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F
Critical

CROSS TIMBERS NURSING AND REHABILITATION

1400 BUENA VISTA AVENUE · MIDWEST CITY, OK 73110

4052519988 · For profit - Corporation

187 beds59.9 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CROSS TIMBERS NURSING AND REHABILITATION receives an overall staffing grade of F (Critical). With 2.6115 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1438 HPRD, below the recommended 0.75. It is 1.28 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.31% compared to weekdays. The facility has low agency staff usage (1.6% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.6115 HPRD — needs 0.87 more hours per resident per day.
⚠️RN staffing (0.1438 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
📊Staffing levels are highly variable day to day (consistency score: 1.1617). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.6%) — mostly permanent, familiar staff
Total Nurse HPRD
2.6115hrs/resident/day▼ 1.28
CMS benchmark: 3.48
RN HPRD
0.1438hrs/resident/day▼ 0.54
Recommended: 0.75
Weekend Drop-off
20.31%
2.7705 weekday → 2.2078 weekend
⚠ Significant weekend reduction
Agency Staff
1.6%
29.32% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1779hrs/resident/day
Direct care aides
LPN HPRD
0.7872hrs/resident/day
Licensed practical nurses
Consistency
1.1617std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Oklahoma County Average-1.26 HPRD
3.87
02.61 HPRD
vs. Oklahoma State Average-1.25 HPRD
3.86
02.61 HPRD
vs. National Average-1.28 HPRD
3.90
02.61 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CROSS TIMBERS NURSING AND REHABILITATION ★
MIDWEST CITY · This facility
—
F
2.61150.1438★☆☆☆☆
EMERALD CARE CENTER MIDWEST
MIDWEST CITY
1.7 mi
D
3.79870.3082★★☆☆☆
MIDWEST CITY POST ACUTE & REHAB
MIDWEST CITY
2 mi
F
3.56480.1727★☆☆☆☆
MID-DEL SKILLED NURSING AND THERAPY
DEL CITY
2.2 mi
D
4.11860.3098★★★★☆
KINGWOOD SKILLED NURSING AND THERAPY
OKLAHOMA CITY
4.3 mi
B
3.64730.5892★★★★☆
South Park East
Oklahoma City
5.8 mi
D
3.90640.3225★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
36
Total Deficiencies
$193,758
Fines Assessed
Feb 26, 2025Health
3 deficiencies cited
▼
Sep 6, 2024Health
2 deficiencies cited
▼
Aug 23, 2024Health
5 deficiencies cited
▼
Mar 15, 2024Health
4 deficiencies cited
▼
Nov 16, 2023Health
6 deficiencies cited· Includes actual harm
▼
Aug 4, 2023Health
11 deficiencies cited· Includes actual harm
▼
May 17, 2023Health
2 deficiencies cited
▼
Mar 9, 2023Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 26, 2025Payment Denial
Aug 23, 2024Payment Denial
Nov 16, 2023Fine
$126,808
Nov 16, 2023Payment Denial
May 17, 2023Fine
$51,655
May 17, 2023Payment Denial
Mar 9, 2023Fine
$15,295
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.