First Shamrock Care Center

1415 South Main Street · Kingfisher, OK · 73750 · 4053753157

55 certified beds For profit - Limited Liability company Chain: Bgm Estate

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.15 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 43
Federal penalties 15% 100
Trend 10% 76
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.150.55–0.75
Weekend hours / resident-day3.09≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · E August 21, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 21, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 21, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 21, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D July 19, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2024

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 19, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 16, 2024 · Nutrition and Dietary

  • Potential for harm · D July 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 16, 2024 · Infection Control

  • Potential for harm · E January 30, 2024 · found via complaint

    Honor the resident's right to manage his or her financial affairs.

    Corrected March 10, 2024 · Resident Rights

  • Potential for harm · E January 30, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected March 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F January 30, 2024 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 12, 2024 · Nursing and Physician Services

  • Potential for harm · E June 27, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected September 26, 2023 · Resident Rights

  • Potential for harm · D June 27, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2023

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected September 26, 2023 · Nursing and Physician Services

  • Potential for harm · D June 27, 2023

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected September 26, 2023 · Administration

  • Potential for harm · E June 27, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected September 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 27, 2023 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected September 26, 2023 · Nursing and Physician Services

  • Potential for harm · E March 5, 2020

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected April 30, 2020 · Resident Rights

  • Potential for harm · D March 5, 2020

    Assess the resident when there is a significant change in condition

    Corrected April 30, 2020 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2020

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 30, 2020 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2020

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected April 30, 2020 · Quality of Life and Care

  • Potential for harm · E March 5, 2020

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected April 30, 2020 · Nursing and Physician Services

  • Potential for harm · E March 5, 2020

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected April 30, 2020 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 375416 · certified since June 5, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.