Walnut Grove Care & Rehab Center
1001 South George Nigh Expressway, McAlester, OK 74501 · Pittsburg County · (918) 423-7373
80 certified beds, about 62 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1998
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375340 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 28, 2025, inspectors cited 7 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 22 health citations since May 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $31,460 in the last three years; the largest was $31,460, and the latest is dated February 28, 2025.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
67.7% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Mgm Healthcare, an affiliated group of 27 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.
505/22
910/23
107/24
702/25
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
15D
5E
1F
Potential for minimal harm
0A
0B
0C
February 28, 2025Standard inspection, Complaint inspection · 7 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteOn 02/27/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect Resident #45 from verbal and psychosocial abuse. On 02/27/25 at 2:06 p.m., Resident #45 reported over the weekend staff blamed them for turning on the call light. Resident #45 stated CNA #1 came to their room to answer the call light and Resident #45 told CNA #1 they needed assistance with incontinent care. Resident #45 stated CNA #1 told them they were assisting another resident and would come back when they could. Resident #45 stated when CNA #1 returned they yelled at them and stated they would be there in a minute and to stay off the light. Resident #45 stated they had not activated the call light again, that CNA #1 had not turned the call light off from the first interaction. Resident #45 stated they were so upset they started crying. [...]
- 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, record review, and interview, the facility failed to ensure the low temperature warewasher had the appropriate amount of chemical to sanitize dishes for the facility. The administrator identified 55 residents ate meals from the kitchen.
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident had access to their trust account money on nights and weekends for 1 (#1) of 1 sampled resident reviewed for access to their trust account money. The BOM identified 12 residents who had money in the trust account.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, and interview, the facility failed to report an allegation of abuse to the state agency for 1 (#45) of 1 sampled resident reviewed for abuse. The administrator identified 59 residents resided in the facility.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, and interview, the facility failed to investigate an allegation of abuse for 1 (#45) of 1 sampled resident reviewed for abuse. The administrator identified 59 residents resided in the facility.
- 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 observation, record review and interview, the failed failed to ensure medication carts were secured when not in use for 2 of 7 medication carts observed. The administrator identified 59 residents 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 ensure infection control was maintained and EBP were followed during the administration of medications. The administrator identified seven residents required enhanced barrier precautions.
July 25, 2024Complaint inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, the facility failed to ensure baths were provided as care planned for one (#2) of four sampled residents reviewed for ADL (activities of daily living) assistance. A facility resident report, dated 07/24/24, documented 61 residents resided in the facility.
October 24, 2023Standard inspection, Complaint inspection · 9 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to properly inform visitors and staff of residents who were in isolation on transmission based precautions for three (#13, 19, and #48) of three sampled residents who tested positive for COVID. The IP identified 22 residents who tested positive for COVID.
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to assess residents for the continued need for indwelling urinary catheters for one (#2 ) of two sampled residents reviewed for an indwelling urinary catheter. The Resident Census and Conditions of Residents, dated 10/17/23, documented four residents who had an indwelling urinary catheter.
- 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 food was labeled and stored in a sanitary manner. The Resident Census and Conditions of Residents, dated 10/17/23, documented 57 residents receive their meals from the kitchen.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident assessment was accurate for one (#34) of 25 sampled residents whose assessments were reviewed for accuracy. The Resident Census and Conditions of Residents form documented 61 residents 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 refer a resident with a new mental health diagnosis to OHCA for a PASRR level II evaluation for one (#48) of four sampled residents reviewed for PASRR. The Resident Census and Conditions of Residents form documented 61 residents 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 develop a comprehensive care plan for one (#54) of five sampled residents whose care plans were reviewed. The Resident Census and Conditions of Residents, dated 10/17/23, documented a census of 61 residents.
- 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 complete a discharge summary for two (#58 and #59) of two closed records reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- 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 provide nail care for a resident who was unable to carry out activities of daily living for one (#35) of 25 sampled residents. The Resident Census and Conditions of Residents form documented 61 residents 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 record review and interview, the facility failed to implement a physician agreed upon pharmacist MRR recommendation for one (#31) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
May 5, 2022Standard inspection · 5 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview, and record review, the facility failed to provide sufficient staff for 11 of 183 shifts reviewed. The administrator reported a census of 61 residents.
