Map showing the location of CHANDLER THERAPY & LIVING CENTER LLC in CHANDLER, Oklahoma
601 WEST 1ST STREET, CHANDLER, OK, 74834

Overall Score

CMS Five-Star Quality Rating
1/5Much below averageCMS Five-Star overall rating

Where it ranks

  • OklahomaLowest tier among peers282 rated homes · average 2.7★
  • United StatesLowest tier among peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point1★−1.8 vs OK avg
  • StaffingCan add or remove a star3★+0.4 vs OK avg
  • Quality measuresCan add or remove a star4★+1.1 vs OK avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

  • Special Focus Facility candidateThis facility is on the CMS candidate list for the Special Focus Facility program, meaning it is among the poorest-performing facilities in its state on recent inspections.
  • Abuse citation flagCMS shows an abuse icon: inspectors cited the facility for abuse that led to harm within the past year, or for abuse that could have led to harm in each of the last two years.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersOK avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 47% of peersOK avg2.6★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above 70% of peersOK avg2.9★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff4.32hrsAbove 82% of peersOK avg3.84Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.39hrsAbove 70% of peersOK avg0.34Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better—No dataOK avg56%RN turnover—
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$283,921Lowest tier among peersOK avg$21,911Fines · denials27 · 2
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
69citations
10inspection dates
2actual harm (G–I)
3immediate jeopardy (J–L)
Dec 15, 2025most recent

Citations by monthApr 2022 – Dec 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Dec 15, 20252 citationsCycle 1worst D · no actual harm
  1. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jan 19, 2026
  2. F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jan 19, 2026
Mar 13, 20256 citationsCycle 1worst F · no actual harm
  1. F645PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care PlanningD · isolatedCorrected May 10, 2025
  2. F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.AdministrationF · widespreadCorrected Mar 17, 2025
  3. F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Resident RightsD · isolatedCorrected May 10, 2025
  4. F803Ensure 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 DietaryF · widespreadCorrected May 10, 2025
  5. F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Resident RightsE · patternCorrected May 10, 2025
  6. F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Resident RightsE · patternCorrected Apr 30, 2025
Oct 11, 20242 citationsCycle 2worst E · no actual harm
  1. F758Implement 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 ServiceE · patternCorrected Oct 31, 2024
  2. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Oct 31, 2024
Aug 14, 202420 citationsCycle 1worst E · no actual harm$53,957, payment denial
  1. Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceD · isolatedCorrected Sep 30, 2024
  2. Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care PlanningE · patternCorrected Sep 30, 2024
  3. Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care PlanningD · isolatedCorrected Sep 30, 2024
  4. F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsD · isolatedCorrected Sep 30, 2024
  5. F803Ensure 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 DietaryD · isolatedCorrected Sep 30, 2024
  6. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Sep 30, 2024
  7. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected Sep 30, 2024
  8. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Sep 30, 2024
  9. F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care PlanningE · patternCorrected Sep 30, 2024
  10. F645PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care PlanningD · isolatedCorrected Sep 30, 2024
  11. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningE · patternCorrected Sep 30, 2024
  12. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningE · patternCorrected Sep 30, 2024
  13. F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningD · isolatedCorrected Sep 30, 2024
  14. F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care PlanningD · isolatedCorrected Sep 30, 2024
  15. F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and CareE · patternCorrected Sep 30, 2024
  16. F693Ensure 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.Quality of Life and CareD · isolatedCorrected Sep 30, 2024
  17. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareE · patternCorrected Sep 30, 2024
  18. F761Ensure 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.Pharmacy ServiceE · patternCorrected Sep 30, 2024
  19. F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Nutrition and DietaryE · patternCorrected Sep 30, 2024
  20. F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nutrition and DietaryE · patternCorrected Sep 30, 2024
Aug 10, 20241 citationCycle 2worst G · actual harm$53,957, payment denial
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Aug 26, 2024
Jan 4, 20242 citationsCycle 3worst E · no actual harm
  1. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Feb 2, 2024
  2. F803Ensure 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 DietaryE · patternCorrected Feb 2, 2024
Aug 29, 20231 citationCycle 3worst G · actual harm$4,587, $4,587, $4,587, $4,587
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Oct 18, 2023
Jul 17, 202316 citationsCycle 2worst K · immediate jeopardy$13,762
  1. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Oct 18, 2023
  2. Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care PlanningE · patternCorrected Oct 18, 2023
  3. F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Resident RightsD · isolatedCorrected Oct 18, 2023
  4. F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care PlanningE · patternCorrected Oct 18, 2023
  5. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningE · patternCorrected Oct 18, 2023
  6. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceE · patternCorrected Oct 18, 2023
  7. F770Provide timely, quality laboratory services/tests to meet the needs of residents.AdministrationE · patternCorrected Oct 18, 2023
  8. F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.AdministrationE · patternCorrected Oct 18, 2023
  9. F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.AdministrationE · patternCorrected Oct 18, 2023
  10. F865Have a plan that describes the process for conducting QAPI and QAA activities.AdministrationE · patternCorrected Oct 18, 2023
  11. F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministrationE · patternCorrected Oct 18, 2023
  12. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationK · patternCorrected Oct 31, 2023
  13. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Oct 31, 2023
  14. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareD · isolatedCorrected Oct 18, 2023
  15. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalE · patternCorrected Oct 18, 2023
  16. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareK · patternCorrected Oct 18, 2023
May 18, 20236 citationsCycle 3worst F · no actual harm$3,176, $2,823, payment denial, $116,345, $2,470, $2,117
  1. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceE · patternCorrected Jul 31, 2023
  2. F803Ensure 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 DietaryE · patternCorrected Jul 31, 2023
  3. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Jul 31, 2023
  4. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jul 31, 2023
  5. F888Ensure staff are vaccinated for COVID-19Infection ControlD · isolatedCorrected Jul 31, 2023
  6. F919Make sure that a working call system is available in each resident's bathroom and bathing area.EnvironmentalE · patternCorrected Oct 18, 2023
Apr 6, 202213 citationsCycle 3worst J · immediate jeopardy
  1. F761Ensure 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.Pharmacy ServiceE · patternCorrected May 31, 2022
  2. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected May 31, 2022
  3. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jun 17, 2022
  4. F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.AdministrationD · isolatedCorrected May 31, 2022
  5. F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.AdministrationF · widespreadCorrected Jun 10, 2022
  6. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected May 31, 2022
  7. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlE · patternCorrected May 31, 2022
  8. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Jun 10, 2022
  9. F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident RightsE · patternCorrected May 31, 2022
  10. F583Keep residents' personal and medical records private and confidential.Resident RightsE · patternCorrected May 31, 2022
  11. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningE · patternCorrected Jun 10, 2022
  12. F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningE · patternCorrected Jun 10, 2022
  13. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareJ · isolatedCorrected May 31, 2022

