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CROSS TIMBERS NURSING AND REHABILITATION

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CROSS TIMBERS NURSING AND REHABILITATION is a for profit - corporation facility in MIDWEST CITY, OK with 187 certified beds and a 1-star overall CMS rating. The facility has 36 deficiency records on file. Total penalties: $178K.

1400 BUENA VISTA AVENUE, MIDWEST CITY, OK 73110

Phone: 4052519988

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
375573
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
187
Residents
60
In Hospital
No
County
Oklahoma
Last Inspection
Feb 26, 2025

Staffing Data

RN Hours
0.14 (nat'l avg: 0.68)
LPN Hours
0.79
CNA Hours
1.69
Total Nursing Hours
2.63 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
56.1%

What the CMS Record Reveals About CROSS TIMBERS NURSING AND REHABILITATION

CROSS TIMBERS NURSING AND REHABILITATION operates 187 certified beds in MIDWEST CITY, OK with approximately 60 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 36 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $178K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.63 total nursing hours per resident day (national average 3.89), with RN coverage at 0.14 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CROSS TIMBERS NURSING AND REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.1%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (36 most recent)

D — Isolated - Minimal harm Feb 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Feb 26, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Feb 26, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 11, 2025

D — Isolated - Minimal harm Sep 6, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Sep 6, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 27, 2024

E — Pattern - Minimal harm Aug 23, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0693

Ensure 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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

E — Pattern - Minimal harm Nov 16, 2023 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Dec 28, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 28, 2023

G — Isolated - Actual harm Nov 16, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 28, 2023

E — Pattern - Minimal harm Nov 16, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 8, 2023

E — Pattern - Minimal harm Nov 16, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 28, 2023

K — Pattern - Jeopardy Aug 4, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 6, 2023

K — Pattern - Jeopardy Aug 4, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 6, 2023

K — Pattern - Jeopardy Aug 4, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 6, 2023

D — Isolated - Minimal harm Aug 4, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 6, 2023

K — Pattern - Jeopardy Aug 4, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Aug 4, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm May 17, 2023 Tag: 0887

Educate 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.

Category: Infection Control Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm May 17, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 6, 2023

E — Pattern - Minimal harm Mar 9, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 7, 2023

K — Pattern - Jeopardy Mar 9, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 7, 2023

D — Isolated - Minimal harm Mar 9, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 34.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 6.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.7% Yes

Penalty History 2 penalties totaling $178K

Date Type Amount
Feb 26, 2025 Payment Denial -
Aug 23, 2024 Payment Denial -
Nov 16, 2023 Fine $127K
Nov 16, 2023 Payment Denial -
May 17, 2023 Fine $52K
May 17, 2023 Payment Denial -
Mar 9, 2023 Fine $15K

Frequently Asked Questions

What is the overall CMS rating for CROSS TIMBERS NURSING AND REHABILITATION?
CROSS TIMBERS NURSING AND REHABILITATION has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at CROSS TIMBERS NURSING AND REHABILITATION?
CROSS TIMBERS NURSING AND REHABILITATION reports 2.63 total nursing hours per resident day (national average: 3.89). RN hours are 0.14 per resident day (national average: 0.68). Nursing staff turnover is 56.1%.
How many beds does CROSS TIMBERS NURSING AND REHABILITATION have?
CROSS TIMBERS NURSING AND REHABILITATION has 187 certified beds with approximately 60 residents. The facility is located at 1400 BUENA VISTA AVENUE, MIDWEST CITY, OK 73110.
Does CROSS TIMBERS NURSING AND REHABILITATION have any deficiencies on record?
Yes, CROSS TIMBERS NURSING AND REHABILITATION has 36 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has CROSS TIMBERS NURSING AND REHABILITATION received any fines or penalties?
Yes, CROSS TIMBERS NURSING AND REHABILITATION has received 2 penalties totaling $178K.
Who owns CROSS TIMBERS NURSING AND REHABILITATION?
CROSS TIMBERS NURSING AND REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CROSS TIMBERS NURSING AND REHABILITATION last inspected?
The most recent health inspection for CROSS TIMBERS NURSING AND REHABILITATION was on Feb 26, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for CROSS TIMBERS NURSING AND REHABILITATION?
CROSS TIMBERS NURSING AND REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial