Kingfisher County, Oklahoma · Nursing home
First Shamrock Care Center
1 of 5 overall from CMS
1415 South Main Street, Kingfisher, OK 73750
At a glance
- Overall rating 1 of 5 Below the state average of 2.7
- Nurse time per resident, per day 3.26 hours Below the state average of 3.79
- Nursing staff who left in a year 70.2% Above the state average of 55.5%
- Health citations, last 3 inspection cycles 34 3 at the harm level or above
- Fines in 3 years $29,726 1 fine
- Certified beds in use 68.5% of 55 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
First Shamrock Care Center is a 55-bed nursing home in Kingfisher, Oklahoma (Kingfisher County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.26 nurse staffing hours per resident per day, below the Oklahoma average of 3.79. CMS lists 1 fine totaling $29,726 in the past three years.
- Certified beds
- 55
- Residents per day (average)
- 37.7
- Certified since
- 2002 (24 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Bgm Estate (15 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask First Shamrock Care Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $29,726 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on May 6, 2026 plus complaint and infection-control inspections); the Oklahoma average is 6.4. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Oklahoma average 2.7
- Health inspections 1 of 5 Oklahoma average 2.8
- Staffing 1 of 5 Oklahoma average 2.6
- Quality measures 1 of 5 Oklahoma average 2.8
The vertical line marks the Oklahoma average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.26 h Oklahoma average 3.79
- Nurse aides 2.02 h Oklahoma average 2.54
- Licensed practical nurses 1.11 h Oklahoma average 0.92
- Registered nurses 0.14 h Oklahoma average 0.34
- All staff, weekends 3.24 h Oklahoma average 3.44
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Oklahoma average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover70.2%
- Oklahoma average55.5%
- Registered nurse turnoverNot reported
- Oklahoma average53.6%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oklahoma and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% | 3.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.3% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.1% | 3.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 41.0% | 91.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 31.1% | 13.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.5% | 25.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.7% | 94.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.7% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.3% | 17.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 62.1% | 17.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.31 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.96 | 1.78 |
Short-stay residents
| Measure | This home | Oklahoma | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 16.0% | 75.8% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 74.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 27.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 16.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 34 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 9 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 6, 2026: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 6, 2026 | 15 | 5 |
| Jul 19, 2024 | 9 | 3 |
| Jun 27, 2023 | 10 | 5 |
Oklahoma homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (34)
-
KImmediate jeopardy, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 15, 2026)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 15, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 15, 2026)
-
FPotential for more than minimal harm, widespread
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights · Deficient, Provider has date of correction (Jun 15, 2026)
-
FPotential for more than minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Jun 15, 2026)
Show 25 more
-
FPotential for more than minimal harm, widespread
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.
Resident Rights · Deficient, Provider has date of correction (Jun 15, 2026)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 15, 2026)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 15, 2026)
-
EPotential for more than minimal harm, pattern
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Jun 15, 2026)
-
DPotential for more than minimal harm, isolated
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 15, 2026)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 16, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 12, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 10, 2024)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 10, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Sep 26, 2023)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 26, 2023)
-
EPotential for more than minimal harm, pattern
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 26, 2023)
Showing the 30 most recent of 34.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 6, 2026 | Fine | $29,726 |
Oklahoma homes averaged 0.9 fines and $18,268 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oklahoma
- Size258 of 283 by certified beds
- Oklahoma average residents per day61.2
- ChainBgm Estate
- Chain average overall rating1.9 of 5
- Resident or family councilBoth
- Homes in Kingfisher County3
Common questions
What is the CMS star rating for First Shamrock Care Center?
First Shamrock Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 1.
How many beds does First Shamrock Care Center have?
First Shamrock Care Center has 55 certified beds. It averages 37.7 residents per day, about 68.5% of its certified beds.
How much nursing care do residents get at First Shamrock Care Center?
The home reports 3.26 hours of nurse staffing per resident per day, including 0.14 hours from registered nurses. The Oklahoma average is 3.79 hours and 0.34 hours from registered nurses.
Has First Shamrock Care Center been fined?
Yes. CMS lists 1 fine totaling $29,726 in the past three years.
Does First Shamrock Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Cimarron Nursing Center 92beds 61.7%in use 3.96nurse hours a day
- 1 of 5 Hennessey Nursing & Rehab 50beds 59.6%in use 5.11nurse hours a day
- 4 of 5 El Reno Post-Acute Rehabilitation Center 66beds 65.9%in use 3.65nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Kingfisher County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 375416. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.