Talihina Manor
First & Emmert Street, Talihina, OK 74571 · Le Flore County · (918) 567-2279
69 certified beds, about 28 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375328 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 21 health citations since February 2023 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 3.65 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
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.
402/23
1503/24
207/25
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 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
10E
1F
Potential for minimal harm
0A
0B
0C
July 3, 2025Standard inspection · 2 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility failed to complete criminal history background checks for 8 (dietary manager, social services director/activities director, CMA #1, CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5) of 10 sampled employees reviewed for criminal history background checks. The administrator identified 26 residents who resided in the facility and 39 facility employees.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview, the facility failed to maintain a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The DON reported 26 residents resided in the facility.
March 1, 2024Standard inspection · 15 citations
- F 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 serve food in a sanitary manner. The administrator stated 23 residents received their meals from the kitchen.
- 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 observation, record review, and interview, the facility failed to ensure residents' rights to formulate advanced directives in accordance with state law for four (#1, 4, 14, and #19) of 16 residents whose records were reviewed for advanced directives. The DON stated 16 residents residing in the facility had DNRs.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the accuracy of MDS assessments for three (#2, #3, and #5) of 12 residents whose assessments were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 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 observation, record review, and interview, the facility failed to develop care plans to meet the residents' needs for three (#3, 5, and #7) of twelve residents whose care plans were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility.
- 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 an RN was present in the facility for eight consecutive hours a day seven days a week. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 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 observation, record review, and interview, the facility failed to ensure medications were stored and reconciled according to the facilities practice and standard of care. The Long Term Care Facility Application form Medicare and Medicaid form documented 24 residents resided in the facility.
- E 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 observation, record review, and interview, the facility failed to ensure PRN psychotropic medications were limited to 14 days unless the physician deemed it appropriate to extend the duration and document a rational and end date for two (#12 and #14) of five residents whose medications were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility.
- 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, record review, and interview, the facility failed to ensure medications were not kept past their expired date. The Long Term Care Facility Application form Medicare and Medicaid form documented 24 residents resided in the facility.
- E Keep complete, dated laboratory records in the resident's record.
Inspectors wroteBased on record review and interview, the facility failed to have a system to receive resident lab reports and ensure the reports were placed in the residents' clinical records for seven (#2, 5, 7, 13, 14, 16, and #17) of eight residents reviewed for availability of lab reports. The DON stated eight residents received lab services utilizing the Choctaw Nation Hospital.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to update OHCA for residents with a newly evident or serious mental disorder for one (#3) of three residents reviewed for PASRR. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteThe facility failed to ensure the OHCA was notified of a resident with a serious mental illness for one (#11) of three residents reviewed for PASRR level I screenings. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility.
- D 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 ensure residents were fully assessed for the use of side rails, were provided with an informed consent for the use of side rails, and side rails were properly installed for one (#13) of one resident reviewed for side rails. The DON stated 11 residents in the facility utilized side rails of any type.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on record review and interview, the facility failed to develop a care plan for a resident with dementia to ensure they received the appropriate treatment and services for one (#5) of one resident reviewed for dementia care. The DON stated there were 12 residents with a diagnosis of dementia who resided in the facility.
- D 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 observation, record review, and interview, the facility failed to ensure a physician responded to a consultant pharmacist recommendation for one (#2) of five residents whose medications were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Res #2 had diagnoses which included conversion disorder with seizures or convulsions and transient ischemic deafness, bilateral. On 08/07/23 the consultant pharmacist reviewed the resident's medications and recommended the facility add oxcarbazepine level every six months to the resident's standing lab orders. [...]
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were prescribed for the correct indication for one (#2) of five residents whose medications were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility.
February 17, 2023Standard inspection · 4 citations
- 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 and interview, the facility failed to develop a care plan for a resident on hospice services for one (#18) of one resident reviewed for Hospice services. The Resident Census and Conditions of Residents, dated 02/14/23, documented six residents received hospice services.
- 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 revise a care plan with fall interventions for one (#18) of two residents reviewed for falls. An All Falls for Facility report, dated 02/14/22 through 02/16/23, documented 14 residents had falls in the last 12 months.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview, the facility failed to follow their fall prevention policy for one (#18) of two residents reviewed for falls. An All Falls for Facility report, dated 02/14/22 through 02/16/23, documented 14 resident had falls in the last 12 months.
- D 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 record review, observation, and interview, the facility failed to ensure controlled medications in the medication room refrigerator were stored in a permanently affixed compartment and medication bottles were labeled. CMA #1 identified three residents received controlled medicatons from the refrigerator and 29 residents received medications from the medicaton room.
Fire safety inspections
4 fire safety citations on file: 2 on February 17, 2023, 2 on January 27, 2022.
Every fire safety citation4 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- E Install emergency lighting that can last at least 1 1/2 hours.
- 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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) | 3.65 | 3.79 | 3.86 |
| Registered nurses | 0.50 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.56 | 3.44 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.21 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 3.68 on weekdays and 3.56 on weekends, 3% 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 3.58 in April to June 2025 to 3.65 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 | 3.65 | 0.50 | 3.68 | 3.56 | 0.0% | 0 of 90 | 28 |
| Apr to Jun 2025 | 3.58 | 0.35 | 3.56 | 3.64 | 0.0% | 1 of 91 | 24 |
| 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 | 13.6 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.9 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.5 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.1 | 3.0 | 1.8 |
Owners and operators
Legal business name: TALIHINA MANOR LLC. CMS links this home to Bgm Estate, a group of 15 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bgm Estate LLC | 5% or greater direct ownership interest | Organization | 25% | 12/29/2020 |
| Delores O. Mitchell Revocable Trust | 5% or greater direct ownership interest | Organization | 25% | 12/29/2020 |
| Gilbert F. Green Trust | 5% or greater direct ownership interest | Organization | 50% | 12/29/2020 |
| Mitchell, Kelly | 5% or greater indirect ownership interest | Individual | 6% | 12/29/2020 |
| Mitchell, Marcinda | 5% or greater indirect ownership interest | Individual | 6% | 12/29/2020 |
| Mitchell, Robert | 5% or greater indirect ownership interest | Individual | 6% | 12/29/2020 |
| Tabor, Angela | 5% or greater indirect ownership interest | Individual | 6% | 12/29/2020 |
| Taylor, Sandra | W-2 managing employee | Individual | 12/29/2020 | |
| Morgan, Michael | Corporate officer | Individual | 12/29/2020 |
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 March 1, 2024: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 1, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- 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 March 1, 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 allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
Other nursing homes nearby
- Tidwell Living Center Wilburton, 19.9 mi · 5 of 5 stars · 11 citations
- Latimer Nursing Home Wilburton, 20 mi · 2 of 5 stars · 21 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 Talihina Manor's Medicare star rating?
- CMS rates Talihina Manor 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Talihina Manor get at its last inspection?
- 2 health deficiencies at the standard inspection on July 3, 2025. The Oklahoma average is 6.4.
- Has Talihina Manor been fined?
- CMS lists no fines in the last three years.
- Does Talihina 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 Talihina Manor?
- CMS lists 9 owners and managers, and links the home to Bgm Estate. Legal business name: TALIHINA MANOR 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.