Shady Rest Care Center
210 South Adair, Pryor, OK 74361 · Mayes County · (918) 825-4455
65 certified beds, about 31 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1998
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375334 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 29, 2024, inspectors cited 11 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 22 health citations since November 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,069 in the last three years; the largest was $14,069, and the latest is dated July 9, 2025.
Nurses and nurse aides worked 3.89 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
57.1% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bgm Estate, an affiliated group of 15 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.
511/22
407/23
108/24
1108/24
107/25
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 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
9E
2F
Potential for minimal harm
0A
0B
0C
July 9, 2025Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteOn 07/08/25 past non-compliance immediate jeopardy situations were determined to exist related to the facility's failure to:a. secure Resident #2 during transport in the facility van. On 06/18/25 the van driver had to brake suddenly, and Resident #2 fell forward from the wheelchair hitting their head and right knee on the row of seats in front of them; andb. ensure the safety of Resident #1 who was at risk for elopement. On 06/22/25 at 8:17 p.m., a facility video showed Resident #1 left the facility through the kitchen door and walked North down the alley. At 8:27 p.m., the video showed Resident #1 at the front door of the facility and then they walked South down [NAME] street. Based on observation, record review, and interview, the facility failed to ensure:a. seat belts were in proper working order for 1 (#2) of 3 sampled residents reviewed for transportation safety; and b. [...]
August 29, 2024Standard inspection, Complaint inspection · 11 citations
- F Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on record review, observation, and interview, the facility failed to provide the correct amount of food to residents in accordance with the facility menu. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility.
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on record review and interview, the facility failed to provide have a director of food services employed at the facility. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility.
- 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure the residents right to refuse treatment was respected for one (#28) of two residents reviewed for resident's rights. The administrator reported the census was 34.
- E 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 and interview, the facility failed to ensure a broken window pane was replaced and not covered with a Styrofoam and tape for two (#17 and #24) of twelve sampled resident reviewed homelike environment. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility.
- 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 record review and interview, the facility failed to implement a comprehensive care plan for one (#139) of five sampled residents reviewed for unnecessary medications. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's attending physician participated in care plan conferences for one (#6) of twelve sampled resident reviewed for care plans. A facility resident roster, dated 08/26/24, documented 34 residents resided in the facility.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation and interview, the facility failed to ensure dryer lint screens were routinely cleared for two of two dryers observed in the laundry room. The administrator reported the census was 34.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify a resident's responsible party when the resident was transferred to a hospital for one (#37) of four sampled resident reviewed for hospitalizations. The DON stated 26 residents had been transferred from the facility in the six months prior to the survey.
- 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 an admission MDS was completed within 14 days of admission for one (#139) of five residents reviewed for MDS assessments. The administrator reported the facility census was 34.
- 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 residents receiving psychotropic medications were monitored for side effects for one (#139) of five residents reviewed for unnecessary medications. The corporate nurse reported 23 residents in the facility received psychotropic medications.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide food that accommodated resident allergies for one (#30) of two residents reviewed for dining. Corporate Nurse #1 reported 32 residents received meals from the kitchen.
August 6, 2024Complaint inspection · 1 citation
- E 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 provide comfortable room temperatures for two (#6 and #7) of four sampled residents reviewed for environment. A facility resident roster, dated 08/05/24, documented 37 residents resided at the facility.
July 27, 2023Standard inspection · 4 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to provide written notice of transfer to residents and their representatives prior to each resident's transfer to a hospital for three (#3, 31, and #40) of three sampled residents reviewed for hospitalizations. The Beneficiary Notice - Residents discharged Within the Past Six Months form, documented nine residents had been discharged in the previous six months.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure medications were accurately coded on assessments for one (#37) of five residents whose assessments were reviewed for medications. The MDS coordinator identified four residents who received clopidogrel (an antiplatelet medication).
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to include a reconciliation of admission and discharge medications in the discharge summary process for one (#39) of three sampled residents reviewed for closed records. The Beneficiary Notice - Residents discharged Within the Past Six Months form, documented nine residents had been discharged in the previous six months.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to obtain a medication to one (#29) of five sampled residents reviewed for medication administration. The Resident Census and Conditions of Residents, form, dated 07/20/23, documented 35 residents resided in the facility.
November 28, 2022Standard inspection · 5 citations
- 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to have an effective means of documenting a resident's code status for four (#6, 43, 30, and #40) of four sampled residents who were reviewed for advance directives. The Resident Census and Conditions of Residents form documented 13 residents had advanced directives and 43 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 leftover foods were dated and discarded by the use by date and the ice machine was maintained in a sanitary manner. The DON identified 40 residents who received nourishment from the kitchen.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to ensure Advanced Beneficiary Notices of Non-Coverage were provided for two (#7 and #11) of three residents who were reviewed for beneficiary notices. The Entrance Conference Worksheet identified five residents had been discharged from a Medicare covered Part A stay, had benefit days remaining, and remained in the facility.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary with a recapitulation of the resident's stay was completed for one (#45) of three sampled residents who were reviewed as a closed record review. The Resident Census and Conditions of Residents form documented 42 residents resided in the facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, observation, and interview, the facility failed to implement interventions to prevent significant weight loss for one (#17) of three sampled residents who were reviewed for significant weight loss. The DON identified four residents with significant weight loss.
