GRACEWOOD HEALTH & REHAB
6201 EAST 36TH STREET, TULSA, OK 74135 · CCN 375438
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 121
- Avg residents/day
- 72.6
- Phone
- 9186223430
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 | 2025-01-14 | 14 | 7.2 | 9.5 | +6.8 worse |
| 2 | 2023-09-28 | 2 | 8.0 | 9.8 | -6.0 better |
| 3 | 2022-05-04 | 14 | 7.9 | 9.3 | +6.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 3 |
| Environmental | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.75 | 89.6% |
| RN staffing (reported) | 0.37 | 83.3% |
| Total nurse staffing (adjusted) | 4.75 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- BRADFORD MONTGOMERY
- Facilities in chain
- 11
- Chain avg overall
- 2.60 / 5
Inspection citations (30)
- EF0583Keep residents' personal and medical records private and confidential.2025-01-14 · Health · corrected 2025-02-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-14 · Health · corrected 2025-02-18
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-14 · Health · corrected 2025-02-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-14 · Health · corrected 2025-02-18
Potential for more than minimal harm
- DF0700Try 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.2025-01-14 · Health · corrected 2025-02-25
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2025-01-14 · Health · corrected 2025-02-18
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-14 · Health · corrected 2025-02-20
Potential for more than minimal harm
- DF0758Implement 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.2025-01-14 · Health · corrected 2025-02-25
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.2025-01-14 · Health · corrected 2025-02-22
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-01-14 · Health · corrected 2025-02-25
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-14 · Health · corrected 2025-02-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-14 · Health · corrected 2025-02-25
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2025-01-14 · Health · corrected 2025-02-20
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-01-14 · Health · corrected 2025-02-20
Potential for more than minimal harm
- FF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-10-03 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-13 · Health · corrected 2023-12-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-23 · Health · corrected 2023-09-25
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-04 · Health · corrected 2022-05-21
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-05-04 · Health · corrected 2022-05-21
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-05-04 · Health · corrected 2022-05-21
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-05-04 · Health · corrected 2022-05-21
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-04 · Health · corrected 2022-05-26
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-05-04 · Health · corrected 2022-05-25
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.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
- EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
- EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
- EF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-05-04 · Health · corrected 2022-05-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MONTGOMERY, BRADFORD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-10-31 |
| POPPELL, CONNIE | Individual | W-2 MANAGING EMPLOYEE | — | 2015-10-31 |
Other facilities in TULSA
| Name | Overall | Beds |
|---|---|---|
| COVENANT LIVING AT INVERNESS | ★★★★★ | 44 |
| THE VILLAGES AT SOUTHERN HILLS | ★★★★★ | 110 |
| TRINITY WOODS, INC. | ★★★★★ | 84 |
| TULSA NURSING CENTER | ★★★★★ | 104 |
| IGNITE MEDICAL RESORT TULSA, LLC | ★★★★☆ | 104 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.