Shady Rest Care Center
210 South Adair · Pryor, OK · 74361 · 9188254455
65 certified beds For profit - Limited Liability company Chain: Bgm Estate
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $14,069 |
Inspection citations (22 in the current record)
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Immediate jeopardy · J July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 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 October 28, 2024 · Pharmacy Service
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Potential for harm · E August 29, 2024
Keep all essential equipment working safely.
Corrected October 28, 2024 · Environmental
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Potential for harm · E August 29, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · E August 29, 2024 · 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 October 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · F August 29, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected October 28, 2024 · Nutrition and Dietary
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Potential for harm · F August 29, 2024 · found via complaint
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 October 28, 2024 · Nutrition and Dietary
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Potential for harm · D August 29, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 28, 2024 · Nutrition and Dietary
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Potential for harm · E August 6, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · E July 27, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 25, 2023 · Resident Rights
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Potential for harm · D July 27, 2023
Ensure each resident receives an accurate assessment.
Corrected August 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected August 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 27, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 25, 2023 · Pharmacy Service
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Potential for harm · E November 28, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 28, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 28, 2022
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 28, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected December 26, 2022 · Quality of Life and Care
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Potential for harm · E November 28, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 26, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 9, 2025 | Fine | $14,069 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375334 · certified since March 2, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.