01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-06 | 20 | 2026-05-06 | 5 |
| Cycle 2 | 2024-07-19 | 4 | 2024-07-19 | 3 |
| Cycle 3 | 2023-06-27 | 10 | 2023-06-27 | 5 |
CMS CCN 3754162026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
First Shamrock Care Center
1415 South Main Street · Kingfisher, OK 73750 · Kingfisher County
Certified beds55CMS provider file
Recent citation rows47current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-06 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0574Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0577Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0585Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-06-15 · complaint2026-05-06 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0656Severity K · pattern of immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0803Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0835Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · HEALTHF0841Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · FIREK0344Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-06 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-06-152025-08-21 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-09-22 · complaint2025-08-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-09-22 · complaint2025-08-21 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-09-22 · complaint2025-08-21 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-09-22 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-05-06 | Fine | $29,726 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ANGELUS HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 12/12/2025
- BGM ESTATE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST38% · since 08/01/2019
- PHILIP M. GREEN REVOCABLE TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 08/01/2019
- PHILIP MARION GREEN EXEMPT TR CU GILBERT F GREEN TROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST11% · since 12/12/2025
- TIFFANY SEAY EXEMPT TROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST14% · since 12/12/2025
- MITCHELL, KELLYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 08/01/2019
- MITCHELL, MARCINDAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 08/01/2019
- MITCHELL, ROBERTIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 08/01/2019
- TABOR, ANGELAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 08/01/2019
- BELT, MIRANDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/09/2024
- PITTS, JACIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/09/2024
- TAYLOR, SANDRAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2019
- CABLE, RONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2022
- JORDAN, KRISTELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/28/2021
- LIPSKA, LORIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/18/2025
- MUNOZ, ASHLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/03/2019
- SNYDER, RHIANNONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- SUTTON, LISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.26per resident day
RN hours0.14per resident day
Weekend nurse hours3.24per resident day
Staff turnover70.2%CMS reported field
06 / LOCAL RECORDS
Open the Kingfisher ledger →