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
Ambassador Manor Nursing Center
Tulsa, OK · Medicare-certified · 171 beds
Needs attention
For-profitChain member
1 of 5 overall
1 out of 5 stars overall. Ambassador Manor Nursing Center has a 1-star health inspection rating, a 2-star quality measures rating, and a recent federal penalty with $9,077 in fines in the last 24 months; staffing is rated 4 stars, but reported nurse staffing is 3.46 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.4565 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 3.4565.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.24
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 33%
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%22.2%Worsening
Residents with a fall causing major injury
6%10.7%Worsening
Residents with pressure ulcers (bedsores)
8.6%8.9%No change
Residents with a urinary tract infection
2.6%0%Improving
Residents who lost too much weight
3.4%4.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%2.4%Improving
Residents whose ability to walk got worse
5.1%2.8%Improving
Long-stay residents on antianxiety or sleep medication
14.3%20.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
10.9%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
98.6%97.1%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 · 3.5 stars avg
- Occupancy
- 124.7 residents on an average day (73% 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.