Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.12 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.12 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Aug 23, 2024 cited 3 deficiencies.
View inspection evidenceCMS-published records list 44 ownership or control parties.
CMS records show an ownership change effective November 2020.
View ownership evidenceCMS groups this facility with a chain covering 24 facilities across 2 states or territories.
View chain evidenceCMS records show a $14,901 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
16 currently connected nursing homes share this CMS organization identity with SANCTUARY LTC, LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 10, 2019
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across OK.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 24, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across OK.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2019
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 29, 2017
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across OK.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 12, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 12, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 21, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 21, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Dec 12, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 24, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 22, 2022
Other facilities connected through this exact CMS organization identity: 0 across OK.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 10, 2019
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 23 across FL, IA, ID, MA, MN, MO, OK, TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 24, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 13 across OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2023
Other facilities connected through this exact CMS organization identity: 14 across OK, TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2019
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 29, 2017
Other facilities connected through this exact CMS organization identity: 22 across CA, IL, OK, PA, RI, SD, TX, VA, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 14 across OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2021
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 21, 2025
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 24, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OK.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Jun 22, 2022
Other facilities connected through this exact CMS organization identity: 15 across OK, TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OK.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 495 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 24 | 2.4 | 2.2 |
| Mon Jun | 24 | 2.6 | 2.1 |
| Fri May | 24 | 2.6 | 2.1 |
| Wed Apr | 24 | 2.5 | 2.1 |
| Sun Mar | 24 | 2.4 | 2.3 |
| Sun Feb | 25 | 2.5 | 2.2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Mar 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 1, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 1, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 1, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Post nurse staffing information every day.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Provide activities to meet all resident's needs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 15, 2021)
Penalties & enforcement
Published fine amount: $14,901.00
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $14,901 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: PF HPM SNF OPS, LLC.
CITY OF PAULS VALLEY → PF HPM SNF OPS, LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.749 | 3.247 |
| RN categories | 0.121 | 0.126 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.093 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.528 | 0.178 | 1.016 | 1.902 | 0% | 91 |
| 2025Q3 | 3.496 | 0.237 | 0.851 | 1.862 | 0% | 92 |
| 2025Q4 | 3.646 | 0.215 | 0.909 | 2.012 | 0% | 92 |
| 2026Q1 | 3.604 | 0.123 | 0.994 | 2.012 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.