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Ponca City Nursing & Rehabilitation Center

1400 North Waverly, Ponca City, OK 74601 · Kay County · (580) 762-6668

157 certified beds, about 80 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375439 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 1, 2024, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 10 health citations since August 2019 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 3.82 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.

55.4% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
5E
0F
Potential for minimal harm
0A
0B
0C
July 6, 2026Complaint inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has August 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff utilized personal protective equipment during the provision of catheter care for 1 (#3) of 6 sampled residents reviewed for incontinent care. The DON identified six residents had indwelling urinary catheters.
  2. 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 · deficient, provider has August 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident had fluids at bedside for 1 (#30) of 3 sampled residents reviewed for hydration. The administrator identified 88 residents resided in the facility.
August 1, 2024Standard inspection · 3 citations
  1. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who preferred individualized activities in their room was provided those activities for one (#53) of 8 sampled residents reviewed for activities. A facility room roster, dated 07/28/24, documented 79 residents resided in the facility.
  2. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide treatment and services to treat a contracture for one (#46) of one sampled resident reviewed for range of motion restorative care. The DON identified nine residents with contractures.
  3. 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) September 16, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a physician order was completed for a gradual dose reduction for one (#34) of five sampled residents reviewed for unnecessary medications. The DON identified 53 residents received psychotropic medications.
July 16, 2024Complaint inspection · 1 citation
  1. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on observation record review, and interview, the facility failed to maintain an adequate call light system for one (#1) of three sampled residents whose call light systems were observed. The Administrator identified 47 residents resided in the facility.
June 22, 2023Standard inspection · 0 citations
August 29, 2019Standard inspection · 4 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on observations, record review and interview, it was determined the facility failed to ensure an effective system was in place for the identification of advance directives and code status for two (#12 and #67) of two sampled residents whose records were reviewed for advance directives. This had the potential to affect all 96 residents who 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) October 14, 2019
    Inspectors wroteBased on observations, record review and interview, it was determined the facility failed to provide assistance with dressing, toileting and grooming for one (#48) of three sampled residents who were reviewed for activities of daily living (ADL). The facility identified 82 residents who required assistance with activities of daily living.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on record review and interview, it was determined the facility failed to ensure diabetic residents received insulin as ordered by the physician for one (#77) of five sampled residents who were reviewed for unnecessary medications. The facility identidied 15 residents who received insulin.
  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 14, 2019
    Inspectors wroteBased on observations, record review and interview, it was determined the facility failed to ensure transmission based precautions were implemented for one (#48) of one sampled resident who was reviewed for transmission based precautions. The facility identified four residents who resided in the facility and were on transmission based precautions.

Fire safety inspections

3 fire safety citations on file: 3 on June 22, 2023.

Every fire safety citation3 citations
  1. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 22, 2023 · Corrected (the home has a date of correction)
  2. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · June 22, 2023 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 22, 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)3.823.793.86
Registered nurses0.290.340.69
All nursing staff on weekends3.313.443.42
Nurse aides2.59
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)55.4%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left0

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 4.02 on weekdays and 3.31 on weekends, 18% 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 3.72 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.294.023.31 0.0%0 of 9080
Oct to Dec 20253.790.294.013.22 0.0%0 of 9275
Jul to Sep 20253.650.213.803.25 1.1%0 of 9279
Apr to Jun 20253.720.233.903.27 0.0%0 of 9176
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
15.213.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.81.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.62.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.54.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
28.813.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.517.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.927.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.916.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.43.01.8

Owners and operators

Legal business name: N& R OF PONCA CITY LLC.

NameRoleTypeShareSince
Trumbo, Jay5% or greater direct ownership interestIndividual33%08/01/2012
Vinson, John5% or greater direct ownership interestIndividual33%08/01/2012
Casper, KathleenW-2 managing employeeIndividual10/13/2014
Driggers, LucindaW-2 managing employeeIndividual08/10/2009
Vinson, JohnCorporate officerIndividual08/01/2012
Health Systems of Oklahoma, LLCOperational/managerial controlOrganization08/01/2012

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 5 problems in this area, most recently on July 6, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 6, 2026: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 1, 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."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 16, 2024: "Make sure that a working call system is available in each resident's bathroom and bathing area."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.31 hours per resident per day, below the Oklahoma average of 3.44.

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Oklahoma contacts for a concern about a nursing home

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Common questions

What is Ponca City Nursing & Rehabilitation Center's Medicare star rating?
CMS rates Ponca City Nursing & Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ponca City Nursing & Rehabilitation Center get at its last inspection?
3 health deficiencies at the standard inspection on August 1, 2024. The Oklahoma average is 6.4.
Has Ponca City Nursing & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Ponca City Nursing & Rehabilitation 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 Ponca City Nursing & Rehabilitation Center?
CMS lists 6 owners and managers. Legal business name: N& R OF PONCA CITY LLC.

Sources

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