Emerald Care Center Southwest LLC
5600 South Walker, Oklahoma City, OK 73109 · Oklahoma County · 112 certified beds · avg 67 residents/day · certified since Feb 1, 1993
Part of chain: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
1/5
Health inspection rating (on-site)
1
Serious findings on record
$8,278
Fines, last 3 years
3.76
Nurse hours/resident/day (adjusted)
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)
▲ Actual harm, one-off · Apr 9, 2025 · 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.
Corrected: May 5, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (43)
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 |
|---|---|---|
| Jan 5, 2026 | 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 |
| Apr 9, 2025 | ▲ 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 |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Apr 9, 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 |
| Apr 9, 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 |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Dec 13, 2024 | 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. |
| Dec 13, 2024 | 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. |
| Dec 13, 2024 | 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. |
| Dec 13, 2024 | 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. |
| Dec 13, 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. |
| Dec 13, 2024 | 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. |
| Dec 13, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Dec 13, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Oct 12, 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 |
| Oct 12, 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 |
| Jun 17, 2024 | E · Potential for harm, repeated | 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 |
| May 17, 2024 | 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 |
| May 17, 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 5, 2024 | E · Potential for harm, repeated | 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 |
| Feb 5, 2024 | 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. · from a complaint |
| Feb 5, 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 |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Feb 5, 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 |
| Aug 18, 2023 | E · Potential for harm, repeated | 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. |
| Aug 18, 2023 | 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 |
| Aug 18, 2023 | E · Potential for harm, repeated | 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 |
| Aug 18, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 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. · from a complaint |
| Aug 18, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 18, 2023 | 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. |
| Aug 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. |
| Aug 18, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Aug 18, 2023 | 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 |
| Aug 18, 2023 | 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. |
| Aug 18, 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. · from a complaint |
| Aug 18, 2023 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint |
| Dec 21, 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. |
| Dec 21, 2021 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 21, 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. |
| Dec 21, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2023 | 13 | 0 | E |
| 2024 | 19 | 0 | E |
| 2025 | 6 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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 $8,278, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 9, 2025 | Fine | $8,278 |
| Apr 9, 2025 | Payment Denial | 3 days from May 2, 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) | 3.76 | 4.58 | 3.95 | bottom 11% in Oklahoma; bottom 50% in the U.S. |
| Registered Nurse hours | 0.45 | 0.41 | 0.69 | top 35% in Oklahoma; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.39 | 4.16 | 3.50 | bottom 12% in Oklahoma; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.28 | 0.48 | top 13% in Oklahoma; top 47% in the U.S. |
| Total nursing staff turnover (%) | 65.8 | 55.5 | 45.8 | bottom 24% in Oklahoma; bottom 9% 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 3.33, RN 0.40, weekend 3.00. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Admn Group | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| David M Fistel Ok LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| JW Oklahoma Holdings, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Lme Family Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Moussaieff Family Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| MRW Partners LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Njny17 LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Okl Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Sandr | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Ycok Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/17/2017 |
| Admn Group | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2017 |
| Awopeju, Olukayode | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2020 |
| Awopeju, Olukayode | Individual | ADP of the SNF | NOT APPLICABLE | 06/19/2025 |
| Bankers Trust Company | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/17/2017 |
| David M Fistel Ok LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2017 |
| Emerald Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2017 |
| Evolve Therapy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/21/2021 |
| Fleischmann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/17/2022 |
| Fleischmann, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2022 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2017 |
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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| South Park East | 1.4 mi | Oklahoma City, OK | ★★☆☆☆ | 1/5 | abuse |
| Accel at Crystal Park | 1.5 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Brookwood Skilled Nursing and Therapy | 1.9 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Capitol Hill Skilled Nursing and Therapy | 1.9 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 | |
| South Pointe Rehabilitation and Care Center | 2.3 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | SFF |
| Meadowlake Estates | 3.5 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Thunder Care and Rehabilitation | 3.8 mi | Moore, OK | ★☆☆☆☆ | 1/5 | abuse |
| Mid-Del Skilled Nursing and Therapy | 5.2 mi | Del City, OK | ★★★★☆ | 4/5 | |
| Fairmont Skilled Nursing and Therapy | 5.7 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | abuse |
| Park Place Healthcare and Rehab | 6.1 mi | Oklahoma City, OK | —/5 | SFF | |
| Kingwood Skilled Nursing and Therapy | 6.2 mi | Oklahoma City, OK | ★★★★☆ | 3/5 | |
| Cross Timbers Nursing and Rehabilitation | 6.5 mi | Midwest City, OK | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
All facilities in Oklahoma City →
Facility data as of CMS processing date 2026-08-01. CCN 375135.