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined4.32hrsAbove 82% of peers+0.48 vs OK avg
  • Registered nursesRN hours only0.39hrsAbove 70% of peers+0.05 vs OK avg
  • Licensed practical nursesLPN hours1.03hrs
  • Nurse aidesCNA hours2.91hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.78hrs
  • Oklahoma average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better—OK avg 56%
  • RN turnoverRegistered nurses only—Not ranked by CMS
  • Administrators who leftIn the past year—
  • Occupancy76 certified beds · ~36 residents a day48%Above only 20% of peersOK avg 64%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $283,921In fines
  • 27Fines
  • 2Payment denials
  • $21,911OK avg in fines
Lowest tier among peersMore in fines than nearly every rated home in Oklahoma

Actions on record

  1. Aug 10, 2024Civil money penalty$53,957
  2. Aug 10, 2024Denial of payment for new admissionsfrom Sep 21, 2024
  3. Nov 13, 2023Civil money penalty$4,587
  4. Nov 6, 2023Civil money penalty$4,587
  5. Oct 30, 2023Civil money penalty$4,587
  6. Oct 23, 2023Civil money penalty$4,587
  7. Oct 17, 2023Civil money penalty$4,587
  8. Oct 10, 2023Civil money penalty$4,587
  9. Oct 2, 2023Civil money penalty$4,587
  10. Sep 25, 2023Civil money penalty$4,587
  11. Sep 18, 2023Civil money penalty$4,587
  12. Sep 11, 2023Civil money penalty$4,587
  13. Sep 5, 2023Civil money penalty$4,587
  14. Aug 28, 2023Civil money penalty$4,587
  15. Aug 21, 2023Civil money penalty$4,587
  16. Aug 14, 2023Civil money penalty$4,587
  17. Aug 7, 2023Civil money penalty$4,587
  18. Jul 17, 2023Civil money penalty$13,762
  19. Jun 26, 2023Civil money penalty$4,587
  20. Jun 20, 2023Civil money penalty$4,235
  21. Jun 12, 2023Civil money penalty$3,882
  22. Jun 5, 2023Civil money penalty$3,529
  23. May 30, 2023Civil money penalty$3,176
  24. May 23, 2023Civil money penalty$2,823
  25. May 18, 2023Denial of payment for new admissionsfrom Aug 18, 2023
  26. May 18, 2023Civil money penalty$116,345
  27. May 15, 2023Civil money penalty$2,470
  28. May 8, 2023Civil money penalty$2,117
  29. Apr 17, 2023Civil money penalty$4,233

Ownership

As filed with CMS

Structure

Ownership type
For profit - Individual
Chain
Independent
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Joshua Kilgore
Operational or managerial control
  • Alex Dwuma
  • Nola Jones
  • Joshua Kilgore
Mortgage or security interest (5%+)
  • 601ch, LLC

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 375470 · 601 WEST 1ST STREET, CHANDLER, OK, 74834.
  • Percentiles compare this facility with every rated nursing home in Oklahoma and Lincoln County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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