Stilwell Nursing and Rehab
509 W Locust St, Stilwell, OK 74960 · Adair County · 120 certified beds · avg 86 residents/day · certified since Feb 1, 1998
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.59
Nurse hours/resident/day (adjusted)
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 (24)
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 |
|---|---|---|
| Apr 9, 2025 | E · Potential for harm, repeated | 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. |
| Apr 9, 2025 | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Apr 9, 2025 | D · Potential for harm, one-off | 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. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 14, 2023 | E · Potential for harm, repeated | 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. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Dec 14, 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. · from a complaint |
| Dec 14, 2023 | D · Potential for harm, one-off | 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. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 14, 2023 | 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 14, 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. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Dec 14, 2023 | D · Potential for harm, one-off | 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. |
| Dec 14, 2023 | 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 4, 2022 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 4, 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. |
| Aug 4, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 4, 2022 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Aug 4, 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. |
| Aug 4, 2022 | D · Potential for harm, one-off | 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. |
| Aug 4, 2022 | 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. |
| Aug 4, 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. |
| Aug 4, 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 decreased between the last two inspection cycles (11 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | F |
| 2023 | 11 | 0 | E |
| 2025 | 4 | 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) | 4.59 | 4.58 | 3.95 | top 46% in Oklahoma; top 21% in the U.S. |
| Registered Nurse hours | 0.31 | 0.41 | 0.69 | bottom 33% in Oklahoma; bottom 10% in the U.S. |
| Weekend total nurse staffing | 3.98 | 4.16 | 3.50 | bottom 41% in Oklahoma; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.28 | 0.48 | bottom 28% in Oklahoma; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 55.5 | 45.8 | top 11% in Oklahoma; top 34% in the U.S. |
| RN turnover (%) | 20.0 | 53.6 | 42.9 | top 10% in Oklahoma; top 13% 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 3.22, RN 0.21, weekend 2.79. Staffing rating: 4/5.
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: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Byers, Jack | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Rhodes, Jonathan | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Snow Family Trust Dated June 29, 2012 | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Snow, Audrey | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Snow, Larry | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Young, Bridgette | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Young, Jeffrey | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2022 |
| Bedlam Properties Ho LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Bedlam Properties Ho LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/14/2025 |
| Byers, Jack | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Gilbert, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Gilbert, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Lietzke, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Matrix Provider Solutions LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Sequoyah Pointe Skilled Nursing and Therapy | 19.7 mi | Tahlequah, OK | ★★★★☆ | 4/5 | |
| Cherokee County Nursing Center | 20.0 mi | Tahlequah, OK | ★★★★☆ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375333.