Oklahoma Memory Care Institute
3333 East 28th Street, Tulsa, OK 74114 · Tulsa County · 56 certified beds · avg 40 residents/day · certified since Oct 23, 2004
2/5
Health inspection rating (on-site)
1
Serious findings on record
$8,653
Fines, last 3 years
4.73
Nurse hours/resident/day (adjusted)
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)
▲ Immediate jeopardy, one-off · Feb 11, 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: Jan 31, 2025 (Past Non-Compliance)
All citations in the current public record (31)
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 18, 2026 | E · Potential for harm, repeated | 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 |
| Mar 18, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Feb 11, 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 |
| Jan 29, 2025 | 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. · from a complaint |
| Oct 31, 2024 | E · Potential for harm, repeated | 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. |
| Oct 31, 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. |
| Oct 31, 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. |
| Oct 31, 2024 | 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. |
| Oct 31, 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 31, 2024 | 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | 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. |
| Oct 31, 2024 | 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. |
| Oct 16, 2024 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Sep 22, 2023 | E · Potential for harm, repeated | 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. |
| Sep 22, 2023 | E · Potential for harm, repeated | 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. |
| Sep 22, 2023 | 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. |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 22, 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. |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Sep 22, 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. |
| Sep 22, 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 22, 2023 | 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Oct 20, 2022 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 20, 2022 | E · Potential for harm, repeated | 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. |
| Oct 20, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2023 | 13 | 0 | E |
| 2024 | 11 | 0 | E |
| 2025 | 2 | 1 | J ▲ |
| 2026 | 2 | 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)
1 fine totaling $8,653.
| Date | Type | Amount / length |
|---|---|---|
| Jan 29, 2025 | Fine | $8,653 |
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) | 4.73 | 4.58 | 3.95 | top 38% in Oklahoma; top 18% in the U.S. |
| Registered Nurse hours | 0.33 | 0.41 | 0.69 | bottom 38% in Oklahoma; bottom 13% in the U.S. |
| Weekend total nurse staffing | 4.42 | 4.16 | 3.50 | top 32% in Oklahoma; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.28 | 0.48 | top 28% in Oklahoma; bottom 36% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.5 | 45.8 | — |
| RN turnover (%) | 0.0 | 53.6 | 42.9 | — |
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 3.98, RN 0.28, weekend 3.72. 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: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hanover, Yaacov | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Kravetz, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Operations III LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Partners II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Omci Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2025 |
| Omci Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Rife, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Rife, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Property Holdings III LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2026 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Trinity Woods, INC. | 0.6 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Gracewood Health & Rehab | 1.9 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | abuse |
| Southern Hills Rehabilitation Center | 2.6 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| Colonial Manor Nursing Home | 2.7 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Emerald Care Center Tulsa | 3.0 mi | Tulsa, OK | ★☆☆☆☆ | 1/5 | |
| The Villages at Southern Hills | 3.2 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Ambassador Manor Nursing Center | 3.6 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| Tulsa Center for Rehabilitation and Healthcare | 3.7 mi | Tulsa, OK | ★★☆☆☆ | 4/5 | |
| Montereau, INC. | 4.3 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| Leisure Village Health Care Center | 4.4 mi | Tulsa, OK | ★☆☆☆☆ | 1/5 | |
| Zarrow Pointe | 4.8 mi | Tulsa, OK | ★★★★★ | 4/5 | |
| Tulsa Nursing Center | 5.0 mi | Tulsa, OK | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375468.