Stilwell Nursing and Rehab
509 W Locust St., Stilwell, OK 74960 · Adair County · (918) 696-7715
120 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1998
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375333 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2025, inspectors cited 4 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 24 health citations since August 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 3.22 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.
38.9% 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.
908/22
1112/23
404/25
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
8E
1F
Potential for minimal harm
0A
0B
0C
April 9, 2025Standard inspection · 4 citations
- E 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 the estimated costs of services was included on form CMS-10055 (Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage) for 3 (#37, 78, and #79) of 3 sampled residents reviewed for beneficiary notifications reviews. MDS Coordinator #1 stated there had been 28 discharges from Part A services in the past six months (09/01/24 through 04/01/25).
- 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 observation, record review, and interview, the facility failed to ensure there was a care plan intervention for tracheostomy self care for 1 (#60) of 1 sampled resident whose care plan was reviewed. The DON reported one resident with a tracheostomy resided at the facility.
- D Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on record review and interview, the facility failed to ensure a binding arbitration agreement did not require mediation be held in a specific county of the state of Oklahoma for 1 (#45) of 3 sampled residents reviewed for binding arbitration agreements. The DON stated 76 residents at the facility were offered the opportunity to sign the facility's arbitration agreement.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain an infection prevention and control program to help prevent the transmission of infections for 1 (#40) of 3 sampled residents reviewed for wound care. The DON identified 12 residents received wound care.
December 14, 2023Standard inspection, Complaint inspection · 11 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to follow physician's orders for a diabetic for one (#17) of one sampled resident whose record was reviewed for insulin usage. The DON identified 24 residents who required insulin.
- 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 the services of an RN was available in the facility eight hours daily seven days a week. The administrator identified 74 residents who resided in the facility.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure food was palatable and at an appetizing temperature. The administrator identified 74 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 observation and interview the facility failed to ensure trash cans were clean and in working order. The DON identified 73 residents who receive meals from the kitchen.
- 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, it was determined the facility failed to ensure the code status was identified and correct for one (#40) of five resident whose code status was reviewed. The administrator identified 74 residents who resided in the facility.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to notify OHCA of a new diagnoses of serious mental illness for two (#3 and #66) of three sampled residents whose PASARR records were reviewed. The DON identified 74 residents who residents in the facility.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, the facility failed to notify OHCA of a serious mental illness for one (#17) of three sampled resident whose Level I PASARR was reviewed. The administrator identified 74 resident who resided in the facility.
- D 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 update a comprehensive care plan when a resident developed a urinary tract infection for one (#54) of one sampled resident who was reviewed for an indwelling urinary catheter. The DON identified three residents who had an indwelling urinary catheter.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, and interview, the facility failed to keep a urinary drainage bag off the floor to prevent infection for one (#54) of one sampled resident who was reviewed for an indwelling urinary catheter. The DON identified three residents who had indwelling urinary catheters.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to post the required information related to staffing and retain daily staffing information for the past 18 months. The administrator identified 74 residents who resided in the facility.
- 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, it was determined the facility failed to ensure residents did not receive psychotropic medication, unless for a specific diagnosed condition, for one (#48) of five residents reviewed for unnecessary medication. The DON identified 17 residents who received psychotropic medication.
August 4, 2022Standard inspection · 9 citations
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on record review, observation, and interview, the facility failed to follow the menu provided for one meal of five meals reviewed for menu accuracy. The Resident Census and Conditions of Residents form documented 67 residents ate meals from the menu.
- 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, observation, and interview, the facility failed to update a care plan regarding smoking for one (#14) of ten residents reviewed for care plans. The DON reported the facility had ten residents who smoked.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, and interview, the facility failed to prevent injury by assessing smoking safety for one (#14) of ten residents reviewed for smoking safety. The DON identified ten residents were smokers.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to implement and maintain an antibiotic stewardship program. The Resident Census and Conditions of Residents form documented 68 residents resided in the facility.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, it was determined the facility failed to provide residents with beneficiary notices for one (#20) of three sampled residents for beneficiary notices. The Discharge Summary Report documented 39 residents had been discharged in the past six months.
- D 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 discharge for one (#63) resident of 39 residents reviewed for discharge notices. The Discharge Summary Report documented 39 residents had been discharged from the facility in the past six months.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to properly document a fall on the resident assessment for one (#16) of one residents reviewed for falls. The DON reported the facility had 79 residents with falls since 01/22.
- 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 was completed for one (#65) of two residents reviewed for discharge summaries. The Resident Census and Conditions of Residents documented 68 residents were in the facility.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to coordinate care with hospice for one (#37) of one resident who was reviewed for hospice services and to follow physician's orders related to diabetic care for two (#39 and #45) of four residents reviewed for diabetic care. The Resident Census and Conditions of Residents report, dated 08/01/22, documented there were seven residents with hospice services. The DON reported 16 residents who required diabetic care resided in the facility.
