150 of the 283 Medicare-certified nursing homes in Oklahoma (53%) are chain-owned, and all are listed below. They average 3.61 nursing hours per resident per day, 0.18 hours below the 3.79 for every home in Oklahoma. Nurse staff turnover runs 56.6%, 1.1 points higher than the 55.5% across all homes there. The Living Center in Enid grades highest at A (96 out of 100).
How chain-owned homes in Oklahoma compare
This group set against every nursing home in Oklahoma, from the current CMS release.
Nursing hours per resident per day
3.61
All homes in Oklahoma: 3.79
Worse than the local average
Nurse staff turnover
56.6%
All homes in Oklahoma: 55.5%
Worse than the local average
Average ElderGrade score
71.4/100
All homes in Oklahoma: 71.6/100
Worse than the local average
Grade spread
B
C
9 grade A, 79 grade B, 54 grade C, 8 grade D,
The best-graded chain-owned home in Oklahoma is
The Living Center
in Enid, OK, grade A, 96/100.
Boyce Manor runs 2.91 nursing hours per resident per day, about a quarter below the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 61.4% against a national 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The record backs that up: 32 deficiencies, three at harm or jeopardy level, three tied to abuse, and $90,499 in fines. Ownership is for-profit, through a limited liability company. One bright spot, the quality measure rating is 4 of 5, but that reflects resident health outcomes on paper, not the daily staffing reality.
Accel At Crystal Park runs 69 certified beds in Oklahoma City under nonprofit ownership, and its total nurse staffing of 3.88 hours per resident day sits essentially even with the national average of 3.86. The problem isn't the headline number, it's how that coverage holds up: weekends drop roughly 14 percent below the home's own weekday level, and annual turnover hits 85.6 percent against a national average of 45.8. Inspectors have cited 43 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated January 15, 2025.
Emerald Care Center Midwest runs 116 certified beds under for-profit LLC ownership, and the staffing picture is the first thing worth noticing. Nurse hours come in at 3.71 per resident day, a bit under the national average, and weekends drop roughly 7% below the home's own weekday coverage, so the days families visit most are the thinnest. Annual turnover of 64.4% sits well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The inspection record shows 31 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and a single $4,017 fine. The most recent inspection was in April 2025, so the record is current.
Cross Timbers runs 187 beds under corporate ownership, and its current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, and five tied to abuse. That's a lot to answer for, and the $126,808 fine on file reflects it. Staffing sits at 3.20 nurse hours per resident day, roughly 17% under the national average, with weekends running about 14% lighter than weekdays and turnover at 57.4% against a national 45.8%, meaning the people who do show up are often new. The last inspection was February 2025, so the picture is current, not stale.
The Timbers Skilled Nursing and Therapy is a for-profit partnership home in Edmond with 129 certified beds, and the numbers point in different directions depending on where you look. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends run about 16 percent thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover is 56.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. On inspections, the record shows 12 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $34,706, with the most recent inspection dated February 27, 2026.
Eastwood Manor runs 80 certified beds in Commerce under individual for-profit ownership, and its staffing score sits at the bottom of CMS's scale, meaning residents here get fewer direct care hours than the national average, and that gap is the single biggest thing working against it. The inspection record shows 23 deficiencies, though none rose to the level of actual harm or jeopardy and none involved abuse, which matters. Ten fines totaling $54,540 have accumulated over time, and the most recent inspection was in February 2025, so the picture is fairly current. Quality measures land below average too. Nothing here suggests danger, but the thin staffing is the thing to ask about directly.
Brookwood runs 3.54 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 9% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, meaning nearly six in ten caregivers left within the year. The inspection record shows 31 deficiencies, three at harm or jeopardy level, two tied to abuse, and $39,328 in fines across three penalties. The most recent inspection was September 2025. Corporate-owned, 137 beds. Ask about weekend nurse coverage and how they've addressed the abuse-related findings before you decide.
Four Seasons runs lean on nursing hours, 3.30 per resident per day against a national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thinner weekend coverage matters because the home's annual turnover sits at 60.4%, well above the 45.8% national figure, so familiar faces are harder to count on. Its record shows 25 deficiencies, none flagged at harm or jeopardy level, though two are abuse-related, and the last inspection was in May 2025. Quality and staffing measures both land at one star, while the health inspection side did better at three. For-profit individual ownership rounds out the picture.
Noble Health Care Center runs on thinner staffing than most places, 3.35 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. That gap shows up in the numbers families feel most: 62.4% of staff left over the past year, well above the 45.8% national rate. The inspection record carries 46 deficiencies, including one at the harm level and three tied to abuse, with the most recent visit in August 2024. This is a nonprofit corporation with 110 certified beds, and its quality measure score sits mid-range even as staffing and inspection results lag.
Parkland Manor Living Center runs 4.08 nurse hours per resident day, about 6% above the national average, but that headline number hides a staffing problem. Weekend coverage drops roughly 11% below weekday levels, and annual turnover sits at 68.6% against a national 45.8%, meaning most of the people caring for your relative are new and may not be there next year. The health inspection record looks solid: 4 out of 5 stars, 16 deficiencies with none at harm or jeopardy level, and a recent December 2025 survey. Quality and staffing measures both landed at 2 out of 5 stars, so ask direct questions about weekend coverage before deciding.
