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Ruth Wilson Hurley Manor

7 North Covington, Coalgate, OK 74538 · Coal County · (580) 927-2377

75 certified beds, about 32 residents a day · Non profit - Other · Medicare and Medicaid since 1997

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375312 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 6, 2024, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 14 health citations since July 2022 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 4.61 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

39.0% 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 14 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
7E
2F
Potential for minimal harm
0A
0B
0C
December 6, 2024Standard inspection · 3 citations
  1. 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) January 31, 2025
    Inspectors wroteBased on observation and interview, the facility failed to maintain a clean ice machine. The administrator identified 29 residents who received ice from the kitchen.
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to accurately complete a level l PASARR for one (#20) of one sampled resident reviewed for PASARR. The administrator identified 29 residents resided in the facility.
  3. 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) January 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to care plan a resident's weight loss for one (#9) of one sampled resident whose care plan was reviewed for weight loss. The DON identified three residents with weight loss.
August 23, 2023Standard inspection · 3 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 13, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' assessments were accurate for four (#3, 5, 12 and #18) of 16 sampled residents whose assessments were reviewed for accuracy. The Resident Census and Conditions of Residents, dated 08/21/23, documented a census of 36 residents.
  2. E
    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, pattern · Corrected (the home has a date of correction) October 13, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure care plans were developed for three (#3, 5, and #18) of three sampled residents who used bed rails and one (#11) of one sampled resident reviewed for falls. The DON identified seven residents who used side rails and 19 residents who had fallen in the last six months.
  3. D
    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, isolated · Corrected (the home has a date of correction) October 13, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a care plan was updated for one (#17) of one sampled resident who was reviewed for burns. The DON identified one resident who sustained burns within the last six months.
July 21, 2022Standard inspection · 8 citations
  1. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2022
    Inspectors wroteBased on record review and interview, the facility failed to develop a QAPI plan.
  2. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2022
    Inspectors wroteBased on record review and interview, the facility failed to establish and maintain a QAA committee.
  3. 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 31, 2022
    Inspectors wroteBased on record review and interview the facility failed to provide residents with an advance directive acknowledgement for six (#1, 9, 19, 24, 36, and #190) of eight residents reviewed for advance directives. The Resident Census and Conditions of Residents documented 38 residents resided in the facility.
  4. 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) October 31, 2022
    Inspectors wroteBased on record review and interview, the facility failed to review and revise a care plan for two (#24 and #36) of six residents whose care plans were reviewed. The Resident Census and Conditions of Residents documented 38 residents resided in the facility.
  5. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 31, 2022
    Inspectors wroteBased on record review and interview the facility failed to ensure the physician responded to the pharmacist reviews regarding anti-psychotic medications for two (#9 and #24) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents documented five residents had orders for anti-psychotic medication.
  6. 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) October 31, 2022
    Inspectors wroteBased on observation and interview, the facility failed to ensure controlled substances were stored in a permanently affixed compartment in the medication refrigerator for one (New Wing Medication Room) of two medication rooms. The DON reported controlled substances were stored in the refrigerator in one (New Wing Medication Room) of two medication rooms.
  7. 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) October 31, 2022
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a wound care plan was developed for one (#29) of one resident whose care plan was reviewed. The Matrix for Providers dated, 07/19/22, documented two residents with wounds.
  8. D
    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, isolated · Corrected (the home has a date of correction) October 31, 2022
    Inspectors wroteBased on record review and interview the facility failed to ensure the hospice chart was up to date for one (#36) of one resident who was reviewed for hospice services. The Matrix for Providers dated, 07/19/22, documented three residents were receiving hospice services.

Fire safety inspections

15 fire safety citations on file: 3 on December 6, 2024, 3 on August 23, 2023, 9 on July 21, 2022.

Every fire safety citation15 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 6, 2024 · Corrected (the home has a date of correction)
  2. E
    Have proper medical gas storage and administration areas.
    K 923 · December 6, 2024 · Corrected (the home has a date of correction)
  3. C
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · December 6, 2024 · Corrected (the home has a date of correction)
  4. 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 · August 23, 2023 · Corrected (the home has a date of correction)
  5. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · August 23, 2023 · Corrected (the home has a date of correction)
  6. E
    Have power receptacles that are properly grounded.
    K 912 · August 23, 2023 · Corrected (the home has a date of correction)
  7. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 21, 2022 · deficient, provider has
  8. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 21, 2022 · Corrected (the home has a date of correction)
  9. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 21, 2022 · Corrected (the home has a date of correction)
  10. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 21, 2022 · Corrected (the home has a date of correction)
  11. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · July 21, 2022 · Corrected (the home has a date of correction)
  12. E
    Install an approved automatic sprinkler system.
    K 351 · July 21, 2022 · deficient, provider has
  13. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 21, 2022 · Corrected (the home has a date of correction)
  14. E
    Have an externally vented heating system.
    K 522 · July 21, 2022 · Corrected (the home has a date of correction)
  15. E
    Have proper medical gas storage and administration areas.
    K 923 · July 21, 2022 · 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)4.613.793.86
Registered nurses0.660.340.69
All nursing staff on weekends3.903.443.42
Nurse aides2.94
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)39.0%55.5%45.8%
Registered nurse turnover57.1%53.6%42.9%
Administrators who left0

CMS expects 3.11 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 4.89 on weekdays and 3.90 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.61 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.610.664.893.90 5.0%0 of 9032
Oct to Dec 20254.550.674.803.93 6.0%0 of 9233
Jul to Sep 20254.650.874.913.98 4.6%0 of 9231
Apr to Jun 20254.790.825.064.10 4.2%0 of 9130
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
22.813.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.91.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
7.42.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.74.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.313.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.117.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.13.01.8

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on December 6, 2024: "PASARR screening for Mental disorders or Intellectual Disabilities"
  2. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on July 21, 2022: "Have a plan that describes the process for conducting QAPI and QAA activities."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 21, 2022: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  4. 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 December 6, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

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 Ruth Wilson Hurley Manor's Medicare star rating?
CMS rates Ruth Wilson Hurley Manor 4 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ruth Wilson Hurley Manor get at its last inspection?
3 health deficiencies at the standard inspection on December 6, 2024. The Oklahoma average is 6.4.
Has Ruth Wilson Hurley Manor been fined?
CMS lists no fines in the last three years.
Does Ruth Wilson Hurley Manor 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 Ruth Wilson Hurley Manor?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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