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Nursing HomeMedicaid Investigative

Emerald Care Center Tulsa

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

2425 South Memorial, Johansen Acres · Tulsa, OK 74129118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 83 Google reviews

5
4
3
2
1
Emerald Care Center Tulsa Nursing Home in Tulsa, OK — Street View
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9/ 10
critical Risk

Quality Concerns Identified

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

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (25 vs median 6.0)
  • High staff turnover (74%)
  • High RN turnover (90%)

Bottom 25% in OK · Below recommended RN staffing · Very high staff turnover · Worst in EMERALD HEALTHCARE chain · $91,783 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While the facility's therapy team is frequently praised, the recurring reports of severe neglect and poor weekend staffing are major red flags. If you consider this facility, conduct an unannounced visit on a weekend and specifically ask for the facility's policy on call-light response times and medication administration oversight.

Google Reviews

Google Reviews

83 reviews on Google
Emerald Care Center Tulsa receives highly polarized feedback, with some families praising specific staff members and therapy services while others report severe neglect, including unaddressed call lights, poor hygiene, and medication errors. While recent reviews highlight improvements under new administration, the facility struggles with consistent staffing, particularly on weekends, leading to significant concerns regarding patient safety and responsiveness.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean4.0Activities8.0Meds2.0Memory1.0Comms2.0ValueN/A

Strengths

  • Effective physical and rehab therapy services
  • Specific staff members noted for helpfulness and kindness
  • Cleanliness noted in some recent visits
  • Engaging activities and holiday events

Concerns

  • Severe understaffing and slow response to call lights (mentioned by 12 reviewers)
  • Medication management errors or delays (mentioned by 6 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 5 reviewers)
  • Inadequate weekend staffing and care quality (mentioned by 4 reviewers)
  • Facility hygiene issues including odors and cleanliness (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(9)'21(5)'23(21)'25(7)'26(16)

Distribution · 86 analyzed

5
43
4
6
3
3
2
5
1
29
12 reviews posted between Mar 19, 2026Mar 20, 2026 · 12 were 5-star
11 reviews posted between Aug 21, 2023Aug 25, 2023 · 9 were 5-star

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that some families have expressed concerns about response times, what is your current protocol for ensuring call lights are answered promptly, especially during weekend shifts?
  • 2I noticed your facility offers some engaging holiday events; could you walk me through how you keep residents active and social during the slower weekend periods?
  • 3With medication management being a critical part of care, what specific oversight processes do you have in place to ensure medications are administered accurately and on time?
  • 4I see that you actively respond to feedback online; how does that input from families directly influence the changes or improvements you make to daily operations?
  • 5Considering the recent health inspection findings, what specific steps is your leadership team taking to improve the facility's overall hygiene and environmental standards?
  • 6How do you ensure consistent communication between your nursing staff and family members, particularly when we have urgent questions or need an update on a loved one's care?

Personalized based on this facility's data


Key Review Excerpts

My uncle Kelly spent the last months of his life here and they took fantastic care of him. The bedsores he got from a previous nursing home healed completely at Emerald.

Long-term resident's family · 2026★★★★★

They are short staff and don't know what they are doing. They discharged my brother that had a wound and did not get him home health. They sent him home and didn't care what happen to him.

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

My wife and I became residents at at Emerald Care a year ago. Jerry was the Administrator and it was a pretty good facility. But then they got rid of Jerry and almost everything changed. Weekends are horrible, the food is terrible and cold.

Resident · 2023☆☆☆☆
Source: 83 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
3.52hrs
86%
All nurses + aides combined
Staff Turnover
76%
Lower is better (< 30% = good)
RN Turnover
89%
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

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
93.4%
OK
90.6%
Tulsa
84.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility70.4%
Worse than Avg
Here
70.4%
US
95.5%
OK
94.6%
Tulsa
93.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility16.2%
Worse than Avg
Here
16.2%
US
5.3%
OK
3.4%
Tulsa
2.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
19.4%
OK
17.3%
Tulsa
17.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
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 with pressure sores (bedsores)

↓ Lower is better
This Facility12.9%
Worse than Avg
Here
12.9%
US
4.9%
OK
4.9%
Tulsa
5.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility5.2%
Worse than Avg
Here
5.2%
US
81.8%
OK
75.0%
Tulsa
71.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
79.8%
OK
74.1%
Tulsa
70.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
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

4deficiencies
11penalties
Near state avg (7.2)
18 complaint-triggered
$91,783 in fines

Emerald Care Center has concerning patterns with 98 deficiencies across multiple surveys, including 18 complaint-triggered issues from families filing reports. The most recurring problems involve nursing staffing, medication management, and fire safety compliance. Issues with daily care assistance and infection control persist across multiple years, suggesting ongoing operational challenges that families should carefully evaluate before considering this facility.

Nov 25, 2025Routine
4
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

Jan 28, 2025Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 19, 2024Complaint
1
0698Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Apr 11, 2024Routine
27
0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · PatternCorrected

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.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · PatternCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0657Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Apr 11, 2024Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Mar 19, 2024Complaint
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Jul 19, 2024

$22,975

Payment Denial

Mar 19, 2024

2-day denial

Fine

Nov 6, 2023

$13,762

Fine

Oct 17, 2023

$4,587

Fine

Sep 25, 2023

$13,762

Fine

Sep 5, 2023

$4,587

Fine

Aug 28, 2023

$4,587

Fine

Aug 21, 2023

$4,587

Fine

Aug 14, 2023

$4,587

Fine

Aug 7, 2023

$4,587

Fine

Jul 17, 2023

$13,762

Ownership & Operations

Who Operates This Facility

Owner / Operator

Emerald Care Center Tulsa

Organization Type

for profit

Chain Affiliation

Chain Name

Emerald Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.5/5 · Rank 9 of 14 (Worst)

Ownership & Management

Owners

Chickiestrong Tulsa LLC

Owner · Organization

5%

Chafetz, Yisroel

Owner

20%

Gamzeh, David

Owner

19%

Glatzer, Akiva

Owner

19%

Walden, Jacob

Owner

17%

Key personnel

Bankers Trust Company5% or Greater Security InterestBettis, MelissaW-2 Managing EmployeeLayton, AlphredaW-2 Managing EmployeeGamzeh, DavidOfficer / Director
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.

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