Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
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)
inspected Feb 13, 2026
1
Serious findings on record
most recent Feb 13, 2026
$8,281
Fines, last 3 years
4.38
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)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Nov 28, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
J · Immediate jeopardy, isolated
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 complaintF-0600
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
E · Potential for more than minimal harm, pattern
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. F-0700
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
Feb 13, 2026
▲ J · Immediate jeopardy, isolated
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 · F-0600
Feb 13, 2026
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 21, 2024
E · Potential for more than minimal harm, pattern
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. · F-0700
Jun 21, 2024
E · Potential for more than minimal harm, pattern
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. · F-0725
Jun 21, 2024
E · Potential for more than minimal harm, pattern
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. · F-0732
Jun 21, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jun 21, 2024
E · Potential for more than minimal harm, pattern
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. · F-0880
Jun 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Jun 21, 2024
D · Potential for more than minimal harm, isolated
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. · F-0677
Jun 21, 2024
D · Potential for more than minimal harm, isolated
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
Jun 21, 2024
D · Potential for more than minimal harm, isolated
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. · F-0758
Jun 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 21, 2024
D · Potential for more than minimal harm, isolated
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. · F-0909
May 12, 2023
E · Potential for more than minimal harm, pattern
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. · F-0759
May 12, 2023
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
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
2
Serious citations (G–L):
0
2024
All citations:
11
Serious citations (G–L):
0
2026
All citations:
2
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
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.
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
Feb 13, 2026
Fine
$8,281
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:
4.38
Oklahoma average:
4.58
U.S. average:
3.95
Registered Nurse hours
This facility:
0.26
Oklahoma average:
0.41
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.18
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)
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 (%)
—
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 3.26, RN 0.19, weekend 3.11.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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 Sand Springs Nursing and Rehabilitation. 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.
All 7 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Conhold — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Tulsa, OK — 33 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 375285.
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The Care File
Visit checklist — Sand Springs Nursing and Rehabilitation
1025 North Adams, Sand Springs, OK 74063 · (918) 245-5908
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, isolated): 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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 68% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "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 375285 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)