Eastgate Village Care & Rehab Center
3500 Haskell Blvd, Muskogee, OK 74403 · Muskogee County · 110 certified beds · avg 84 residents/day · certified since Sep 1, 1994
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: ★★★☆☆3/5 · 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, one-off · Jul 2, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 22, 2025 (Past Non-Compliance)
All citations in the current public record (24)
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 2, 2025 | ▲ J · Immediate jeopardy, 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 |
| Feb 6, 2025 | 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. |
| Feb 6, 2025 | 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. |
| Feb 6, 2025 | 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. · from a complaint |
| Feb 6, 2025 | 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. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 6, 2025 | 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 6, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 6, 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. |
| Feb 6, 2025 | 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. |
| Nov 6, 2023 | F · Potential for harm, facility-wide | 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 |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 22, 2022 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 22, 2022 | E · Potential for harm, repeated | The facility employed staff who were not licensed, certified, or registered as required by state law. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Apr 22, 2022 | 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. |
| Apr 22, 2022 | 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 stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 8 | 0 | F |
| 2025 | 11 | 1 | J ▲ |
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)
No fines or payment denials in the published 3-year window.
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) | 0.00 | 4.58 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.41 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 4.16 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.28 | 0.48 | — |
| Total nursing staff turnover (%) | 58.4 | 55.5 | 45.8 | bottom 42% in Oklahoma; bottom 19% in the U.S. |
| RN turnover (%) | 77.8 | 53.6 | 42.9 | bottom 25% in Oklahoma; bottom 7% 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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
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 Indirect Ownership Interest | — | 05/14/2024 |
| Ok SNF Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/30/2024 |
| Ok4 Opco, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/30/2024 |
| Southeast Ventures Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/14/2024 |
| Eastgate Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| JFB Ok Trust | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Johnson, Cynthia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/14/2024 |
| Johnson, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/2024 |
| Johnson, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Klein, Yaakov | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Koss, Allen | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Lambert, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/2024 |
| Lambert, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Midwest Geriatric Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Ok SNF Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
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?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| York Manor Nursing Home | 1.2 mi | Muskogee, OK | ★☆☆☆☆ | 1/5 | |
| Broadway Care & Rehab Center | 1.5 mi | Muskogee, OK | ★☆☆☆☆ | 1/5 | |
| Muskogee Nursing Center | 1.6 mi | Muskogee, OK | ★☆☆☆☆ | 1/5 | |
| Pleasant Valley Health Care Center | 1.9 mi | Muskogee, OK | ★★★☆☆ | 3/5 | |
| Brentwood Extended Care & Rehab | 4.9 mi | Muskogee, OK | ★☆☆☆☆ | 2/5 | |
| Fort Gibson Care & Rehab Center | 5.5 mi | Fort Gibson, OK | ★★★☆☆ | 3/5 | |
| The Springs Skilled Nursing and Therapy | 6.2 mi | Muskogee, OK | ★★★☆☆ | 3/5 | |
| Wagoner Health & Rehab | 15.3 mi | Wagoner, OK | ★★☆☆☆ | 2/5 | |
| Countryside Estates | 17.9 mi | Warner, OK | ★★★☆☆ | 4/5 | |
| Community Health Care of Gore | 19.1 mi | Gore, OK | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375190.