Montevista Rehabilitation and Skilled Care
7604 Quanah Parker Trailway, Lawton, OK 73505 · Comanche County · 105 certified beds · avg 92 residents/day · certified since Sep 17, 2010
Part of chain: STONEGATE SENIOR LIVING (24 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · May 1, 2024 · 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: Apr 5, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 2, 2024 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
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 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 13, 2023 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Aug 18, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Mar 4, 2025 | E · Potential for harm, repeated | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint |
| Mar 4, 2025 | E · Potential for harm, repeated | 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. · from a complaint |
| Mar 4, 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. · from a complaint |
| Mar 4, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 4, 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 |
| Feb 6, 2025 | 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. · from a complaint |
| Feb 6, 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. · from a complaint |
| Dec 10, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Sep 6, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 6, 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. |
| Sep 6, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| May 1, 2024 | ▲ 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 |
| Apr 2, 2024 | ▲ G · Actual harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Sep 14, 2023 | 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. · from a complaint |
| Jul 13, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 13, 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. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 13, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2024 | 6 | 2 | J ▲ |
| 2025 | 7 | 0 | 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)
2 fines totaling $20,069.
| Date | Type | Amount / length |
|---|---|---|
| Apr 2, 2024 | Fine | $10,033 |
| Apr 2, 2024 | Fine | $10,036 |
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) | 3.84 | 4.58 | 3.95 | bottom 12% in Oklahoma; top 46% in the U.S. |
| Registered Nurse hours | 0.29 | 0.41 | 0.69 | bottom 28% in Oklahoma; bottom 9% in the U.S. |
| Weekend total nurse staffing | 3.47 | 4.16 | 3.50 | bottom 15% in Oklahoma; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.28 | 0.48 | bottom 31% in Oklahoma; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 68.9 | 55.5 | 45.8 | bottom 17% in Oklahoma; bottom 7% in the U.S. |
| RN turnover (%) | 87.5 | 53.6 | 42.9 | bottom 9% in Oklahoma; bottom 3% 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 3.22, RN 0.24, weekend 2.91. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PF Lawton SNF Ops LLC | Organization | 5% or Greater Direct Ownership Interest | — | 09/22/2021 |
| Preservation Freehold Company | Organization | 5% or Greater Indirect Ownership Interest | 100% | 10/10/2019 |
| Sanctuary LTC, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 10/10/2019 |
| Butler, Dorothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/24/2024 |
| Butler, Dorothy | Individual | ADP of the SNF | NOT APPLICABLE | 06/24/2024 |
| Campbell, Scott | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/11/2025 |
| Chance, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/22/2021 |
| Cress, Brooke | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/14/2023 |
| Cress, Brooke | Individual | ADP of the SNF | NOT APPLICABLE | 08/14/2023 |
| Fisher, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/11/2025 |
| Langdon, Thomas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/19/2025 |
| Lifetime Wellness, LTD. | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Martus Financial Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2023 |
| McGehee, William | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/19/2025 |
| PF Lawton SNF Ops LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/22/2021 |
| Pharmerica Drug Systems LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/29/2017 |
| Preservation Freehold Company | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Rehab Pro LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Sanctuary LTC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Singh, Kanwardeep | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 |
|---|---|---|---|---|---|
| Willow Park Health Care Center | 0.5 mi | Lawton, OK | ★☆☆☆☆ | 1/5 | |
| McMahon-Tomlinson Nursing Center | 1.3 mi | Lawton, OK | ★★☆☆☆ | 2/5 | abuse |
| Lawton Post Acute & Rehab | 4.2 mi | Lawton, OK | ★☆☆☆☆ | 1/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 375540.