Heartsworth Center for Nursing & Rehabilitation

1200 West Canadian Avenue · Vinita, OK · 74301 · 9182568768

146 certified beds For profit - Limited Liability company

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).

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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.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 70
Staffing 20% 62
Federal penalties 15% 73
Trend 10% 51
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.44≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $16,153

Inspection citations (34 in the current record)

  • Immediate jeopardy · J September 18, 2025 · found via complaint

    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 September 28, 2025 · Quality of Life and Care

  • Potential for harm · D September 18, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 10, 2025 · Quality of Life and Care

  • Potential for harm · F September 18, 2025

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

    Corrected October 10, 2025 · Nutrition and Dietary

  • Potential for harm · D May 2, 2024

    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 July 1, 2024 · Resident Rights

  • Potential for harm · D May 2, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected July 1, 2024 · Resident Rights

  • Potential for harm · D May 2, 2024

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

    Corrected July 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 2, 2024

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

    Corrected July 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 1, 2024 · Quality of Life and Care

  • Potential for harm · D May 2, 2024

    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, 2024 · Pharmacy Service

  • Potential for harm · E May 2, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 1, 2024 · Nutrition and Dietary

  • Potential for harm · E May 2, 2024

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

    Corrected July 1, 2024 · Nutrition and Dietary

  • Potential for harm · E May 2, 2024

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected July 1, 2024 · Administration

  • Potential for harm · D May 2, 2024

    Keep all essential equipment working safely.

    Corrected July 1, 2024 · Environmental

  • Potential for harm · D May 2, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 1, 2024 · Resident Rights

  • Potential for harm · E May 2, 2024 · found via complaint

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected July 1, 2024 · Nutrition and Dietary

  • Potential for harm · D December 5, 2023 · found via complaint

    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 January 12, 2024 · Quality of Life and Care

  • Potential for harm · D March 30, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 2, 2023 · Resident Rights

  • Potential for harm · E March 30, 2023

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected July 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 30, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 30, 2023

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

    Corrected July 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 30, 2023

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

    Corrected July 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 30, 2023

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 2, 2023 · Quality of Life and Care

  • Potential for harm · D March 30, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 2, 2023 · Pharmacy Service

  • Potential for harm · E March 30, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 2, 2023 · Pharmacy Service

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

Federal penalties

DateTypeAmount / length
September 18, 2025Fine$16,153

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375493 · certified since December 16, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.