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Nursing HomeMedicaid Investigative

Stigler Nursing & Rehab

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

1402 Northwest 7th Street, Stigler, OK 7446280 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 8 Google reviews

5
4
3
2
1
Stigler Nursing & Rehab Nursing Home in Stigler, OK — Street View
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4/ 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)
  • Low staffing rating (1/5 stars)
  • High staff turnover (64%)

Bottom 25% in OK · Critically understaffed (RN) · Above average staffing · $66,206 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility presents significant risks regarding patient hygiene and medication safety, as evidenced by multiple reports of neglect. While some families have been happy with the care, the severity of the allegations regarding bodily fluids and over-sedation requires extreme vigilance and frequent unannounced visits if you choose this facility.

Google Reviews

Google Reviews

8 reviews on Google
Families should approach this facility with extreme caution due to severe allegations regarding patient neglect and improper medication management. While some reviewers express satisfaction with the care provided, multiple critical reviews highlight distressing issues with hygiene and staff responsiveness.

Quality Themes

Tap a score for details
FoodN/AStaff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Positive experiences with care quality from some family members

Concerns

  • Severe neglect regarding hygiene and patient monitoring (mentioned by 2 reviewers)
  • Improper medication management and over-sedation
  • Prioritization of facility appearance over resident care

Rating Trends

Tap a year to see what changed

2341.02016(1)5.02020(1)5.02021(1)5.02022(1)1.02023(1)3.02024(2)5.02026(1)

Distribution · 8 analyzed

5
5
4
0
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1How do you ensure that every resident's personal hygiene and grooming needs are met consistently throughout the day?
  • 2What specific protocols do you have in place to ensure medication is administered accurately and that residents aren't being over-sedated?
  • 3Can you walk me through your process for monitoring residents during the night to ensure they are safe and comfortable?
  • 4What kind of daily activities or social programs do you offer to keep the residents engaged and active?
  • 5How does the nursing team handle medical emergencies or sudden changes in a resident's condition after hours?
  • 6We've heard some wonderful things about the quality of care from some families; how do you work to maintain those positive care experiences for every resident?

Personalized based on this facility's data


Key Review Excerpts

The nurses don’t even get up to check their patients! I get that nursing homes are under staffed but that is no excuse when a patient is laying in their own body fluids for God knows how long!!!

Family member of a patient · 2023☆☆☆☆

Don't put anyone you care about in this place if you don't want them mistreated, left in a puddle of their own per, and overdosed on drugs that make them incoherent and leaves them unable to feed themselves.

Family member of a patient · 2016☆☆☆☆

Love the care they provide to their patients. I’m so glad we found this place for our family member!! Thank you 🙏

Family member of a resident · 2022★★★★★
Source: 8 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
OK
3.3%

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

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
OK
3.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.3%
Mixed vs Avgs
Here
24.3%
US
19.5%
OK
25.4%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
3.2%
OK
4.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.5%
OK
17.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.0%
Mixed vs Avgs
Here
91.0%
US
93.4%
OK
90.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.3%
Worse than Avg
Here
41.3%
US
81.8%
OK
75.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
3penalties
Near state avg (7.2)
9 complaint-triggered
$66,206 in fines

This facility shows concerning patterns with recurring safety and accident prevention issues appearing across multiple surveys since 2021, plus families have filed 11 complaints triggering federal investigations. The most frequent problems involve accident hazards and supervision, care planning and assessments, and fire safety systems. While all deficiencies show correction dates, the repeated nature of safety violations - including a recent complaint about abuse reporting in 2024 - suggests ongoing challenges with maintaining consistent standards.

Feb 12, 2026Routine
9
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0222Potential for harm · WidespreadCorrected

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 · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

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.

0578Potential for harm · IsolatedCorrected

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

Feb 12, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 1, 2024Complaint
2
0689Immediate jeopardy · 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.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

May 23, 2024Complaint
2
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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 17, 2024Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0657Potential for harm · PatternCorrected

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.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Feb 7, 2024Complaint
4
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.

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.

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.

Federal Penalties

Fine

Aug 1, 2024

$20,772

Fine

Feb 7, 2024

$45,434

Payment Denial

Feb 7, 2024

12-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stigler Nursing & Rehab

Organization Type

for profit

Ownership & Management

Owners

Montgomery, James C

Owner

Key personnel

Montgomery, BradfordManaging Control - Governing BodyMontgomery, James CManaging Control - Governing BodyWhitley, TinaManaging Control - Governing BodyMontgomery, James COfficer / DirectorWhitley, TinaOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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