See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Ambassador Manor Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1340 East 61st Street, South Peoria · Tulsa, OK 74136171 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 67 Google reviews

5
4
3
2
1
Ambassador Manor Nursing Center Nursing Home in Tulsa, OK — Street View
Street View

Watch Ambassador Manor Nursing Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (9 vs median 6.0)

Bottom 25% in OK · Below recommended RN staffing · Worst in BRIDGES HEALTH chain · No penalties on record

Source: Medicare data

What this means for your family

This facility has some dedicated caregivers, but the recurring reports of severe hygiene issues and unresponsive call buttons are major red flags. If you choose this facility, you must implement a strict personal monitoring schedule to ensure your loved one is being bathed, fed, and receiving medications correctly.

Google Reviews

Google Reviews

67 reviews on Google
Families should exercise extreme caution when considering Ambassador Manor, as recent reviews frequently report severe issues with hygiene, including strong odors of urine and presence of pests. While some long-term residents' families praise specific caregivers for being kind and compassionate, there are recurring, critical reports of neglect, medication errors, and unresponsive call buttons.

Quality Themes

Tap a score for details
Food3.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate individual caregivers
  • Friendly resident community
  • Effective rehabilitation therapy staff

Concerns

  • Unpleasant facility odors (urine/ammonia) (mentioned by 5 reviewers)
  • Unresponsive call buttons and staff (mentioned by 3 reviewers)
  • Inadequate hygiene and cleanliness (mentioned by 4 reviewers)
  • Staffing shortages and neglect (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'10(1)'15(3)'18(2)'21(2)'24(9)'26(5)

Distribution · 69 analyzed

5
30
4
4
3
2
2
2
1
31
13 reviews posted between Dec 29, 2022Dec 30, 2022 · 12 were 5-star

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your individual caregivers; how do you ensure that personal connection is maintained with every resident?
  • 2What specific protocols are in place to ensure the facility remains fresh, clean, and well-maintained for the residents' comfort?
  • 3How does the nursing team manage medication administration to ensure there are no errors or delays in care?
  • 4Can you tell us about the dining experience and how the menu is planned to ensure nutritious and appetizing meals?
  • 5In the event of a medical emergency during the night, what is the immediate process for getting a nurse or doctor to a resident's side?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The caregivers are caring, kind and compassionate. I visit my Mom several times a week at the facility and if there is an issue, I bring it to the attention of the staff and it gets corrected.

Long-term resident's family · 2024★★★★

My sister is there now & has been for almost 2 weeks with a broken hip. They don't answer the call button most of the time so my sister calls them on the phone when that upon that happens and they don't answer the phone most of the time either.

Rehab patient's family · 2025☆☆☆☆

The staff are very understanding and take time to answer any type of questions also the nursing is amazing they stay on</em> on top of meds and medical care needs

Long-term resident's family · 2025★★★★★
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.46hrs
84%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OK
90.6%
Tulsa
82.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
OK
3.3%
Tulsa
3.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
19.4%
OK
17.3%
Tulsa
18.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
15.3%
OK
14.7%
Tulsa
13.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
OK
13.8%
Tulsa
12.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.7%
Better than Avg
Here
17.7%
US
19.5%
OK
25.4%
Tulsa
22.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
OK
75.0%
Tulsa
68.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
79.8%
OK
74.1%
Tulsa
67.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
OK
1.8%
Tulsa
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Well above state avg (7.2)
19 complaint-triggered

Ambassador Manor has faced significant compliance challenges with nearly half of its 34 deficiencies triggered by family complaints about serious issues including abuse reporting, medication management, and food safety. The facility shows recurring problems with protecting residents from harm, medical record keeping, and pharmacy services across multiple surveys from 2021 to 2025, suggesting ongoing systematic issues despite reported corrections.

Mar 20, 2026Complaint
4
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 11, 2025Complaint
3
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jun 23, 2025Complaint
4
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Oct 24, 2024Routine
2
0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Oct 24, 2024Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Aug 14, 2024Complaint
1
0610Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Jun 23, 2025

$9,077

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ambassador Manor Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Bridges Health

Chain Size

34 facilities nationwide

Chain avg rating: 3.6/5 · Rank 32 of 33 (Worst)

Ownership & Management

Owners

Bridges Employee Stock Ownership Trust

Owner (parent company) · Organization

100%

Key personnel

Deroin, KristyContracted Managing EmployeeDeroin, KristyW-2 Managing EmployeeDeroin, KristyOfficer / DirectorCoble, WilliamOfficer / DirectorBridges Esop, INCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call