Rainbow Terrace Care Center
300 West 9th Street, Weleetka, OK 74880 · Okfuskee County · (405) 786-2244
60 certified beds, about 33 residents a day · For profit - Corporation · Medicaid since 1974
Certified for Medicaid
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 37E204 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 8, 2025, inspectors cited 4 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 32 health citations since May 2022, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.32 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
43.3% 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.
1205/22
1509/23
103/24
401/25
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
18E
0F
Potential for minimal harm
0A
0B
0C
January 8, 2025Standard inspection, Complaint inspection · 4 citations
- E 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 ensure RN coverage for eight consecutive hours seven days per week. The administrator identified 29 residents resided in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to follow infection control practices during a mediation pass and failed to ensure EBP was followed during wound care for one (#11) of one sampled resident observed during wound care. The DON identified 29 residents who resided in the facility and four residents who were on enhanced barrier precautions.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure a referral was made to the LOCEU for one (#18) of three sampled residents reviewed for PASSARs. The DON identified five residents with a PASSAR level ll after a referral to the LOCEU.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to have an antibiotic stewardship program with a system to monitor antibiotic use for the residents. The DON identified five residents who were currently receiving an antibiotic medication.
March 27, 2024Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview the facility failed to provide pressure ulcer treatment as directed for one (#2) of three residents reviewed for pressure ulcers/wounds. The DON reported the facility had one resident in the facility with a wound.
September 12, 2023Standard inspection, Complaint inspection · 15 citations
- K Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteOn 08/17/23 at 5:45 p.m., an Immediate Jeopardy situation was determined to be in existence related to the facility failing to ensure background screenings were completed for four of 29 employees hired between 2022 and 2023. The facility failed to ensure residents were not at risk for abuse related to staff background screening and finger printing not being completed. On 08/17/23 at 5:50 p.m., the charge nurse on duty was informed of an Immediate Jeopardy situation and the IJ template was emailed to the DON at that time. The administrator, assistant administrator, and DON were not in the facility at that time. On 08/21/23 at 4:38 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health by the assistant administrator. [...]
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. complete pressure ulcer assessments which included measurements and description for one (#128); b. notify the physician of a wound area and unstageable pressure ulcer timely for one (#128); and c. have a care plan in place and/or updated to prevent pressure ulcers for residents at risk for ulcers for two (#128 and #115) of two residents reviewed for pressure ulcers. Res #128's medical records documented a scabbed area to the resident's coccyx that continued through June and July 2023 without assessment or physician notification. On 07/28/23 the unstageable ulcer was assessed and measured at 3.0 x 5.0 x 1.0 cm. The physician was notified on 07/31/23 and an order for treatment was obtained. The Resident Census and Conditions of Residents report, dated 08/15/23, documented no with resident pressure ulcers.
- E Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview, the facility failed to provide privacy for seven (#101, 103, 110, 111, 115, 125, and #127) of seven resident reviewed for privacy. The Resident Census and Condition of Residents, documented a census of 27 residents.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to ensure OHCA was contacted when residents had serious mental illnesses for two (#101 and #111) of two residents reviewed for PASRR assessments. The Resident Census and Conditions of Residents form documented 27 residents had documented psychiatric diagnoses.
- E Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure colostomy care was provided by professional standards of practice for two (#109 and #117) of two residents reviewed for colostomy care. The Resident Census and Conditions of Residents report, dated 08/15/23, documented two residents with an ostomy.
- 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 medications were stored in locked compartments. The Resident Census and Conditions of Residents form dated 08/15/23 documented 27 residents resided in the facility.
- E Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to complete a facility assessment. The Resident Census and Conditions of Residents form documented 27 residents resided in the facility.
- E 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 direct care staffing data based on the facility payroll to CMS. The Resident Census and Conditions of Residents form documented 27 residents reside in the facility.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to assess a resident for an infection using standardized tools and criteria for the initiation of an antibiotic for one (#105) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 08/15/23, documented no residents were currently receiving antibiotics.
- E Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to provide staff training over behavioral health issues. The Resident Census and Conditions of Residents form documented 27 residents reside in the facility.
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide an advance directive acknowledgment for one (#101) of four residents reviewed for advance directives. The Resident Census and Condition of Residents, documented a census of 27 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, record review, and interview the facility failed to have evidence a thorough investigation was conducted related to an allegation of abuse and prevent further potential abuse/mistreatment while the investigation was in progress for one (#111) of two sampled residents for abuse. The Residents Census and Conditions of Residents form documented 27 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 observation and interview, the facility failed to ensure an RN worked eight consecutive hours seven days a week. The Resident Census and Conditions of Residents report, dated 08/15/23, documented 27 residents resided in the facility.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure labs were collected for one (#111) of five sampled resident's reviewed for lab service. The Residents Census and Conditions of Residents form, documented 27 residents resided in the facility.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to train/orient new employees on abuse, neglect, and exploitation. The Resident Census and Conditions of Residents form documented 27 residents resided in the facility. An Abuse Prevention Program policy read in part, .Protect our residents abuse by anyone including, but not necessary limited to: facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual .Required staff training/orientation programs that includes such topics as abuse prevention, identification and reporting of abuse, stress management, and handling verbally or physically aggressive resident behavior .Abuse, neglect, and exploitation toward residents. [...]
