Shady Rest Care Center
210 South Adair, Pryor, OK 74361 · Mayes County · 65 certified beds · avg 31 residents/day · certified since Mar 2, 1998
Part of chain: BGM ESTATE (15 facilities, chain avg rating 1.8★)
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 · Jul 9, 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: Jun 19, 2025 (Past Non-Compliance)
All citations in the current public record (22)
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 |
|---|---|---|
| Jul 9, 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 |
| Aug 29, 2024 | F · Potential for harm, facility-wide | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint |
| Aug 29, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 29, 2024 | 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 29, 2024 | 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. · from a complaint |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 29, 2024 | D · Potential for harm, one-off | 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. |
| Aug 29, 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. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Aug 6, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 27, 2023 | E · Potential for harm, repeated | 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. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Jul 27, 2023 | 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. |
| Nov 28, 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. |
| Nov 28, 2022 | 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. |
| Nov 28, 2022 | D · Potential for harm, one-off | 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. |
| Nov 28, 2022 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Nov 28, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 4 | 0 | E |
| 2024 | 12 | 0 | F |
| 2025 | 1 | 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 $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Jul 9, 2025 | Fine | $14,069 |
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) | 5.45 | 4.58 | 3.95 | top 13% in Oklahoma; top 8% in the U.S. |
| Registered Nurse hours | 0.39 | 0.41 | 0.69 | top 48% in Oklahoma; bottom 20% in the U.S. |
| Weekend total nurse staffing | 5.42 | 4.16 | 3.50 | top 5% in Oklahoma; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.28 | 0.48 | top 38% in Oklahoma; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 57.1 | 55.5 | 45.8 | bottom 47% in Oklahoma; bottom 21% 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 3.89, RN 0.27, weekend 3.86. Staffing rating: 3/5.
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 |
|---|---|---|---|---|
| Angelus Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 13% | 12/12/2025 |
| BGM Estate LLC | Organization | 5% or Greater Direct Ownership Interest | 38% | 12/15/2011 |
| Mitchell, Kelly | Individual | 5% or Greater Indirect Ownership Interest | 9% | 12/06/2011 |
| Mitchell, Marcinda | Individual | 5% or Greater Indirect Ownership Interest | 9% | 12/15/2011 |
| Mitchell, Robert | Individual | 5% or Greater Indirect Ownership Interest | 9% | 12/15/2011 |
| Philip M. Green Revocable Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/12/2025 |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr | Organization | 5% or Greater Direct Ownership Interest | 11% | 12/12/2025 |
| Tabor, Angela | Individual | 5% or Greater Indirect Ownership Interest | 9% | 12/15/2011 |
| Tiffany Seay Exempt Tr | Organization | 5% or Greater Direct Ownership Interest | 14% | 12/12/2025 |
| Angelus Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2025 |
| Belt, Miranda | Individual | Corporate Officer | NOT APPLICABLE | 12/09/2024 |
| Brown, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2019 |
| Brown, Jack | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2019 |
| Lowrimore, Morgan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2025 |
| Lowrimore, Morgan | Individual | ADP of the SNF | NOT APPLICABLE | 12/18/2025 |
| Mitchell, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 12/06/2011 |
| Mitchell, Marcinda | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2011 |
| Mitchell, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2011 |
| Philip M. Green Revocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2025 |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2025 |
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?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "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 |
|---|---|---|---|---|---|
| Colonial Terrace Care Center | 2.5 mi | Pryor, OK | ★★★☆☆ | 4/5 | |
| Meadowbrook Nursing Center | 8.4 mi | Chouteau, OK | ★★☆☆☆ | 1/5 | |
| Parkhill North Nursing Home | 9.6 mi | Salina, OK | ★☆☆☆☆ | 2/5 | |
| Lane Nursing & Ventilator Care | 14.8 mi | Inola, OK | ★☆☆☆☆ | 2/5 | |
| Claremore Skilled Nursing and Therapy | 15.5 mi | Claremore, OK | ★★★☆☆ | 3/5 | |
| Emerald Care Center Claremore | 16.9 mi | Claremore, OK | ★★☆☆☆ | 2/5 | |
| Memory Care Center at Emerald | 17.0 mi | Claremore, OK | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375334.