Nursing homes across Canadian County, Oklahoma, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Gran Gran's Place reports 4.59 nurse hours per resident day, which is genuinely high, about 19% above the national average. But the federal staffing rating comes out at 1 out of 5, and that tells you the hours aren't distributed the way regulators want: weekends run roughly 14% thinner than weekdays, and turnover sits at 46.9%, just above the national rate, so the faces change often. The 22 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 2026. Quality measures score 5 out of 5; health inspections land at 3. If you're weighing this one, ask how weekend coverage actually gets filled.
Spanish Cove runs about 5.18 nurse hours per resident per day, roughly a third more than the national average, and weekend coverage dips only about 13 percent below its own weekdays, a smaller drop than many homes show. Staff turnover sits at 28.6 percent against a national 45.8 percent, so the people caring for residents tend to stick around. The tradeoffs show up elsewhere: two deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,018. The last inspection was October 2024. A for-profit individually owned home where the numbers are mostly good, with one inspection finding worth asking about directly.
River Oaks runs a leaner nursing floor than most: 3.48 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That's the tradeoff behind an otherwise clean record, four deficiencies on file, none at harm or jeopardy level, no abuse findings, and a fresh April 2025 inspection. Staff turnover sits at 35.9%, nearly ten points better than the national 45.8%, which matters more than it sounds; fewer familiar faces usually means fewer missed changes in condition. The quality measure score of 2 out of 5 is the number worth asking about on your tour, since it reflects resident outcomes rather than the building or the paperwork.
El Reno Post-Acute Rehabilitation Center is a for-profit, LLC-owned home with 66 certified beds, and its staffing is the weakest part of the picture: 3.65 total nurse hours per resident day, about 5% under the national average, with weekends running roughly 8% thinner than weekdays. Annual turnover sits at 52.2% against a national 45.8%, so aides and nurses cycle through faster than average. On the other hand, the health inspection record is solid, a 4-star inspection rating, 24 deficiencies on file, none at the harm or jeopardy level, and the most recent inspection was May 2024, so the record is current. One abuse-related deficiency is worth asking about directly.
Ranchwood Nursing Center carries a staffing burden that shows up in the numbers: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekends running about 11% thinner than weekdays. Staff turnover sits at 73.8% against a national 45.8%, meaning most of the people caring for residents are relatively new, and the current record shows 46 deficiencies, four of them at the harm level and four tied to abuse. Two fines total $168,835, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The last inspection was September 2025.