Ruth Wilson Hurley Manor
7 North Covington, Coalgate, OK 74538 · Coal County · 75 certified beds · avg 32 residents/day · certified since Aug 1, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (14)
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 |
|---|---|---|
| Dec 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. |
| Dec 6, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 6, 2024 | D · Potential for harm, one-off | 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. |
| Aug 23, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 23, 2023 | 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. |
| Aug 23, 2023 | D · Potential for harm, one-off | 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. |
| Jul 21, 2022 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Jul 21, 2022 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jul 21, 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. |
| Jul 21, 2022 | 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. |
| Jul 21, 2022 | E · Potential for harm, repeated | 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. |
| Jul 21, 2022 | 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. |
| Jul 21, 2022 | D · Potential for harm, one-off | 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. |
| Jul 21, 2022 | D · Potential for 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | F |
| 2023 | 3 | 0 | E |
| 2024 | 3 | 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)
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) | 5.67 | 4.58 | 3.95 | top 9% in Oklahoma; top 6% in the U.S. |
| Registered Nurse hours | 0.81 | 0.41 | 0.69 | top 5% in Oklahoma; top 26% in the U.S. |
| Weekend total nurse staffing | 4.80 | 4.16 | 3.50 | top 19% in Oklahoma; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.28 | 0.48 | top 12% in Oklahoma; top 46% in the U.S. |
| Total nursing staff turnover (%) | 39.0 | 55.5 | 45.8 | top 11% in Oklahoma; top 34% in the U.S. |
| RN turnover (%) | 57.1 | 53.6 | 42.9 | bottom 48% in Oklahoma; bottom 26% 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 4.61, RN 0.66, weekend 3.90. Staffing rating: 5/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Jan Frances Care Center | 29.6 mi | Ada, OK | ★☆☆☆☆ | 1/5 | abuse |
| Ada Care Center | 29.6 mi | Ada, OK | ★★★★☆ | 4/5 | |
| Ballard Nursing Center | 30.8 mi | Ada, OK | ★★★☆☆ | 3/5 | |
| Blue River Healthcare, INC | 33.0 mi | Tishomingo, OK | ★★★★★ | 5/5 | |
| Walnut Grove Care & Rehab Center | 36.0 mi | McAlester, OK | ★★☆☆☆ | 2/5 | abuse |
| Four Seasons Rehabilitation & Care | 37.7 mi | Durant, OK | ★☆☆☆☆ | 3/5 | |
| Oakridge Nursing Center | 37.8 mi | Durant, OK | ★★☆☆☆ | 3/5 | |
| Heritage Hills Living & Rehabilitation Center | 37.9 mi | McAlester, OK | ★☆☆☆☆ | 1/5 | abuse |
| Mitchell Care & Rehab Center | 38.1 mi | McAlester, OK | ★★★★☆ | 4/5 | |
| The King's Daughters & Sons Nursing Home | 38.3 mi | Durant, OK | ★★★★☆ | 3/5 | |
| McAlester Nursing & Rehab | 38.9 mi | McAlester, OK | ★☆☆☆☆ | 2/5 | |
| Boyce Manor Nursing Home | 38.9 mi | Holdenville, OK | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375312.