The nursing home failed to prepare residents for a safe transfer or discharge. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 624 — 42 CFR §483.15 — S/S: J
Nursing home report
CLEVELAND CARE AND REHAB CENTER
CLEVELAND, OK · Medicare-certified · 90 beds
Needs attention
For-profitChain member
4 of 5 overall
CLEVELAND CARE AND REHAB CENTER in Cleveland, OK has a 4 out of 5 overall rating, with stronger health inspection results than staffing. Staffing is a concern at 2 out of 5 stars, reported nurse staffing is below the federal benchmark (3.80 vs 4.1 hours per resident per day), and it had $14,069 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8034 hrs/resident/day
Quality measures
Last inspection: December 8, 2025Penalties, last 24 months: $14,069recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8034.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.45
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17%Improving
Residents with a fall causing major injury
3.3%Improving
Residents with pressure ulcers (bedsores)
10.7%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.3%Steady
Residents whose ability to walk got worse
1.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
9.5%Improving
Residents with depressive symptoms
14.8%Improving
Long-stay residents given the seasonal flu vaccine
95.2%Steady
Long-stay residents given the pneumonia vaccine
99.5%Improving
Short-stay residents given the seasonal flu vaccine
83.3%Steady
Short-stay residents given the pneumonia vaccine
79.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,069 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $14,069 in total fines.
- $14,069
Federal fine
Mar 19, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MGM HEALTHCARE · 33 homes · 2.4 stars avg
- Occupancy
- 58.2 residents on an average day (65% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.