The Gardens
1165 South Brenner Road, Sapulpa, OK 74066 · Creek County · 107 certified beds · avg 62 residents/day · certified since Feb 25, 2002
Part of chain: PHOENIX HEALTHCARE (6 facilities, chain avg rating 2.7★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.12
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (19)
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 |
|---|---|---|
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Sep 13, 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. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 13, 2024 | 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. · from a complaint |
| Sep 13, 2024 | 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. |
| Sep 13, 2024 | 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 19, 2023 | D · Potential for harm, one-off | 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. |
| Jan 12, 2022 | E · Potential for harm, repeated | 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. |
| Jan 12, 2022 | 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. |
| Jan 12, 2022 | 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. |
| Jan 12, 2022 | 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. |
| Jan 12, 2022 | E · Potential for harm, repeated | 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. |
| Jan 12, 2022 | 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. |
| Jan 12, 2022 | D · Potential for harm, one-off | 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. |
| Jan 12, 2022 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jan 12, 2022 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jan 12, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 8 | 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) | 4.12 | 4.58 | 3.95 | bottom 24% in Oklahoma; top 35% in the U.S. |
| Registered Nurse hours | 0.37 | 0.41 | 0.69 | bottom 49% in Oklahoma; bottom 18% in the U.S. |
| Weekend total nurse staffing | 3.94 | 4.16 | 3.50 | bottom 38% in Oklahoma; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.28 | 0.48 | bottom 24% in Oklahoma; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 68.8 | 55.5 | 45.8 | bottom 18% in Oklahoma; bottom 7% 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 3.65, RN 0.33, weekend 3.49. 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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cain, Larry | Individual | 5% or Greater Direct Ownership Interest | — | 09/29/2004 |
| Phoenix Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | — | 09/29/2004 |
| Barnes, Candace | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2023 |
| Barnes, Candace | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Beckner, Suzanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/26/2024 |
| Floyd, Shanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2010 |
| Floyd, Shanna | Individual | ADP of the SNF | NOT APPLICABLE | 06/14/2010 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/14/2004 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Lade, Arvid | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/30/2023 |
| Lade, Arvid | Individual | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
| Midwest Land & Investment Company | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2005 |
| Phoenix Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/29/2004 |
| Phoenix Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Phoenix Rehab LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/29/2004 |
| Young, Cathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2009 |
| Young, Cathy | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How are residents' personal funds handled here, and what records can families review?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "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 |
|---|---|---|---|---|---|
| Arbor Village | 2.0 mi | Sapulpa, OK | ★★☆☆☆ | 2/5 | |
| Beacon Ridge | 2.1 mi | Sapulpa, OK | ★☆☆☆☆ | 1/5 | |
| Glenwood Skilled Nursing and Therapy | 5.9 mi | Glenpool, OK | ★★★☆☆ | 3/5 | |
| Covenant Living at Inverness | 6.1 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Grace Skilled Nursing and Therapy Jenks | 7.3 mi | Jenks, OK | ★★☆☆☆ | 2/5 | |
| Zarrow Pointe | 7.9 mi | Tulsa, OK | ★★★★★ | 4/5 | |
| University Village Retirement Community | 8.0 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Sherwood Manor Nursing Home | 8.5 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| Ambassador Manor Nursing Center | 9.1 mi | Tulsa, OK | ★★☆☆☆ | 2/5 | |
| The Villages at Southern Hills | 9.5 mi | Tulsa, OK | ★★★★★ | 5/5 | |
| Colonial Manor Nursing Home | 9.8 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Montereau, INC. | 11.2 mi | Tulsa, OK | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375408.