Sand Springs Nursing and Rehabilitation

Name: Sand Springs Nursing and Rehabilitation
Address: 1025 North Adams, Sand Springs, OK, 74063, US
Telephone: 9182455908

1025 North Adams, Sand Springs, OK 74063 · Tulsa County · 173 certified beds · avg 59 residents/day · certified since Jan 1, 1997

Abuse citation flag (CMS)

Part of chain: CONHOLD (5 facilities, chain avg rating 4.0★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

$8,281

Fines, last 3 years

4.38

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 13, 2026 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: Nov 28, 2025 (Past Non-Compliance)

All citations in the current public record (15)

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
Feb 13, 2026	▲ J · Immediate jeopardy, 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
Feb 13, 2026	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.
Jun 21, 2024	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.
Jun 21, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jun 21, 2024	E · Potential for harm, repeated	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.
Jun 21, 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.
Jun 21, 2024	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.
Jun 21, 2024	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
Jun 21, 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.
Jun 21, 2024	D · Potential for harm, one-off	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.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 21, 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.
Jun 21, 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.
May 12, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 12, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	E
2024	11	0	E
2026	2	1	J ▲

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 $8,281.

Date	Type	Amount / length
Feb 13, 2026	Fine	$8,281

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)	4.38	4.58	3.95	bottom 40% in Oklahoma; top 27% in the U.S.
Registered Nurse hours	0.26	0.41	0.69	bottom 19% in Oklahoma; bottom 6% in the U.S.
Weekend total nurse staffing	4.18	4.16	3.50	top 48% in Oklahoma; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.28	0.48	bottom 13% in Oklahoma; bottom 5% in the U.S.
Total nursing staff turnover (%)	67.6	55.5	45.8	bottom 20% in Oklahoma; bottom 8% in the U.S.
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 3.26, RN 0.19, weekend 3.11. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Sullivan Sand Springs Tr	Organization	5% or Greater Direct Ownership Interest	45%	08/29/2013
Sullivan, James	Individual	5% or Greater Indirect Ownership Interest	—	08/29/2013
Tenant One, LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/29/2013
Allred, Amy	Individual	W-2 Managing Employee	NOT APPLICABLE	05/14/2018
Armstrong Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	08/29/2013
Comprehensive Management Services, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/29/2013
Sullivan, James	Individual	Operational/Managerial Control	NOT APPLICABLE	08/29/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"Where do you post your daily staffing numbers, and can I see today's?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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
Sherwood Manor Nursing Home	5.2 mi	Tulsa, OK	★★☆☆☆	2/5
Saint Simeons Episcopal Home	6.4 mi	Tulsa, OK	★★★★☆	4/5
Covenant Living at Inverness	7.4 mi	Tulsa, OK	★★★★★	5/5
Colonial Manor Nursing Home	8.6 mi	Tulsa, OK	★★★★☆	3/5
Ambassador Manor Nursing Center	9.1 mi	Tulsa, OK	★★☆☆☆	2/5
Oklahoma Memory Care Institute	9.2 mi	Tulsa, OK	★★☆☆☆	2/5
Green Country Care Center	9.2 mi	Tulsa, OK	★★☆☆☆	2/5
Zarrow Pointe	9.2 mi	Tulsa, OK	★★★★★	4/5
The Villages at Southern Hills	9.4 mi	Tulsa, OK	★★★★★	5/5
Trinity Woods, INC.	9.8 mi	Tulsa, OK	★★★★★	5/5
Beacon Ridge	10.2 mi	Sapulpa, OK	★☆☆☆☆	1/5
Southern Hills Rehabilitation Center	10.8 mi	Tulsa, OK	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Sand Springs →

Facility data as of CMS processing date 2026-08-01. CCN 375285.

The Care File

Visit checklist — Sand Springs Nursing and Rehabilitation

1025 North Adams, Sand Springs, OK 74063 · 9182455908

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $8,281

Most serious findings on record:

▲ Feb 13, 2026 (F-0600, Immediate jeopardy, 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.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"

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 375285 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)