Fire safety inspections
4 fire safety citations on file: 1 on August 29, 2024, 2 on July 27, 2023, 1 on November 28, 2022.
Every fire safety citation4 citations
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 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 smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have restrictions on the use of portable space heaters.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 9, 2025 | Fine | $14,069 |
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) | 3.89 | 3.79 | 3.86 |
| Registered nurses | 0.27 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.44 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 57.1% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 2.73 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 3.90 on weekdays and 3.86 on weekends, 1% 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 3.34 in April to June 2025 to 3.89 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 | 3.89 | 0.27 | 3.90 | 3.86 | 0.0% | 1 of 90 | 31 |
| Oct to Dec 2025 | 4.16 | 0.26 | 4.35 | 3.69 | 0.0% | 0 of 92 | 33 |
| Jul to Sep 2025 | 3.76 | 0.30 | 3.82 | 3.61 | 0.0% | 1 of 92 | 32 |
| Apr to Jun 2025 | 3.34 | 0.27 | 3.41 | 3.18 | 0.0% | 1 of 91 | 36 |
| 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 | 18.8 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.0 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 17.5 | 15.4 |
Owners and operators
Legal business name: SHADY REST CARE CENTER, LLC. CMS links this home to Bgm Estate, a group of 15 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Angelus Holdings LLC | 5% or greater direct ownership interest | Organization | 13% | 12/12/2025 |
| Bgm Estate LLC | 5% or greater direct ownership interest | Organization | 38% | 12/15/2011 |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr | 5% or greater direct ownership interest | Organization | 11% | 12/12/2025 |
| Tiffany Seay Exempt Tr | 5% or greater direct ownership interest | Organization | 14% | 12/12/2025 |
| Philip M. Green Revocable Trust | Direct ownership interest | Organization | 12/12/2025 | |
| Mitchell, Kelly | 5% or greater indirect ownership interest | Individual | 9% | 12/06/2011 |
| Mitchell, Marcinda | 5% or greater indirect ownership interest | Individual | 9% | 12/15/2011 |
| Mitchell, Robert | 5% or greater indirect ownership interest | Individual | 9% | 12/15/2011 |
| Tabor, Angela | 5% or greater indirect ownership interest | Individual | 9% | 12/15/2011 |
| Belt, Miranda | Corporate officer | Individual | 12/09/2024 | |
| Pitts, Jaci | Corporate officer | Individual | 12/09/2024 | |
| Taylor, Sandra | Corporate officer | Individual | 12/15/2011 | |
| Brown, Jack | Operational/managerial control | Individual | 12/01/2019 | |
| Lowrimore, Morgan | Operational/managerial control | Individual | 10/07/2025 | |
| Angelus Holdings LLC | Adp of the SNF | Organization | 12/12/2025 | |
| Philip M. Green Revocable Trust | Adp of the SNF | Organization | 12/12/2025 | |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr | Adp of the SNF | Organization | 12/12/2025 | |
| Tiffany Seay Exempt Tr | Adp of the SNF | Organization | 12/12/2025 | |
| Brown, Jack | Adp of the SNF | Individual | 12/01/2019 | |
| Lowrimore, Morgan | Adp of the SNF | Individual | 12/18/2025 | |
| Mitchell, Kelly | Adp of the SNF | Individual | 12/06/2011 | |
| Mitchell, Marcinda | Adp of the SNF | Individual | 12/15/2011 | |
| Mitchell, Robert | Adp of the SNF | Individual | 12/15/2011 | |
| Tabor, Angela | Adp of the SNF | Individual | 12/15/2011 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on August 29, 2024: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on August 29, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on August 29, 2024: "Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Colonial Terrace Care Center Pryor, 2.5 mi · 3 of 5 stars · 26 citations
- Meadowbrook Nursing Center Chouteau, 8.4 mi · 2 of 5 stars · 34 citations
- Parkhill North Nursing Home Salina, 9.6 mi · 2 of 5 stars · 18 citations
- Lane Nursing & Ventilator Care Inola, 14.8 mi · 1 of 5 stars · 29 citations
- Claremore Skilled Nursing and Therapy Claremore, 15.5 mi · 3 of 5 stars · 16 citations
- Emerald Care Center Claremore Claremore, 16.9 mi · 2 of 5 stars · 49 citations
- Memory Care Center at Emerald Claremore, 17 mi · 1 of 5 stars · 56 citations
- Wagoner Health & Rehab Wagoner, 23.9 mi · 2 of 5 stars · 37 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 Shady Rest Care Center's Medicare star rating?
- CMS rates Shady Rest Care Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shady Rest Care Center get at its last inspection?
- 11 health deficiencies at the standard inspection on August 29, 2024. The Oklahoma average is 6.4.
- Has Shady Rest Care Center been fined?
- Yes. CMS lists 1 fine totaling $14,069 in the last three years.
- Does Shady Rest 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 Shady Rest Care Center?
- CMS lists 24 owners and managers, and links the home to Bgm Estate. Legal business name: SHADY REST CARE CENTER, 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.