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
Registered name: CLEVELAND CARE AND REHAB CENTER
CLEVELAND, OK · Medicare-certified · 90 beds
Cleveland Manor Nursing Home in Cleveland, OK has a 4 out of 5 star overall rating, with solid health inspection results but weaker staffing at 2 out of 5 stars and reported nurse staffing below the federal benchmark (3.66 vs 4.1 hours per resident per day). It also had $14,069 in fines in the last 24 months and a recent federal penalty, with recent citations involving infection control, safe transfers/discharge, and psychotropic medication practices.
Health inspections
Staffing
3.6636 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6636.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to prepare residents for a safe transfer or discharge. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 624 — 42 CFR §483.15 — S/S: J
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.
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.
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.
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.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal fine of $14,069 was recorded.
On record with Medicare: 1 fine · $14,069 in total fines.
Federal fine
Mar 19, 2025
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.