Fort Gibson Care & Rehab Center
205 East Poplar Street · Fort Gibson, OK · 74434 · 9184782456
66 certified beds For profit - Limited Liability company Chain: Mgm Healthcare
Why this verdict
- Federal penalties on record: $53,271 in fines in the last 24 months.
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
$53,271 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 1 · $53,271 |
Inspection citations (35 in the current record)
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Actual harm · G January 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025
Assess the resident when there is a significant change in condition
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 15, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 18, 2025 · Pharmacy Service
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Potential for harm · E January 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 18, 2025 · Nutrition and Dietary
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Potential for harm · E January 15, 2025
Provide and implement an infection prevention and control program.
Corrected February 18, 2025 · Infection Control
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Potential for harm · D September 20, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
Ensure that residents are free from significant medication errors.
Corrected October 20, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected October 20, 2023 · Administration
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Potential for harm · D September 20, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 20, 2023 · Nutrition and Dietary
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Potential for harm · D September 20, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 20, 2023 · Nutrition and Dietary
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Potential for harm · E September 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 20, 2023 · Nutrition and Dietary
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Potential for harm · E September 20, 2023
Implement a program that monitors antibiotic use.
Corrected October 20, 2023 · Infection Control
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Potential for harm · E August 4, 2022
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 1, 2022 · Resident Rights
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Potential for harm · E August 4, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 1, 2022 · Resident Rights
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Potential for harm · E August 4, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2022 · Resident Rights
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Potential for harm · D August 4, 2022
Assess the resident when there is a significant change in condition
Corrected September 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 4, 2022
Ensure each resident receives an accurate assessment.
Corrected September 1, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 15, 2025 | Fine | $53,271 |
| January 15, 2025 | Payment Denial | 7 days |
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 375330 · certified since January 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.