- 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 pureed diets were prepared in a sanitary manner for seven (#55, 41, 31, 59, 210, 35, and #44) of seven residents reviewed for a pureed diet. The Resident Census and Condition, dated 05/03/22, documented seven residents received a pureed diet.
- D Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inspectors wroteBased on record review and interview, the facility failed to ensure one (#20) of 61 residents had the right to receive visitors of the resident's choosing. The Resident Census and Conditions of Residents, dated 05/03/22, documented 61 residents resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, and interview, the facility failed to complete incident reports in a timely manner to the Oklahoma State Department of Health for two (#40 and #55) of two residents reviewed for falls. The administrator reported a census of 61.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide bathing for one (#6) of two residents reviewed for bathing. The administrator reported 54 residents required assistance with bathing.
Fire safety inspections
9 fire safety citations on file: 2 on February 28, 2025, 7 on May 5, 2022.
Every fire safety citation9 citations
- E Have an alternate power supply for its alarm system.
- D Install emergency lighting that can last at least 1 1/2 hours.
- E Have properly located and lighted "Exit" signs.
- 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 that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 28, 2025 | Fine | $31,460 |
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) | 3.29 | 3.79 | 3.86 |
| Registered nurses | 0.27 | 0.34 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.44 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 67.7% | 55.5% | 45.8% |
| Registered nurse turnover | 33.3% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.62 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 3.47 on weekdays and 2.85 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.24 in April to June 2025 to 3.29 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 | 3.29 | 0.27 | 3.47 | 2.85 | 2.9% | 0 of 90 | 62 |
| Oct to Dec 2025 | 3.35 | 0.31 | 3.40 | 3.20 | 1.4% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.45 | 0.38 | 3.58 | 3.13 | 0.7% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.24 | 0.29 | 3.37 | 2.92 | 1.7% | 0 of 91 | 58 |
| 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 | 3.0 | 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 | 0.0 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.8 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.2 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.7 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 3.0 | 1.8 |
Owners and operators
Legal business name: WALNUT HEALTHCARE, LLC. CMS links this home to Mgm Healthcare, a group of 27 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ok SNF Holdings, LLC | 5% or greater direct ownership interest | Organization | 50% | 05/14/2024 |
| Ok SNF Investments, LLC | 5% or greater direct ownership interest | Organization | 50% | 05/14/2024 |
| Jfb Ok Trust | 5% or greater indirect ownership interest | Organization | 50% | 05/14/2024 |
| Southeast Ventures Trust | 5% or greater indirect ownership interest | Organization | 48% | 05/14/2024 |
| Bennett, Peggy | W-2 managing employee | Individual | 05/14/2024 | |
| Friedman, Naftali | Corporate officer | Individual | 05/14/2024 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on February 28, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 July 25, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on October 24, 2023: "Ensure each resident receives an accurate assessment."
- 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 February 28, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- New Hope Retirement & Care Center McAlester, 3.5 mi · 2 of 5 stars · 27 citations
- Mitchell Care & Rehab Center McAlester, 3.5 mi · 4 of 5 stars · 14 citations
- McAlester Nursing & Rehab McAlester, 3.6 mi · 1 of 5 stars · 16 citations
- Heritage Hills Living & Rehabilitation Center McAlester, 3.7 mi · 1 of 5 stars · 52 citations
- Beare Manor Hartshorne, 12.6 mi · 5 of 5 stars · 11 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 Walnut Grove Care & Rehab Center's Medicare star rating?
- CMS rates Walnut Grove Care & Rehab Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Walnut Grove Care & Rehab Center get at its last inspection?
- 7 health deficiencies at the standard inspection on February 28, 2025. The Oklahoma average is 6.4.
- Has Walnut Grove Care & Rehab Center been fined?
- Yes. CMS lists 1 fine totaling $31,460 in the last three years.
- Does Walnut Grove Care & Rehab 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 Walnut Grove Care & Rehab Center?
- CMS lists 6 owners and managers, and links the home to Mgm Healthcare. Legal business name: WALNUT 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.