Ambassador Manor Nursing Center

Name: Ambassador Manor Nursing Center
Address: 1340 East 61St Street, Tulsa, OK, 74136, US
Telephone: 9187438978

1340 East 61st Street, Tulsa, OK 74136 · Tulsa County · 171 certified beds · avg 128 residents/day · certified since May 1, 1994

Part of chain: BRIDGES HEALTH (33 facilities, chain avg rating 3.6★)

2/5

Health inspection rating (on-site)

Serious findings on record

$9,077

Fines, last 3 years

4.42

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Jul 11, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Jul 17, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 20, 2026	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 20, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 20, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 20, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 11, 2025	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 11, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 11, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Jun 23, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jun 23, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 23, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 23, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 24, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Aug 14, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 6, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 6, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 22, 2023	E · Potential for harm, repeated	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint
Sep 22, 2023	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint
Nov 18, 2021	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 18, 2021	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	E
2023	2	0	E
2024	6	0	D
2025	7	1	K ▲
2026	4	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $9,077.

Date	Type	Amount / length
Jun 23, 2025	Fine	$9,077

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oklahoma avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.42	4.58	3.95	bottom 43% in Oklahoma; top 25% in the U.S.
Registered Nurse hours	0.62	0.41	0.69	top 13% in Oklahoma; top 46% in the U.S.
Weekend total nurse staffing	4.54	4.16	3.50	top 27% in Oklahoma; top 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.28	0.48	top 26% in Oklahoma; bottom 39% in the U.S.
Total nursing staff turnover (%)	55.9	55.5	45.8	bottom 49% in Oklahoma; bottom 23% in the U.S.
RN turnover (%)	42.9	53.6	42.9	top 34% in Oklahoma; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.28, RN 0.46, weekend 3.37. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
Bridges Employee Stock Ownership Trust	Organization	5% or Greater Indirect Ownership Interest	100%	12/31/2020
Bridges Esop, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2020
Coble, William	Individual	Corporate Officer	NOT APPLICABLE	12/31/2020
Coble, William	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2020
Deroin, Kristy	Individual	Contracted Managing Employee	NOT APPLICABLE	03/01/2016
Deroin, Kristy	Individual	W-2 Managing Employee	NOT APPLICABLE	03/01/2016
Deroin, Kristy	Individual	Corporate Director	NOT APPLICABLE	03/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
The Villages at Southern Hills	0.5 mi	Tulsa, OK	★★★★★	5/5
Colonial Manor Nursing Home	1.0 mi	Tulsa, OK	★★★★☆	3/5
Zarrow Pointe	1.2 mi	Tulsa, OK	★★★★★	4/5
Southern Hills Rehabilitation Center	2.5 mi	Tulsa, OK	★★★☆☆	3/5
University Village Retirement Community	2.6 mi	Tulsa, OK	★★★★☆	3/5
Montereau, INC.	3.2 mi	Tulsa, OK	★★★☆☆	3/5
Grace Skilled Nursing and Therapy Jenks	3.2 mi	Jenks, OK	★★☆☆☆	2/5
Tulsa Center for Rehabilitation and Healthcare	3.3 mi	Tulsa, OK	★★☆☆☆	4/5
Oklahoma Memory Care Institute	3.6 mi	Tulsa, OK	★★☆☆☆	2/5
Covenant Living at Inverness	3.6 mi	Tulsa, OK	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Tulsa →

Facility data as of CMS processing date 2026-08-01. CCN 375168.

The Care File

Visit checklist — Ambassador Manor Nursing Center

1340 East 61st Street, Tulsa, OK 74136 · 9187438978

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $9,077

Most serious findings on record:

▲ Jul 11, 2025 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 375168 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)