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.

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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

Inspection record 30% of score 44
Serious harm & abuse 20% 88
Staffing 20% 12
Federal penalties 15% 68
Trend 10% 81
Context 5% 75

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-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year80%median 45%
Fines (3-yr window)1 · $33,924

Inspection citations (32 in the current record)

  • Potential for harm · D March 26, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected April 30, 2026 · Resident Rights

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D August 7, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 9, 2024 · Infection Control

  • Potential for harm · E August 7, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 9, 2024 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
April 15, 2024Fine$33,924

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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.