What is The Cottage Extended Care's Medicare star rating?

CMS rates The Cottage Extended Care 3 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Cottage Extended Care get at its last inspection?

3 health deficiencies at the standard inspection on January 9, 2025. The Oklahoma average is 6.4.

Has The Cottage Extended Care been fined?

CMS lists no fines in the last three years.

Does The Cottage Extended Care 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 The Cottage Extended Care?

CMS lists 3 owners and managers. Legal business name: COX RETIREMENT PROPERTIES INC.

The Cottage Extended Care: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 9, 2025, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 19 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.95 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.

84.7% 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.

812/21

509/23

111/23

301/25

105/25

106/26

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 19 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

June 18, 2026Complaint inspection · 1 citation

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 16, 2026

Inspectors wroteBased on observation and interview, the facility failed to: a. ensure medications were secure for 1 of 1 wound care cart, and b. ensure medications were secure for 1 of 2 nurse treatment carts observed. The administrator identified 86 residents resided in the facility.

May 30, 2025Complaint inspection · 1 citation

J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteOn 05/29/25 at 4:40 p.m., the OSDH was notified and verified the existence of a past non-compliance immediate jeopardy (IJ) situation related to the facility's failure to ensure wound care was completed as ordered. On 05/29/25 at 4:47 p.m., the administrator was notified of the immediate jeopardy (IJ) situation. The administrator was provided the IJ template Based on record review and interview, the facility failed to ensure a resident had wound care completed as ordered for 1 (#1) of 3 sampled residents reviewed for wound care. The DON identified 10 residents received wound care.

January 9, 2025Standard inspection · 3 citations

D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2025

Inspectors wroteBased on record review and interview, the facility failed to complete a discharge summary for one (#98) of three sampled residents reviewed for discharge. The administrator identified 100 residents resided in the facility.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2025

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen and breathing nebulizer tubing was dated for two (#24 and #59) of three sampled residents reviewed for oxygen and breathing nebulizer tubing. The administrator identified 100 residents resided in the facility. The DON identified 19 residents used oxygen in facility
D

Make sure that a working call system is available in each resident's bathroom and bathing area.

F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2025

Inspectors wroteBased on observation and interview, the facility failed to ensure call light cords were available in resident rooms for three (#1, 43, and #62) of twenty sampled residents whose call light cord system was observed. The administrator identified 100 residents resided in the facility.

November 29, 2023Complaint inspection · 1 citation

E

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 26, 2023

Inspectors wroteBased on record review and interview, the facility failed to ensure physician's orders were obtained for catheter care for one (#1) of four residents reviewed for catheters. The DON identified 16 residents with catheters.

September 15, 2023Standard inspection, Complaint inspection · 5 citations

D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on record review and interview, the facility failed to prevent facility staff from uploading a video recording of a resident being abused onto a social media platform for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 resident resided in the facility.
D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observation, record review, and interview, the facility failed to protect a resident from physical and verbal abuse for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 resident resided at the facility.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a suspected incident of abuse was reported to the administrator within two hours of discovery for one (#73) of three sampled residents reviewed for abuse and neglect. The Resident Census and Conditions of Residents form, dated 09/06/23, identified 86 residents resided in the facility.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on interview and record review, the facility failed to ensure baths were provided for dependent residents for two (#63 and #244) of two sampled residents reviewed for ADL care. The Resident Census and Conditions of Residents form documented 82 residents required assistance or were dependent on staff for ADL care.
D

Make sure that a working call system is available in each resident's bathroom and bathing area.

F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observation, record review, and interview, the facility failed to place functioning call light activation buttons where residents could access them for two (#38 and #76) of two sampled residents reviewed for call systems. The Resident Census and Conditions of Residents form, dated 09/06/23, documented 86 residents resided in the facility.

December 2, 2021Standard inspection · 8 citations

E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dignity was maintained by covering urinary drainage bags with dignity bags for two (#32 and #61) of two residents reviewed for dignity. The DON identified 14 residents who required urinary drainage bags.
E

Assure the security of all personal funds of residents deposited with the facility.

F570 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on interview and record review, the facility failed to ensure the facility surety bond was in an amount to secure all personal funds of residents who deposited with the facility. The Administrator identified ten residents who had personal funds with the facility.
E

Assist a resident in gaining access to vision and hearing services.

