Elmbrook Home
1811 9th Avenue NW, Ardmore, OK 73401 · Carter County · 126 certified beds · avg 71 residents/day · certified since Mar 14, 1994
Part of chain: ELMBROOK MANAGEMENT COMPANY (11 facilities, chain avg rating 3.4★)
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)
▲ Actual harm, one-off · Feb 13, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (12)
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 |
|---|---|---|
| Feb 13, 2026 | ▲ G · Actual 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 13, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Aug 26, 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. · from a complaint |
| Aug 26, 2025 | 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 |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 16, 2025 | 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. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 16, 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. |
| Jan 16, 2025 | 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 16, 2025 | 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. |
| Apr 30, 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. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 9 | 0 | E |
| 2026 | 2 | 1 | G ▲ |
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) | 4.40 | 4.58 | 3.95 | bottom 41% in Oklahoma; top 26% in the U.S. |
| Registered Nurse hours | 0.60 | 0.41 | 0.69 | top 14% in Oklahoma; top 48% in the U.S. |
| Weekend total nurse staffing | 3.55 | 4.16 | 3.50 | bottom 17% in Oklahoma; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.28 | 0.48 | top 37% in Oklahoma; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 47.8 | 55.5 | 45.8 | top 27% in Oklahoma; bottom 42% 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 3.51, RN 0.48, weekend 2.83. 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: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Coble, Tom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/27/2018 |
| Elmbrook Home, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/29/2008 |
| Elmbrook Properties INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/29/2008 |
| Coble, Tom | Individual | Corporate Officer | NOT APPLICABLE | 12/27/2018 |
| Coble, Tom | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2018 |
| Coble, Tom | Individual | ADP of the SNF | NOT APPLICABLE | 12/27/2018 |
| Dixson, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Dixson, James | Individual | ADP of the SNF | NOT APPLICABLE | 11/05/2018 |
| Elmbrook Home, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/29/2008 |
| Elmbrook Home, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 10/29/2008 |
| Elmbrook Properties INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/29/2008 |
| Elmbrook Properties INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/29/2008 |
| Lodes, Jason | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Lodes, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Lodes, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Stevenson, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/05/2018 |
| Stevenson, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 11/05/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Southbrook Healthcare, INC | 1.5 mi | Ardmore, OK | ★★★★★ | 5/5 | |
| Ardmore Center for Rehabilitation and Healthcare | 2.1 mi | Ardmore, OK | ★★★☆☆ | 5/5 | |
| Woodview Home, INC. | 2.7 mi | Ardmore, OK | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375160.