Elk Crossing

Name: Elk Crossing
Address: 811 WEST ELK, Duncan, OK, 73533, US
Telephone: 5804750750

811 West Elk, Duncan, OK 73533 · Stephens County · 120 certified beds · avg 106 residents/day · certified since Jan 4, 2016

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.53

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (8)

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
Apr 23, 2026	E · Potential for harm, repeated	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.
Apr 23, 2026	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.
Apr 23, 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.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 25, 2024	E · Potential for harm, repeated	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
Apr 25, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 23, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 23, 2023	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Worst severity that year
2023	2	E
2024	2	E
2026	4	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)

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)	6.53	4.58	3.95	top 1% in Oklahoma; top 2% in the U.S.
Registered Nurse hours	0.33	0.41	0.69	bottom 37% in Oklahoma; bottom 12% in the U.S.
Weekend total nurse staffing	6.11	4.16	3.50	top 1% in Oklahoma; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.28	0.48	bottom 34% in Oklahoma; bottom 13% in the U.S.
Total nursing staff turnover (%)	46.4	55.5	45.8	top 25% in Oklahoma; bottom 46% in the U.S.
RN turnover (%)	50.0	53.6	42.9	top 41% in Oklahoma; bottom 39% 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 5.75, RN 0.29, weekend 5.38. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Gregston, Jeff	Individual	5% or Greater Direct Ownership Interest	75%	02/02/2012
Greiner, Kenneth	Individual	5% or Greater Direct Ownership Interest	20%	02/02/2012
Miller, Douglas	Individual	5% or Greater Direct Ownership Interest	5%	02/02/2012
Gregston, Jeff	Individual	Corporate Officer	NOT APPLICABLE	02/02/2012
Gregston, Jeff	Individual	ADP of the SNF	NOT APPLICABLE	02/02/2012
Greiner, Kenneth	Individual	ADP of the SNF	NOT APPLICABLE	02/02/2012
Ivory, Matt	Individual	ADP of the SNF	NOT APPLICABLE	04/09/2025
Miller, Douglas	Individual	ADP of the SNF	NOT APPLICABLE	02/02/2012
Stewart, Bethany	Individual	Operational/Managerial Control	NOT APPLICABLE	08/30/2016
Stewart, Bethany	Individual	ADP of the SNF	NOT APPLICABLE	04/11/2025

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"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
Wilkins Health & Rehabilitation Community	2.3 mi	Duncan, OK	★★★★★	5/5
Meridian Nursing Home	7.8 mi	Comanche, OK	★★★★★	5/5
Gregston Nursing Home, INC.	8.2 mi	Marlow, OK	★★★★☆	4/5
Marlow Nursing & Rehab	8.3 mi	Marlow, OK	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Duncan →

Facility data as of CMS processing date 2026-08-01. CCN 375566.

The Care File

Visit checklist — Elk Crossing

811 West Elk, Duncan, OK 73533 · 5804750750

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "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 375566 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)