F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure eye glasses were repaired for one resident (#42) of one sampled for vision. The DON identified 30 residents who required eye glasses.
E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent accidents for three residents (#51, 73, and #191) of three reviewed for accidents. The DON identified 19 residents who had accidents in the past six months.
E

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nutritional status was maintained via tube feedings for one resident (#31) of one reviewed for weight loss with tube feedings. The census and condition form documented six residents who required tube feedings.
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) February 21, 2022

Inspectors wroteBased on observation and interview, the facility failed to ensure infection control was maintained in the kitchen. The facility failed to: a. cover raw chicken in the kitchen area. b. date and label ham and cheese in the walk in refrigerator. The DM reported 82 of 83 residents received meals from the kitchen.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on interview and record review, the facility failed to ensure a baseline care plan was provided within 48 hours of admission for one (#81) of three newly admitted residents reviewed. The DON identified 83 new admissions in the past three months.
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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a gradual dose reduction for a psychotropic medication was conducted and a rationale was documented for one resident (#73) of five whose medications were reviewed. The census and condition form documented 22 residents who received psychotropic medications.

Fire safety inspections

15 fire safety citations on file: 5 on January 9, 2025, 6 on September 15, 2023, 4 on December 2, 2021.

Every fire safety citation15 citations

F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · January 9, 2025 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · January 9, 2025 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · January 9, 2025 · Corrected (the home has a date of correction)
E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · January 9, 2025 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · January 9, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 15, 2023 · Corrected (the home has a date of correction)
F
Properly provide smoke detection systems in areas open to corridors.

K 347 · September 15, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 15, 2023 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · September 15, 2023 · Corrected (the home has a date of correction)
E
Have power receptacles that are properly grounded.

K 912 · September 15, 2023 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · September 15, 2023 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · December 2, 2021 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · December 2, 2021 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · December 2, 2021 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · December 2, 2021 · 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.

Measure	This home	Oklahoma	United States
All nursing staff (RN, LPN and aides)	3.95	3.79	3.86
Registered nurses	0.21	0.34	0.69
All nursing staff on weekends	3.52	3.44	3.42
Nurse aides	2.65
Licensed practical nurses	1.08
Nursing staff turnover (share who left in a year)	84.7%	55.5%	45.8%
Registered nurse turnover	88.9%	53.6%	42.9%
Administrators who left	0

CMS expects 3.01 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 4.13 on weekdays and 3.52 on weekends, 15% 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 4.16 in April to June 2025 to 3.95 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	3.95	0.21	4.13	3.52	0.0%	0 of 90	85
Oct to Dec 2025	3.94	0.19	4.01	3.77	0.0%	0 of 92	95
Jul to Sep 2025	4.37	0.22	4.63	3.70	0.0%	0 of 92	84
Apr to Jun 2025	4.16	0.36	4.34	3.69	0.0%	0 of 91	90
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	6.8	13.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	3.6	1.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.4	2.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.7	4.7	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.9	1.8	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	4.4	13.7	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	14.2	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	14.5	17.5	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	33.8	27.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	20.6	16.6	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	4.0	2.3	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	3.0	1.8

Owners and operators

Legal business name: COX RETIREMENT PROPERTIES INC.

Name	Role	Type	Since
Cox, Steven	5% or greater direct ownership interest	Individual	04/21/2005
Cox, Steven	W-2 managing employee	Individual	04/21/2005
Cox, Steven	Corporate director	Individual	07/19/2005

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 6 problems in this area, most recently on January 9, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
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 January 9, 2025: "Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on May 30, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 18, 2026: "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."

Other nursing homes nearby

Montereau, Inc.
Tulsa, 1.6 mi · 3 of 5 stars · 20 citations
Ignite Medical Resort Tulsa, LLC
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Tulsa Center for Rehabilitation and Healthcare
Tulsa, 1.9 mi · 2 of 5 stars · 18 citations
Forest Hills Care and Rehabilitation Center
Broken Arrow, 2.5 mi · 3 of 5 stars · 35 citations
Southern Hills Rehabilitation Center
Tulsa, 3.2 mi · 3 of 5 stars · 22 citations
Senior Suites Healthcare
Broken Arrow, 3.4 mi · 2 of 5 stars · 31 citations
University Village Retirement Community
Tulsa, 4 mi · 4 of 5 stars · 15 citations
Gracewood Health & Rehab
Tulsa, 4.2 mi · 2 of 5 stars · 24 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 The Cottage Extended Care's Medicare star rating?: CMS rates The Cottage Extended Care 3 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Cottage Extended Care get at its last inspection?: 3 health deficiencies at the standard inspection on January 9, 2025. The Oklahoma average is 6.4.
Has The Cottage Extended Care been fined?: CMS lists no fines in the last three years.
Does The Cottage Extended Care 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 The Cottage Extended Care?: CMS lists 3 owners and managers. Legal business name: COX RETIREMENT PROPERTIES INC.

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.