01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-04 | 10 | 2025-04-04 | 8 |
| Cycle 2 | 2023-12-14 | 7 | 2023-12-14 | 0 |
| Cycle 3 | 2022-11-30 | 7 | 2022-11-30 | 6 |
CMS CCN 3754022026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Hillcrest Manor Nursing Center
1210 South 6Th Street · Blackwell, OK 74631 · Kay County
Certified beds137CMS provider file
Recent citation rows38current CMS citation release
Penalty rows2current 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
38 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
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 · 2025-06-13 · complaint2025-04-04 · HEALTHF0554Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-05-06 · complaint2025-04-04 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-05-06 · complaint2025-04-04 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · HEALTHF0657Severity G · isolated actual 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 · 2025-05-012025-04-04 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · HEALTHF0689Severity G · isolated actual harm
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 · 2025-04-302025-04-04 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · HEALTHF0770Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction field: Deficient, Provider has date of correction · 2025-05-06 · complaint2025-04-04 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · 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 · 2025-05-062025-04-04 · FIREK0362Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-062025-04-04 · FIREK0372Severity E · pattern; 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 · 2025-05-062025-04-04 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-04-04 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-05-062024-08-29 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
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 · 2024-09-30 · complaint2023-12-14 · HEALTHF0567Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2024-02-132023-12-14 · HEALTHF0568Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-02-132023-12-14 · HEALTHF0570Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Correction field: Deficient, Provider has date of correction · 2024-02-132023-12-14 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-02-1303 / 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 |
|---|---|---|---|
| 2025-04-04 | Fine | $46,898 | 0 |
| 2025-04-04 | Payment Denial | $0 | 36 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GRANT RHODES REVOCABLE TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 01/01/2017
- JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 01/01/2017
- RHODES, JONATHANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 01/01/2017
- YOUNG, JEFFREYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 01/01/2017
- SNOW, LARRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2020
- BEDLAM PROPERTIES HO LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/27/2024
- LIETZKE, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/27/2024
- SNOW, LARRYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/06/2025
- BEDLAM PROPERTIES HO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- BLACK DIAMOND INVESTMENTSOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/27/2024
- GRANT RHODES REVOCABLE TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017Organization · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- MATRIX PROVIDER SOLUTIONS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- CARSON, JONATHANIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/27/2024
- LIETZKE, MARKIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- RHODES, JONATHANIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- SNOW, LARRYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
- SPILLARS, RODGERIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/06/2025
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 hours2.96per resident day
RN hours0.36per resident day
Weekend nurse hours2.74per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Oklahoma ledger →Other published facilities nearby
No second facility in the same city met the directory rule.