Cross Timbers Nursing and Rehabilitation
1400 Buena Vista Avenue · Midwest City, OK · 73110 · 4052519988
187 certified beds For profit - Corporation Chain: Skyblue Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $126,808 |
Inspection citations (31 in the current record)
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Potential for harm · D February 26, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D February 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D September 6, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 6, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 23, 2024
Ensure each resident receives an accurate assessment.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 4, 2024 · Quality of Life and Care
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Potential for harm · E August 23, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 27, 2024 · Nursing and Physician Services
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Potential for harm · D August 23, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 27, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 10, 2024 · Resident Rights
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Potential for harm · E March 15, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 10, 2024 · Resident Rights
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Potential for harm · E March 15, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 10, 2024 · Quality of Life and Care
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Actual harm · G November 16, 2023
Ensure that residents are free from significant medication errors.
Corrected December 28, 2023 · Pharmacy Service
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Potential for harm · E November 16, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 28, 2023 · Resident Rights
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Potential for harm · E November 16, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 8, 2023 · Pharmacy Service
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Potential for harm · D November 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 28, 2023 · Nutrition and Dietary
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Potential for harm · E November 16, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 28, 2023 · Environmental
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Potential for harm · D November 16, 2023 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 5, 2024 · Quality of Life and Care
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Immediate jeopardy · K August 4, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K August 4, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 6, 2023 · Quality of Life and Care
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Immediate jeopardy · K August 4, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 6, 2023 · Quality of Life and Care
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Immediate jeopardy · K August 4, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 6, 2023 · Nursing and Physician Services
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Potential for harm · E August 4, 2023 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 6, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2025 | Payment Denial | 7 days |
| August 23, 2024 | Payment Denial | 10 days |
| November 16, 2023 | Fine | $126,808 |
| November 16, 2023 | Payment Denial | 48 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375573 · certified since February 15, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.