Fire safety inspections
3 fire safety citations on file: 3 on April 9, 2025.
Every fire safety citation3 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
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) | 3.22 | 3.79 | 3.86 |
| Registered nurses | 0.21 | 0.34 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.44 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 38.9% | 55.5% | 45.8% |
| Registered nurse turnover | 20.0% | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.68 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 3.39 on weekdays and 2.79 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 3.38 in April to June 2025 to 3.22 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 | 3.22 | 0.21 | 3.39 | 2.79 | 0.0% | 0 of 90 | 86 |
| Oct to Dec 2025 | 3.21 | 0.23 | 3.37 | 2.82 | 0.0% | 0 of 92 | 83 |
| Jul to Sep 2025 | 3.39 | 0.24 | 3.54 | 2.98 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.38 | 0.23 | 3.57 | 2.90 | 0.0% | 0 of 91 | 79 |
| 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 | 18.6 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.9 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.6 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 3.0 | 1.8 |
Owners and operators
Legal business name: SNH OPCO, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Grant Rhodes Revocable Trust Dated January 30, 2018 | 5% or greater direct ownership interest | Organization | 02/01/2022 | |
| Jack L Byers Revocable Trust Dated January 26, 2017 | 5% or greater direct ownership interest | Organization | 02/01/2022 | |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | 5% or greater direct ownership interest | Organization | 02/01/2022 | |
| Snow Family Trust Dated June 29, 2012 | 5% or greater direct ownership interest | Organization | 02/01/2022 | |
| Byers, Jack | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Rhodes, Jonathan | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Snow, Audrey | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Snow, Larry | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Young, Bridgette | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Young, Jeffrey | 5% or greater direct ownership interest | Individual | 02/01/2022 | |
| Snow, Larry | Corporate officer | Individual | 02/01/2022 | |
| Bedlam Properties Ho LLC | Operational/managerial control | Organization | 02/01/2022 | |
| Matrix Provider Solutions LLC | Operational/managerial control | Organization | 02/01/2022 | |
| Gilbert, Paul | Operational/managerial control | Individual | 06/01/2022 | |
| Bedlam Properties Ho LLC | Adp of the SNF | Organization | 02/14/2025 | |
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Adp of the SNF | Organization | 05/01/2022 | |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Adp of the SNF | Organization | 02/01/2022 | |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Adp of the SNF | Organization | 02/01/2022 | |
| Matrix Provider Solutions LLC | Adp of the SNF | Organization | 02/14/2025 | |
| Snow Family Trust Dated June 29, 2012 | Adp of the SNF | Organization | 02/01/2022 | |
| Byers, Jack | Adp of the SNF | Individual | 02/01/2022 | |
| Gilbert, Paul | Adp of the SNF | Individual | 06/01/2022 | |
| Lietzke, Mark | Adp of the SNF | Individual | 02/01/2022 | |
| Pearson, Arthur | Adp of the SNF | Individual | 11/21/2022 | |
| Rhodes, Jonathan | Adp of the SNF | Individual | 02/01/2022 | |
| Snow, Audrey | Adp of the SNF | Individual | 02/01/2022 | |
| Snow, Larry | Adp of the SNF | Individual | 02/01/2022 | |
| Young, Bridgette | Adp of the SNF | Individual | 02/01/2022 | |
| Young, Jeffrey | Adp of the SNF | Individual | 02/01/2022 |
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 7 problems in this area, most recently on April 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 9, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 14, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 14, 2023: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- Sequoyah Pointe Skilled Nursing and Therapy Tahlequah, 19.7 mi · 4 of 5 stars · 22 citations
- Cherokee County Nursing Center Tahlequah, 20 mi · 4 of 5 stars · 24 citations
- University Park Skilled Nursing and Therapy Memory Tahlequah, 20.6 mi · 4 of 5 stars · 28 citations
- Prairie Grove Health and Rehabilitation, LLC Prairie Grove, 20.9 mi · 5 of 5 stars · 8 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 Stilwell Nursing and Rehab's Medicare star rating?
- CMS rates Stilwell Nursing and Rehab 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stilwell Nursing and Rehab get at its last inspection?
- 4 health deficiencies at the standard inspection on April 9, 2025. The Oklahoma average is 6.4.
- Has Stilwell Nursing and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Stilwell Nursing and Rehab 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 Stilwell Nursing and Rehab?
- CMS lists 29 owners and managers. Legal business name: SNH OPCO, 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.