CLEVELAND CARE AND REHAB CENTER
900 N DIVISION ST, CLEVELAND, OK 74020 · CCN 375443
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 53.7
- Phone
- 9183583135
Inspection history vs Oklahoma & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oklahoma avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-08 | 8 | 7.2 | 9.5 | +0.8 worse |
| 2 | 2024-04-05 | 7 | 8.0 | 9.8 | -1.0 better |
| 3 | 2023-01-26 | 17 | 7.9 | 9.3 | +9.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident rights | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.03 | 58.2% |
| RN staffing (reported) | 0.28 | 60.0% |
| Total nurse staffing (adjusted) | 4.20 | — |
Fines & penalties
- Total fines
- $14,069
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- MGM HEALTHCARE
- Facilities in chain
- 30
- Chain avg overall
- 2.20 / 5
Inspection citations (32)1 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-08 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-08 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0693Ensure 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.2025-12-08 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-08 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-21 · Health · corrected 2025-09-04
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-04 · Health · corrected 2025-05-07
Potential for more than minimal harm
- JF0624Prepare residents for a safe transfer or discharge from the nursing home.2025-04-04 · Health · corrected 2025-03-07
Immediate jeopardy
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-03-19 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0758Implement 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.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0761Ensure 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.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-04-05 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0727Have 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.2023-12-06 · Health · corrected 2024-01-10
Potential for more than minimal harm
- EF0584Honor 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.2023-03-28 · Health · corrected 2023-04-21
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0570Assure the security of all personal funds of residents deposited with the facility.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0578Honor 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.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0758Implement 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.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-01-26 · Health · corrected 2023-04-24
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-01-26 · Health · corrected 2023-03-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OK SNF HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-01-09 |
| OK SNF INVESTMENTS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-01-09 |
| JFB OK TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-01-09 |
| SOUTHEAST VENTURES TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2024-01-09 |
| FRIEDMAN, NAFTALI | Individual | CORPORATE OFFICER | — | 2024-01-09 |
| UPSHAW, BILLIE | Individual | W-2 MANAGING EMPLOYEE | — | 2024-01-09 |
Other facilities in CLEVELAND
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.