Ambassador Manor Nursing Center
1340 East 61st Street · Tulsa, OK · 74136 · 9187438978
171 certified beds For profit - Partnership Chain: Bridges Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $9,077 |
Inspection citations (26 in the current record)
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Potential for harm · D March 20, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 6, 2026 · Resident Rights
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Potential for harm · D March 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 20, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · E March 20, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 6, 2026 · Pharmacy Service
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Immediate jeopardy · K July 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · E July 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 17, 2025 · Environmental
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Potential for harm · D June 23, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 1, 2025 · Pharmacy Service
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Potential for harm · D October 24, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2024 · Nutrition and Dietary
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Potential for harm · D August 14, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · D February 6, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 29, 2024 · Pharmacy Service
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Potential for harm · D February 6, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 22, 2023 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · E September 22, 2023 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected October 20, 2023 · Nutrition and Dietary
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Potential for harm · E June 16, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2021
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 28, 2021 · Resident Rights
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Potential for harm · E November 18, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 28, 2021 · Quality of Life and Care
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Potential for harm · E November 18, 2021
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 28, 2021 · Quality of Life and Care
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Potential for harm · E November 18, 2021
Post nurse staffing information every day.
Corrected December 28, 2021 · Nursing and Physician Services
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Potential for harm · E November 18, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 28, 2021 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 23, 2025 | Fine | $9,077 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375168 · certified since May 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.