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3/5
Health inspection rating (on-site)
inspected Dec 18, 2025
1
Serious findings on record
most recent Dec 18, 2025
$50,778
Fines, last 3 years
3.58
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Dec 18, 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 10, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
G · Actual harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaintF-0689
D · Potential for more than minimal harm, isolated
The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. F-0627
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
View all 15 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Dec 18, 2025
▲ G · Actual harm, isolated
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 · F-0689
Dec 18, 2025
D · Potential for more than minimal harm, isolated
The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · F-0627
Dec 18, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Dec 18, 2025
D · Potential for more than minimal harm, isolated
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. · F-0636
Dec 18, 2025
D · Potential for more than minimal harm, isolated
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. · F-0656
Apr 18, 2024
E · Potential for more than minimal harm, pattern
The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
Apr 18, 2024
E · Potential for more than minimal harm, pattern
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 · F-0656
Apr 18, 2024
E · Potential for more than minimal harm, pattern
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. · F-0686
Apr 18, 2024
E · Potential for more than minimal harm, pattern
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 · F-0689
Apr 18, 2024
E · Potential for more than minimal harm, pattern
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. · F-0812
Apr 18, 2024
D · Potential for more than minimal harm, isolated
The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660
Mar 10, 2023
E · Potential for more than minimal harm, pattern
The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640
Mar 10, 2023
D · Potential for more than minimal harm, isolated
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. · F-0695
Mar 10, 2023
D · Potential for more than minimal harm, isolated
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. · F-0727
Mar 10, 2023
D · Potential for more than minimal harm, isolated
The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
4
Serious citations (G–L):
0
2024
All citations:
6
Serious citations (G–L):
0
2025
All citations:
5
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
4
0
E
2024
6
0
E
2025
5
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.
1 fine totaling $50,778, plus 2 Medicare payment denial periods.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Dec 18, 2025
Payment Denial
3 days from Feb 7, 2026
Apr 18, 2024
Fine
$50,778
Apr 18, 2024
Payment Denial
28 days from Jun 27, 2024
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityOklahoma averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.58
Oklahoma average:
4.58
U.S. average:
3.95
Registered Nurse hours
This facility:
0.29
Oklahoma average:
0.41
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.33
Oklahoma average:
4.16
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Oklahoma avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
3.58
4.58
3.95
bottom 6% in Oklahoma; bottom 41% in the U.S.
Registered Nurse hours
0.29
0.41
0.69
bottom 26% in Oklahoma; bottom 8% in the U.S.
Weekend total nurse staffing
3.33
4.16
3.50
bottom 10% in Oklahoma; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.25
0.28
0.48
bottom 49% in Oklahoma; bottom 21% in the U.S.
Total nursing staff turnover (%)
—
55.5
45.8
—
RN turnover (%)
—
53.6
42.9
—
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.87, RN 0.23, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Pauls Valley Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
CMS records place this facility in Garvin, OK — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 375463.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Pauls Valley Care Center
1413 South Chickasaw Street, Pauls Valley, OK 73075 · (405) 238-6411
Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $50,778
Most serious findings on record:
▲ Dec 18, 2025 (F-0689, Actual harm, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Questions for the administrator:
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Your weekend nurse staffing is reported below the Oklahoma midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 375463 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)