Home / Oklahoma / Sand Springs
Sand Springs Nursing and Rehabilitation
1025 North Adams, Sand Springs, OK 74063 · Tulsa County · (918) 245-5908
173 certified beds, about 59 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375285 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2026, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 15 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated February 13, 2026.
Nurses and nurse aides worked 3.26 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.19 of those hours.
67.6% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Conhold, an affiliated group of 5 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.
205/23
1106/24
202/26
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
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
7E
0F
Potential for minimal harm
0A
0B
0C
February 13, 2026Standard inspection, Complaint inspection · 2 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteA past noncompliance immediate Jeopardy situation was determined to exist effective 12/01/25 related to the facility's failure to ensure residents were free from abuse by facility staff. Based on record review and interview, the facility failed to protect the resident's right to be free from sexual abuse by staff for 1 (#29) of 2 sampled residents reviewed for allegations of abuse. The administrator identified 59 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 assessments were accurate for 1 (#28) of 17 sampled residents reviewed for falls. The administrator identified 59 residents resided in the facility.
June 21, 2024Standard inspection, Complaint inspection · 11 citations
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, record review, and interview, the facility failed to: a. assess the resident for the use of side rails, b. ensure to mattress fit correctly for the bed frame and use of side rails, c. monitor for safety and maintenance for the use of side rails, d. obtain an informed consent prior to the use of side rails, for one (#27) of one sampled residents reviewed for side rails. The DON identified eight residents who used side rails.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review and interview, the facility failed to provide enough staff to ensure assistance with ADL's and a clean environment was provided for one (#33) of three residents reviewed for ADL's The administrator reported the census was 52.
- E Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to ensure nurse staffing information was posted on a daily basis. The administrator identified 52 residents resided in the facility.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview , the facility failed to administer medication as ordered by the physician for one (#51) of five sampled residents who were reviewed for unnecessary medication. The administrator identified 52 residents resided in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facililty failed to maintain an infection control program for enhanced barrier precautions for three (#29, 46, and #51) of three reviewed for infection control. The DON identified eight residents who currently had EBP.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain a clean comfortable environment for one (#33) of three residents sampled for environment. The administrator reported the census was 52.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure assistance with ADL's was provided for one (#33) of three residents reviewed for assistance with ADL's. The administrator reported the census was 52.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to complete weekly skin assessments as ordered to identify impaired skin integrity for one (#27) of three residents reviewed for pressure ulcers. The DON identified two residents with pressure ulcers.
- 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure a PRN order for an antianxiety had a 14 day stop date and an antipsychotic had an appropriate diagnosis for one (#53) of five sampled residents reviewed for unnecessary medications. The administrator identified 52 residents resided in the facility.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident records were accurate for one (#49) of four sampled residents reviewed for accidents. The administrator identified 52 residents resided in the facility.
- D Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on observation, record review, and interview, the facility failed to inspect the bed frame, mattress, and bed rails as part of a regular maintenance program for one (#27) of one sampled residents reviewed for side rails. The DON identified eight residents who used side rails.
May 12, 2023Standard inspection · 2 citations
- 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 five percent for three (#34, 27, and #31) of 16 residents observed during medication passes. A total of 25 opportunities were observed with three errors and a total error rate of 12%.
- 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 store foods according to professional standards for food service safety. The facility failed to discard left-over refrigerated foods within the timeframe allotted for food service safety and failed to label/date left-over foods stored in the refrigerator according to professional standards for food service safety. The director of nursing identified 56 residents who ate meals prepared in the kitchen.
Fire safety inspections
11 fire safety citations on file: 2 on February 13, 2026, 6 on June 21, 2024, 3 on May 12, 2023.
Every fire safety citation11 citations
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2026 | Fine | $8,281 |
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) | 3.26 | 3.79 | 3.86 |
| Registered nurses | 0.19 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.44 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 67.6% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 2.85 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 3.32 on weekdays and 3.11 on weekends, 6% 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 3.12 in April to June 2025 to 3.26 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 | 3.26 | 0.19 | 3.32 | 3.11 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.38 | 0.19 | 3.48 | 3.13 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 3.20 | 0.17 | 3.24 | 3.09 | 0.0% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.12 | 0.17 | 3.13 | 3.11 | 0.0% | 0 of 91 | 60 |
| 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 | 17.0 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 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 | 8.5 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.1 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 35.9 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 3.0 | 1.8 |
Owners and operators
Legal business name: CONHOLD OF SAND SPRINGS, LLC. CMS links this home to Conhold, a group of 5 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sullivan Sand Springs Tr | 5% or greater direct ownership interest | Organization | 45% | 08/29/2013 |
| Tenant One, LLC | 5% or greater indirect ownership interest | Organization | 08/29/2013 | |
| Sullivan, James | 5% or greater indirect ownership interest | Individual | 08/29/2013 | |
| Armstrong Bank | 5% or greater mortgage interest | Organization | 08/29/2013 | |
| Allred, Amy | W-2 managing employee | Individual | 05/14/2018 | |
| Comprehensive Management Services, Inc | Operational/managerial control | Organization | 08/29/2013 | |
| Sullivan, James | Operational/managerial control | Individual | 08/29/2013 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 21, 2024: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 21, 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 2 problems in this area, most recently on February 13, 2026: "Ensure each resident receives an accurate assessment."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on June 21, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Oklahoma average of 3.44.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Saint Simeons Episcopal Home Tulsa, 6.4 mi · 4 of 5 stars · 13 citations
- Sherwood Manor Nursing Home Tulsa, 6.8 mi · 2 of 5 stars · 31 citations
- Covenant Living at Inverness Tulsa, 7.4 mi · 5 of 5 stars · 3 citations
- Colonial Manor Nursing Home Tulsa, 8.6 mi · 4 of 5 stars · 18 citations
- Ambassador Manor Nursing Center Tulsa, 9.1 mi · 2 of 5 stars · 25 citations
- Oklahoma Memory Care Institute Tulsa, 9.2 mi · 2 of 5 stars · 31 citations
- Green Country Care Center Tulsa, 9.2 mi · 2 of 5 stars · 27 citations
- Zarrow Pointe Tulsa, 9.2 mi · 5 of 5 stars · 19 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 Sand Springs Nursing and Rehabilitation's Medicare star rating?
- CMS rates Sand Springs Nursing and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sand Springs Nursing and Rehabilitation get at its last inspection?
- 2 health deficiencies at the standard inspection on February 13, 2026. The Oklahoma average is 6.4.
- Has Sand Springs Nursing and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $8,281 in the last three years.
- Does Sand Springs Nursing and Rehabilitation 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 Sand Springs Nursing and Rehabilitation?
- CMS lists 7 owners and managers, and links the home to Conhold. Legal business name: CONHOLD OF SAND SPRINGS, 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.