Heavener Nursing & Rehab

Nursing Home · Heavener, OK

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number375434
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

114 West 2nd Street
Heavener, OK 74937
Le Flore County
Phone
(918) 653-2464
ZIP code
74937 – all care providers

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Facility details

Certified beds
84
Residents per day
71.5 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
Heavener Manor, LLC
Chain
Bradford Montgomery (11 facilities, avg 2.2★)
Medicare certified since
March 29, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.7
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.6
Quality measures★★★★★ 2/5
State avg 2.8
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.59 (state 3.79 · U.S. 3.86)
Registered nurses (RN)
0.18 (state 0.34 · U.S. 0.69)
Licensed practical nurses
0.58 (state 0.92 · U.S. 0.86)
Nurse aides
2.83 (state 2.53 · U.S. 2.32)
Weekend total
3.06 (state 3.44 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 3, 2025
Health deficiencies (last cycle)
11.0 (state 6.6 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
35 health · 15 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-07-19
2026-06-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-19
2026-06-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-19
2025-05-22 Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
F0564 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-04-03 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2025-04-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-03 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-03
2023-12-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-23
2023-12-14 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2023-12-14 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-12-14 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-15
2023-10-13 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-15
2022-11-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2022-11-08
2022-11-08 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2022-11-08
2022-11-08 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.
F0727 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-11-25
2022-11-08 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Ensure a qualified health professional conducts resident assessments.
F0642 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01
2022-11-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Montgomery, Bradford (individual)5%+ Direct Ownership Interest · 100%
Whitley, Tina (individual)Corporate Officer · NOT APPLICABLE
Townsend, Mitchell (individual)W-2 Managing Employee · NOT APPLICABLE
Whitley, Tina (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Heavener Nursing & Rehab?

Heavener Nursing & Rehab has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.7-star average in Oklahoma.

How many beds does Heavener Nursing & Rehab have?

It has 84 certified beds and cares for about 72 residents per day.

Has Heavener Nursing & Rehab been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Heavener Nursing & Rehab?

It is part of Bradford Montgomery and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Heavener Nursing & Rehab?

(918) 653-2464. The facility is located at 114 West 2nd Street, Heavener, OK 74937.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.