The Gardens
1165 South Brenner Road · Sapulpa, OK · 74066 · 9182240600
107 certified beds For profit - Limited Liability company Chain: Phoenix Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
68% 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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 4.02 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
-
Potential for harm · D September 13, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected October 22, 2024 · Resident Rights
-
Potential for harm · E September 13, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected October 22, 2024 · Resident Rights
-
Potential for harm · E September 13, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected October 22, 2024 · Resident Rights
-
Potential for harm · E September 13, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 22, 2024 · Resident Rights
-
Potential for harm · D September 13, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 13, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 22, 2024 · Infection Control
-
Potential for harm · D September 13, 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 October 22, 2024 · Resident Rights
-
Potential for harm · D July 19, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 16, 2023 · Pharmacy Service
-
Potential for harm · E January 12, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 1, 2022 · Quality of Life and Care
-
Potential for harm · E January 12, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 1, 2022 · Quality of Life and Care
-
Potential for harm · E January 12, 2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 1, 2022 · Nursing and Physician Services
-
Potential for harm · E January 12, 2022
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 March 1, 2022 · Nursing and Physician Services
-
Potential for harm · E January 12, 2022
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 March 1, 2022 · Pharmacy Service
-
Potential for harm · E January 12, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected March 1, 2022 · Pharmacy Service
-
Potential for harm · D January 12, 2022
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 1, 2022 · Pharmacy Service
-
Potential for harm · D January 12, 2022
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 1, 2022 · Nutrition and Dietary
-
Potential for harm · D January 12, 2022
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected March 1, 2022 · Nutrition and Dietary
-
Potential for harm · D January 12, 2022
Provide and implement an infection prevention and control program.
Corrected March 1, 2022 · Infection Control
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375408 · certified since February 25, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.