The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
The Ambassador Skilled Nursing & Therapy
Registered name: Ambassador Manor Nursing Center
Tulsa, OK · Medicare-certified · 171 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Ambassador Skilled Nursing & Therapy in Tulsa has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 4-star staffing. It reports 3.28 nurse hours per resident per day versus the 4.1 federal benchmark, and it has had $9,077 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2807 hrs/resident/day
Quality measures
Last inspection: March 20, 2026Penalties, last 24 months: $9,077recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2807.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.13
- Weekend nursing
- 3.37
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%23.8%Worsening
Residents with a fall causing major injury
5.5%8.9%Worsening
Residents with pressure ulcers (bedsores)
2.8%6.3%Worsening
Residents with a urinary tract infection
0.9%1.6%Worsening
Residents who lost too much weight
3.8%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.5%5.4%Worsening
Residents whose ability to walk got worse
2.4%2%No change
Long-stay residents on antianxiety or sleep medication
14.8%18.3%Worsening
Short-stay residents newly given an antipsychotic
0%3.3%Worsening
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
6.4%5.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.4%—
Short-stay residents given the pneumonia vaccine
100%98.8%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 800 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,077 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,077 in total fines.
- $9,077
Federal fine
Jun 23, 2025
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of BRIDGES HEALTH · 34 homes · 3.6 stars avg
- Occupancy
- 128.1 residents on an average day (75% of 171 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.