Oklahoma County, Oklahoma · Nursing home
Cross Timbers Nursing and Rehabilitation
4 of 5 overall from CMS
1400 Buena Vista Avenue, Midwest City, OK 73110
At a glance
- Overall rating 4 of 5 Above the state average of 2.7
- Nurse time per resident, per day 3.20 hours Below the state average of 3.79
- Nursing staff who left in a year 57.4% Above the state average of 55.5%
- Health citations, last 3 inspection cycles 20 1 at the harm level or above
- Fines in 3 years $126,808 1 fine
- Certified beds in use 31.1% of 187 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.
Cross Timbers Nursing and Rehabilitation is a 187-bed nursing home in Midwest City, Oklahoma (Oklahoma County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.20 nurse staffing hours per resident per day, below the Oklahoma average of 3.79. CMS lists 1 fine totaling $126,808 in the past three years.
- Certified beds
- 187
- Residents per day (average)
- 58.2
- Certified since
- 2018 (8 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Skyblue Healthcare (12 homes)
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.
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 Cross Timbers Nursing and Rehabilitation
Chosen from this home's public data.
- CMS lists 1 fine totaling $126,808 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 57.4%, above the Oklahoma average of 55.5%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.77 hours per resident on weekends against 3.20 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Oklahoma average 2.7
- Health inspections 4 of 5 Oklahoma average 2.8
- Staffing 3 of 5 Oklahoma average 2.6
- Quality measures 3 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 3.20 h Oklahoma average 3.79
- Nurse aides 1.93 h Oklahoma average 2.54
- Licensed practical nurses 1.10 h Oklahoma average 0.92
- Registered nurses 0.17 h Oklahoma average 0.34
- All staff, weekends 2.77 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 turnover57.4%
- Oklahoma average55.5%
- Registered nurse turnoverNot reported
- Oklahoma average53.6%
- Administrators who left0
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 | 6.7% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.6% | 3.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.9% | 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 | 1.3% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% | 91.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 9.8% | 13.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.3% | 25.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.2% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% | 17.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.6% | 17.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.14 | 2.31 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.65 | 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 | 69.6% | 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 20 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 16, 2023: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 26, 2025 | 3 | 5 |
| Aug 23, 2024 | 7 | 6 |
| Nov 16, 2023 | 10 | 12 |
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 (20)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
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 (Apr 11, 2025)
-
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 (Apr 11, 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 (Oct 4, 2024)
-
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 (Oct 4, 2024)
Show 15 more
-
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 27, 2024)
-
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 (Oct 4, 2024)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 4, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 4, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 27, 2024)
-
EPotential for more than minimal harm, pattern
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 10, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 10, 2024)
-
EPotential for more than minimal harm, pattern
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 10, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 10, 2024)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Dec 28, 2023)
-
EPotential for more than minimal harm, pattern
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Dec 28, 2023)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Dec 8, 2023)
-
EPotential for more than minimal harm, pattern
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Dec 28, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 5, 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 (Dec 28, 2023)
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 |
|---|---|---|
| Feb 26, 2025 | Payment Denial | 7 days |
| Aug 23, 2024 | Payment Denial | 10 days |
| Nov 16, 2023 | Fine | $126,808 |
| Nov 16, 2023 | Payment Denial | 48 days |
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
- Size3 of 283 by certified beds
- Oklahoma average residents per day61.2
- ChainSkyblue Healthcare
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Midwest City4
- Homes in Oklahoma County40
Common questions
What is the CMS star rating for Cross Timbers Nursing and Rehabilitation?
Cross Timbers Nursing and Rehabilitation has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 3.
How many beds does Cross Timbers Nursing and Rehabilitation have?
Cross Timbers Nursing and Rehabilitation has 187 certified beds. It averages 58.2 residents per day, about 31.1% of its certified beds.
How much nursing care do residents get at Cross Timbers Nursing and Rehabilitation?
The home reports 3.20 hours of nurse staffing per resident per day, including 0.17 hours from registered nurses. The Oklahoma average is 3.79 hours and 0.34 hours from registered nurses.
Has Cross Timbers Nursing and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $126,808 in the past three years. It also lists 3 payment denials.
Does Cross Timbers Nursing and Rehabilitation 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
- 2 of 5 Emerald Care Center Midwest 116beds 52.1%in use 3.71nurse hours a day
- 1 of 5 Midwest City Post Acute & Rehab 106beds 80.1%in use –nurse hours a day
- 4 of 5 Mid-Del Skilled Nursing and Therapy 61beds 68.5%in use 4.22nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Oklahoma County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 375573. 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.