Tidwell Living Center
900 W Ranchwood Drive, Wilburton, OK 74578 · Latimer County · (918) 465-5020
55 certified beds, about 32 residents a day · For profit - Individual · Medicare and Medicaid since 2015
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375563 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 8, 2025, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 11 health citations since September 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 4.00 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
34.4% 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.
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 11 health citations on file.
May 8, 2025Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure assessments were accurate for indwelling catheters for 1 (#26) of 12 sampled residents reviewed for resident assessments. The DON identified 32 residents who resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement EBPs during catheter care for 1 (#21) of 2 sampled residents reviewed for EBPs. The DON reported seven residents required EBP.
January 11, 2024Standard inspection · 4 citations
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to monitor for side effects of psychotropic medications for two (#12 and #133) of five residents sampled for the use unnecessary medications. The administrator reported the facility census was 31.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview, the facility failed to have a program designed to help prevent the development of Legionellosis and Pontiac Fever caused by Legionella Bacteria. The administrator reported the census was 31.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure influenza vaccinations were offered for three (#5, #12, and #18) of five residents reviewed for immunizations. The administrator reported the census was 31.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, the facility failed to implement a baseline care plan that met the professional standards of quality care for one (#133) of one resident reviewed for baseline care plans. The administrator reported the census was 31.
September 21, 2022Standard inspection · 5 citations
- E Ensure a qualified health professional conducts resident assessments.
Inspectors wroteBased on record review and interview, the facility failed to correct rejected resident assessments for six of 28 resident assessments submitted to CMS. The CMS Submission Report, dated 08/01/22, documented six of 28 resident assessments submitted from 06/19/22 to 07/28/22 were rejected by CMS.
- 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 sanitary conditions were maintained during food preparation. The Resident Census and Conditions of Residents, dated 09/19/21, documented 28 residents ate from the kitchen.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation and interview, the facility failed to maintain an effective pest control program. The Resident Census and Conditions of Residents, dated 09/19/22, documented 28 residents resided in the facility.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure 19 resident assessments of 28 resident assessments reviewed were submitted in the required time frame. A CMS Submission Report, dated 08/01/22, documented 28 resident assessments were submitted.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview, the facility failed to perform bathing as scheduled for one (#20) of two residents reviewed for bathing. The administrator reported 14 residents required assistance with bathing.
Fire safety inspections
11 fire safety citations on file: 1 on May 8, 2025, 2 on January 11, 2024, 8 on September 21, 2022.
Every fire safety citation11 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Meet other general requirements that are deficient.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have an externally vented heating system.
- E Have proper medical gas storage and administration areas.
- C Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- C 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) | 4.00 | 3.79 | 3.86 |
| Registered nurses | 0.33 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.68 | 3.44 | 3.42 |
| Nurse aides | 2.89 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.10 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 3.68 on weekends, 11% 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 3.59 in April to June 2025 to 4.00 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 | 4.00 | 0.33 | 4.13 | 3.68 | 0.0% | 0 of 90 | 32 |
| Oct to Dec 2025 | 3.77 | 0.32 | 3.93 | 3.37 | 0.0% | 1 of 92 | 34 |
| Jul to Sep 2025 | 3.76 | 0.34 | 3.87 | 3.48 | 0.0% | 0 of 92 | 33 |
| Apr to Jun 2025 | 3.59 | 0.34 | 3.66 | 3.42 | 0.0% | 0 of 91 | 33 |
| 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 | 10.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.1 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 25.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 3.0 | 1.8 |
Owners and operators
Legal business name: TIDWELL HEALTHCARE, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tidwell, Darren | 5% or greater direct ownership interest | Individual | 50% | 12/15/2013 |
| Tidwell, Melissa | 5% or greater direct ownership interest | Individual | 50% | 12/15/2013 |
| Tidwell, Melissa | Operational/managerial control | Individual | 01/01/2015 |
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 4 problems in this area, most recently on May 8, 2025: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 8, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 11, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 21, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Latimer Nursing Home Wilburton, 0.2 mi · 2 of 5 stars · 21 citations
- Beare Manor Hartshorne, 14.2 mi · 5 of 5 stars · 11 citations
- Talihina Manor Talihina, 19.9 mi · 4 of 5 stars · 21 citations
- New Hope Retirement & Care Center McAlester, 24.2 mi · 2 of 5 stars · 27 citations
- McAlester Nursing & Rehab McAlester, 24.7 mi · 1 of 5 stars · 16 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 Tidwell Living Center's Medicare star rating?
- CMS rates Tidwell Living Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tidwell Living Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 8, 2025. The Oklahoma average is 6.4.
- Has Tidwell Living Center been fined?
- CMS lists no fines in the last three years.
- Does Tidwell Living 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 Tidwell Living Center?
- CMS lists 3 owners and managers. Legal business name: TIDWELL HEALTHCARE, 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.