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Nursing HomeMedicaid Investigative

Gracewood Health & Rehab

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

6201 East 36th Street, Tulsa, OK 74135121 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 19 Google reviews

5
4
3
2
1
Gracewood Health & Rehab Nursing Home in Tulsa, OK — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (14 vs median 6.0)
  • High staff turnover (90%)
  • High RN turnover (83%)

Below average in OK · Critically understaffed (RN) · Very high staff turnover · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While some families have reported positive experiences with rehab and long-term care in the past, the recent trend of reviews is highly concerning. We strongly advise you to conduct an unannounced visit to inspect the facility's cleanliness and observe staff-to-resident interactions before making a decision.

Google Reviews

Google Reviews

19 reviews on Google
Gracewood Health & Rehab receives highly polarized feedback, with some families praising the attentive care and rehab services, while others report severe neglect, poor facility conditions, and rude staff. Recent reviews from 2024 and 2025 are predominantly negative, highlighting significant concerns regarding staffing levels and the quality of care. While some long-term family members appreciate the staff's efforts, the frequency of complaints about cleanliness and communication suggests a decline in operational standards.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean3.0ActivitiesN/AMedsN/AMemory5.0Comms2.0ValueN/A

Strengths

  • Effective rehab therapy services
  • Supportive staff for long-term care transitions
  • Friendly and helpful individual staff members

Concerns

  • Chronic understaffing and slow response times (mentioned by 3 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 4 reviewers)
  • Poor facility maintenance and cleanliness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'19(2)'21(2)'23(4)'25(5)'26(2)

Distribution · 24 analyzed

5
7
4
2
3
3
2
0
1
12

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels are a high priority for your residents, what specific steps is the facility taking to ensure consistent, timely responses to call lights and daily needs?
  • 2I noticed some concerns regarding the facility's overall maintenance; what is your current plan or schedule for deep cleaning and addressing repairs in resident living areas?
  • 3How do you foster a professional and supportive culture among your team to ensure that every resident feels treated with kindness and respect at all times?
  • 4Since your rehab therapy services are highly regarded, how do you integrate those therapy goals into the daily routine for long-term residents who aren't in active rehab?
  • 5What proactive measures are in place to ensure that families are kept well-informed and updated regarding their loved one’s health status and any changes in care?
  • 6In the event of a medical emergency, what is your specific protocol for stabilizing a resident and communicating with family members during those critical moments?

Personalized based on this facility's data


Key Review Excerpts

The facility could use some updates but the staff there is amazing! Don’t always look at the surface it goes much deeper they gave the care I knew we could not give him at home!

Long-term resident's family · 2021★★★★★

I found the staff to be friendly and good, although it was understaffed occasionally. It was depressing at first but during his stay they remodeled the building.

Memory care family member · 2025★★★☆☆

They are understaffed and the staff they employ is sub-par, slow to respond, rude, verbally abusive. The place stinks. Holes in walls the ceiling had a huge hole aprox 2x3 feet insulation hanging down.

Long-term resident's family · 2023☆☆☆☆
Source: 19 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.7%
Worse than Avg
Here
28.7%
US
15.5%
OK
17.2%
Tulsa
11.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
OK
90.6%
Tulsa
82.2%
😔

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 Facility7.8%
Better than Avg
Here
7.8%
US
19.4%
OK
17.3%
Tulsa
18.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.4%
Better than Avg
Here
16.4%
US
19.5%
OK
25.4%
Tulsa
22.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
95.5%
OK
94.6%
Tulsa
93.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.6%
Mixed vs Avgs
Here
75.6%
US
81.8%
OK
75.0%
Tulsa
69.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
Well above state avg (7.2)
7 complaint-triggered

Gracewood Health & Rehab has received family complaints leading to citations for infection control, daily care assistance, and unlicensed staff. The facility shows recurring issues with fire safety systems, medication management, and daily care that persist across multiple surveys from 2022 to 2025, though all deficiencies have correction dates indicating the facility addresses problems when identified.

Apr 6, 2026Complaint
3
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 14, 2025Routine
17
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

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.

0761Potential for harm · PatternCorrected

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.

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.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0758Potential for harm · IsolatedCorrected

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.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Jan 14, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 3, 2024Complaint
1
0839Potential for harm · WidespreadCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

Nov 13, 2023Complaint
1
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.

Sep 28, 2023Routine
4
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.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gracewood Health & Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Bradford Montgomery

Chain Size

11 facilities nationwide

Chain avg rating: 2.6/5 · Rank 8 of 11

Ownership & Management

Owners

Montgomery, Bradford

Owner

100%

Key personnel

Poppell, ConnieW-2 Managing Employee
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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