Broadway Care & Rehab Center
1622 East Broadway, Muskogee, OK 74403 · Muskogee County · 105 certified beds · avg 82 residents/day · certified since Dec 6, 1993
Part of chain: MGM HEALTHCARE (27 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · May 29, 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 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 6, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jul 30, 2025 | 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 |
| Jul 30, 2025 | D · Potential for harm, one-off | 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 |
| May 29, 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 |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 6, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 6, 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 |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 10, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint |
| Feb 15, 2024 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Feb 15, 2024 | D · Potential for harm, one-off | 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. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Feb 15, 2024 | 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. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 18, 2023 | 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. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 18, 2023 | 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. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 18, 2023 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 18, 2023 | 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. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jan 18, 2023 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 7 | 2 | K ▲ |
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)
2 fines totaling $37,638, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 6, 2025 | Fine | $8,044 |
| Mar 6, 2025 | Fine | $29,594 |
| Mar 6, 2025 | Payment Denial | 33 days from Jun 6, 2025 |
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) | 4.30 | 4.58 | 3.95 | bottom 36% in Oklahoma; top 29% in the U.S. |
| Registered Nurse hours | 0.25 | 0.41 | 0.69 | bottom 18% in Oklahoma; bottom 5% in the U.S. |
| Weekend total nurse staffing | 3.16 | 4.16 | 3.50 | bottom 7% in Oklahoma; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.28 | 0.48 | bottom 13% in Oklahoma; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 55.1 | 55.5 | 45.8 | top 50% in Oklahoma; bottom 25% in the U.S. |
| RN turnover (%) | 66.7 | 53.6 | 42.9 | bottom 35% in Oklahoma; bottom 15% 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 3.93, RN 0.23, weekend 2.89. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CDW Investments LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/30/2024 |
| JFB Ok Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/14/2024 |
| MM Acquisitions, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/30/2024 |
| NDF Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/30/2024 |
| Ok SNF Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 05/14/2024 |
| Ok SNF Investments, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 05/14/2024 |
| Ok4 Opco, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 10/30/2024 |
| Southeast Ventures Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/14/2024 |
| Broadway Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Jackson, Brittoney | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/14/2024 |
| Jackson, Brittoney | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2024 |
| Jackson, Brittoney | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2025 |
| JFB Ok Trust | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Koss, Allen | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/16/2025 |
| Lambert, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/2024 |
| Lambert, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2025 |
| Ok SNF Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Ok SNF Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Ok4 Propco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/30/2024 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What are your visiting policies — can family visit any time the resident wants?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "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 | Flags |
|---|---|---|---|---|---|
| Muskogee Nursing Center | 0.4 mi | Muskogee, OK | ★☆☆☆☆ | 1/5 | |
| York Manor Nursing Home | 0.7 mi | Muskogee, OK | ★☆☆☆☆ | 1/5 | |
| Pleasant Valley Health Care Center | 0.8 mi | Muskogee, OK | ★★★☆☆ | 3/5 | |
| Eastgate Village Care & Rehab Center | 1.5 mi | Muskogee, OK | ★★☆☆☆ | 3/5 | |
| Brentwood Extended Care & Rehab | 3.6 mi | Muskogee, OK | ★☆☆☆☆ | 2/5 | |
| The Springs Skilled Nursing and Therapy | 4.8 mi | Muskogee, OK | ★★★☆☆ | 3/5 | |
| Fort Gibson Care & Rehab Center | 6.9 mi | Fort Gibson, OK | ★★★☆☆ | 3/5 | |
| Wagoner Health & Rehab | 15.4 mi | Wagoner, OK | ★★☆☆☆ | 2/5 | |
| Countryside Estates | 17.8 mi | Warner, OK | ★★★☆☆ | 4/5 | |
| Haskell Care Center | 19.1 mi | Haskell, OK | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375146.