37 |
| 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 | 25.0 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 14.9 | 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 | 12.9 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.9 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 3.0 | 1.8 |
Owners and operators
Legal business name: PRO HEALTH AND REHAB.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Smith, Brooke | 5% or greater direct ownership interest | Individual | 50% | 03/01/2022 |
| Smith, Layne | 5% or greater direct ownership interest | Individual | 50% | 03/01/2022 |
| Smith, Layne | W-2 managing employee | Individual | 03/01/2022 | |
| Smith, Brooke | Corporate officer | Individual | 03/01/2022 | |
| Smith, Layne | Corporate officer | Individual | 03/01/2022 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on December 18, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- 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 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Oklahoma average of 3.44.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Washita Valley Living Center Pauls Valley, 1.2 mi · 4 of 5 stars · 6 citations
- Burford Manor Davis, 16.4 mi · 2 of 5 stars · 11 citations
- Callaway Nursing Home Sulphur, 18.3 mi · 1 of 5 stars · 30 citations
- Artesian Home Sulphur, 19.6 mi · 5 of 5 stars · 4 citations
- Lexington Nursing Home, Inc. Lexington, 20.8 mi · 5 of 5 stars · 13 citations
- Broadway Living Center Lexington, 21.3 mi · 4 of 5 stars · 15 citations
- Purcell Care Center Purcell, 22.3 mi · 4 of 5 stars · 11 citations
- Sunset Estates of Purcell Purcell, 22.4 mi · 4 of 5 stars · 18 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 Pauls Valley Care Center's Medicare star rating?
- CMS rates Pauls Valley Care Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pauls Valley Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on December 18, 2025. The Oklahoma average is 6.4.
- Has Pauls Valley Care Center been fined?
- Yes. CMS lists 1 fine totaling $50,778 in the last three years.
- Does Pauls Valley 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 Pauls Valley Care Center?
- CMS lists 5 owners and managers. Legal business name: PRO HEALTH AND REHAB.
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.