Cleveland Care and Rehab Center runs 90 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, 31 deficiencies on file with one at the harm or jeopardy level, and the most recent inspection closed out in December 2025. The trouble sits in the workforce. Nurse staffing comes in at 3.66 hours per resident day, roughly 5% under the national average, and it thins out further on weekends. Annual turnover of 72.3% is the number that stands out most against a national rate near 46%, well over half the nursing staff leaving in a year makes consistent care hard to sustain. One fine totaling $14,069 rounds out the record.
Grand Lake Villa shows what happens when a building is well-staffed and still can't keep residents safe. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and turnover at 40.6% actually beats the typical American nursing home. That's the good news. The bad news is the inspection record: 15 deficiencies, three serious enough to put residents in harm's way, and six tied to abuse. That combination, plus placement in CMS's Special Focus Facility program, tells you the problems are serious and ongoing. The most recent inspection was April 29, 2026, so the findings are current, not old history. Staffing ratios alone won't protect anyone here.
Brookside Nursing Center runs 140 beds in Madill under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 8% below what the home staffs on weekdays, so care coverage thins out exactly when families tend to visit. Staff turnover is the bigger concern: 56.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record is where things get serious. Thirteen deficiencies are on file, three at the harm or jeopardy level, plus one abuse-related citation and two fines totaling $39,591. The last inspection was August 2024.
Sand Springs Nursing and Rehabilitation runs 173 certified beds under for-profit LLC ownership, and the numbers that stand out most are about staffing and oversight. Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, and weekends dip about 5% below the home's own weekday levels, so coverage is thinnest when families often visit. Annual turnover of 67.6% is well above the 45.8% national figure, which raises real questions about how well aides and nurses know these residents.
The inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one tied to abuse. CMS has fined the home once for $12,740, and the last inspection was February 13, 2026. Ask about that abuse-related finding and what changed afterward.
Sequoyah Pointe Living Center runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 4% below its own weekday numbers. Staff turnover sits at 63% against a national 45.8%, which means the people caring for your family member are leaving faster than at a typical home. Inspections look better: the most recent was April 2025, and the 18 deficiencies on record include none at the harm level, though one is abuse-related. That single fine of $52,192 is worth asking about directly. The quality measure rating of 2 out of 5 suggests the clinical outcomes aren't keeping pace with the inspection results.
Nurse staffing at Elmbrook Of Hugo runs about 9% under the national average, and weekends are thinner still, roughly 9% below the home's own weekday coverage. The 18 deficiencies on its current record include three at the harm or jeopardy level and one tied to abuse, with two fines totaling $29,580. Staff turnover, at 42.9%, is actually a little better than the national figure, so the people who stay appear to stay. Inspectors were last in on May 6, 2025, and the health inspection rating sits at 2 out of 5. Before you tour, ask how the harm-level findings were corrected and who is on duty on Saturday nights.
Windsor Hills Nursing Center runs a 112-bed for-profit operation in Oklahoma City, and the inspection record is where the trouble concentrates: 31 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, plus two tied to abuse. Three fines total $55,251. Staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 15% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The last inspection was September 11, 2025, so the record is recent, not stale. Limited liability ownership doesn't tell you how care feels day to day, but it does mean the entity behind the license is insulated if things go wrong. Ask about weekend coverage and how abuse complaints get resolved.
Tuttle Care Center runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. That staffing gap shows up in the federal stars: one out of five for staffing, and one for quality measures, even though the inspection record earned four stars and the most recent visit was in May 2025. Twelve deficiencies sit on the current record, none at harm or jeopardy level, but three are abuse-related, which families should ask about directly. The 50% annual turnover, above the 45.8% national figure, means the aides and nurses around your family member are changing often under this for-profit LLC's ownership.
Heavener Nursing & Rehab runs 84 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 32 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the most recent visit was April 3, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5. Two harm-level findings alongside below-average staffing is the pattern worth asking about directly.
Gracewood Health & Rehab runs 121 certified beds in Tulsa under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just slightly above the national average of 3.86. That margin shrinks on weekends, when coverage drops about 5% below the home's own weekday levels. The bigger concern is turnover: 76.2% of staff leave annually, well above the 45.8% national figure, which matters for residents who rely on consistent caregivers. Inspections tell a similar story, 25 deficiencies on record, including one at the harm level and one abuse-related, with a 2/5 health inspection rating and a 2/5 quality measure rating. The most recent inspection was April 6, 2026.
Frequently asked questions
How many chain-owned nursing homes are there in Oklahoma?
There are 150 chain-owned Medicare-certified nursing homes in Oklahoma, 53% of the 283 nursing homes there.
Are chain-owned nursing homes better staffed?
In Oklahoma they average 3.61 total nursing hours per resident per day, against 3.79 for all nursing homes in Oklahoma, a difference of -0.18 hours. Staff turnover averages 56.6% against 55.5%.
Which chain-owned nursing home grades best in Oklahoma?