Hennessey Nursing & Rehab
705 East 3rd Street · Hennessey, OK · 73742 · 4058534390
50 certified beds For profit - Limited Liability company Chain: Bradford Montgomery
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 1 · $33,924 |
Inspection citations (32 in the current record)
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Potential for harm · D March 26, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · F March 26, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · E March 26, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · F March 26, 2026
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 April 30, 2026 · Nursing and Physician Services
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Potential for harm · F March 26, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
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 September 9, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · E August 7, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024
Observe each nurse aide's job performance and give regular training.
Corrected September 9, 2024 · Nursing and Physician Services
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Potential for harm · D August 7, 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 9, 2024 · Pharmacy Service
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Potential for harm · D August 7, 2024
Provide and implement an infection prevention and control program.
Corrected September 9, 2024 · Infection Control
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Potential for harm · E August 7, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 9, 2024 · Infection Control
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Immediate jeopardy · J April 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2024 · Quality of Life and Care
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Actual harm · G April 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 30, 2024 · Quality of Life and Care
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Potential for harm · D April 15, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 30, 2024 · Quality of Life and Care
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Potential for harm · D April 15, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2024 · Pharmacy Service
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Potential for harm · D July 6, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected August 14, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 15, 2024 | Fine | $33,924 |
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 375485 · certified since August 30, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.