Starfile

Starfile / Oklahoma

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.

CycleInspection dateThis facilityOklahoma avgNational avgvs state
12025-01-14147.29.5+6.8 worse
22023-09-2828.09.8-6.0 better
32022-05-04147.99.3+6.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning1
Nursing and physician services1
Resident rights1
Pharmacy service3
Environmental2
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7589.6%
RN staffing (reported)0.3783.3%
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)

  1. EF0583Keep residents' personal and medical records private and confidential.2025-01-14 · Health · corrected 2025-02-18

    Potential for more than minimal harm

  2. 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

  3. EF0679Provide activities to meet all resident's needs.2025-01-14 · Health · corrected 2025-02-20

    Potential for more than minimal harm

  4. 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

  5. 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

  6. DF0732Post nurse staffing information every day.2025-01-14 · Health · corrected 2025-02-18

    Potential for more than minimal harm

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. EF0880Provide and implement an infection prevention and control program.2025-01-14 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. DF0880Provide and implement an infection prevention and control program.2023-08-23 · Health · corrected 2023-09-25

    Potential for more than minimal harm

  19. 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

  20. 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

  21. 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

  22. DF0610Respond appropriately to all alleged violations.2022-05-04 · Health · corrected 2022-05-21

    Potential for more than minimal harm

  23. 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

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

OwnerTypeRolePercentSince
MONTGOMERY, BRADFORDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-10-31
POPPELL, CONNIEIndividualW-2 MANAGING EMPLOYEE2015-10-31

Other facilities in TULSA

NameOverallBeds
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.