May 17, 2022Standard inspection · 12 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteAn Immediate Jeopardy (IJ) situation was determined to exist effective [DATE] based upon the facility's failure to immediately contact EMS when CPR was initiated for Res #26 with a full code status who was found not breathing and without a detectable heart beat. On [DATE] at 11:21 a.m., the Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On [DATE] at 11:26 a.m., the administrator was notified of the IJ situation. On [DATE] at 1:38 p.m., an acceptable plan of removal was provided. The plan of removal documented: ''Rainbow Terrace Care Center Immediate Jeopardy Plan for Removal [DATE]. On [DATE], a resident was found to not have viable vital signs, resulting in CPR being initiated. Although the Charge Nurse directed for someone to call 9-1-1, there is no documentation to support a call being made. After 25 minutes of CPR being performed, Dr. [...]
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure comprehensive resident assessments were completed within 14 days of admission and annually for four (#128, 17, 23, and #127) of 26 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented 33 residents who resided in the facility.
- 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 a resident assessment at least quarterly for six (#78, 6, 1, 14, 2, and #5) of 26 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure resident assessments were transmitted to CMS within seven days of completion for three (#21, 19, and #24) of 26 residents whose assessments were reviewed. The Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
- E 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 ensure the consultant pharmacist requested a GDR for one (#18) of five residents sampled for unnecessary medications and failed to ensure the MRR policy documented time frames for each step in the process. The Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
- E Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to obtain lab services as ordered by the physician for two (#126 and #127) of five residents reviewed for unnecessary medication. The Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure food was stored, prepared, and served in a sanitary manner. The Census and Conditions of Residents form documented 33 residents lived in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure an open shelved insulin cart with different residents' medications did not enter resident rooms. The Resident Census and Conditions of Residents report documented 33 residents resided in the facility.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on record review, observation, and interviews, the facility failed to maintain an effective pest control program so that the facility was free of bed bugs and roaches. The Resident Census and Conditions of Residents form documented 33 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, observation, and interview, the facility failed to develop a comprehensive person-centered care plan based on the resident assessment for one (#13) of ten residents whose records were reviewed for care plans. The Resident Census and Conditions of Residents form documented 33 residents resided in the facility.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, observation, and interview, the facility failed to notify the the physician, obtain orders for treatment, and assess a pressure ulcer in a timely manner for one (#78) of two residents sampled for pressure ulcers. The Resident Census and Conditions of Residents report documented no residents had pressure ulcers.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on record review, observation, and interview, the facility failed to assist a resident to obtain dental services for one (#13) of one resident reviewed for dental services. The DON identified two residents in the facility who had obvious dental caries.
Fire safety inspections
12 fire safety citations on file: 3 on January 8, 2025, 3 on September 12, 2023, 6 on May 17, 2022.
Every fire safety citation12 citations
- E Have an alternate power supply for its alarm system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have power receptacles that are properly grounded.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have simulated fire drills held at unexpected times.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
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) | 3.32 | 3.79 | 3.86 |
| Registered nurses | 0.33 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.48 | 3.44 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 43.3% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.59 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 3.26 on weekdays and 3.48 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 3.25 in April to June 2025 to 3.32 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 | 3.32 | 0.33 | 3.26 | 3.48 | 0.0% | 10 of 90 | 33 |
| Oct to Dec 2025 | 3.81 | 0.37 | 3.88 | 3.63 | 0.0% | 2 of 92 | 32 |
| Jul to Sep 2025 | 3.54 | 0.38 | 3.60 | 3.39 | 0.0% | 3 of 92 | 34 |
| Apr to Jun 2025 | 3.25 | 0.40 | 3.27 | 3.22 | 0.0% | 2 of 91 | 34 |
| 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 | 3.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.9 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.8 | 17.5 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 January 8, 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 6 problems in this area, most recently on March 27, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 5 problems in this area, most recently on September 12, 2023: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on January 8, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Fountain View Manor, Inc Henryetta, 10.8 mi · 2 of 5 stars · 28 citations
- Okemah Care Center Okemah, 11.6 mi · 3 of 5 stars · 32 citations
- Heartway at Henryetta Health and Rehab Henryetta, 12.2 mi · 4 of 5 stars · 11 citations
- Colonial Park Manor Okemah, 12.6 mi · 4 of 5 stars · 12 citations
- Highland Park Health Care Okmulgee, 21.7 mi · 3 of 5 stars · 26 citations
- Boyce Manor Nursing Home Holdenville, 22.1 mi · 1 of 5 stars · 32 citations
- Heartway at Heritage Village Health and Rehab Holdenville, 22.3 mi · 3 of 5 stars · 21 citations
- Woodlands Skilled Nursing and Therapy Okmulgee, 22.6 mi · 3 of 5 stars · 30 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 Rainbow Terrace Care Center's Medicare star rating?
- CMS rates Rainbow Terrace Care Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rainbow Terrace Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on January 8, 2025. The Oklahoma average is 6.4.
- Has Rainbow Terrace Care Center been fined?
- CMS lists no fines in the last three years.
- Does Rainbow Terrace Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rainbow Terrace Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.