Nursing homeActiveSpecial Focus Facility candidate · what this means

First Shamrock Care Center

1415 South Main Street, Kingfisher, OK 73750405375315755 certified beds · 38 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
34
0313
Penalties · 3 yrs
$29,726
1 fine
Last survey
2026-05-06
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Oklahoma State Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-06Standard0123CMS-2567 (Care Compare)
2025-08-21Complaint050CMS-2567 (Care Compare)
2024-07-19Standard040CMS-2567 (Care Compare)
2024-01-30Complaint030CMS-2567 (Care Compare)
2023-06-27Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Oklahoma State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-06Standard survey · 15 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-15Record 375416-20260506-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity KHarm
Care planningRecords
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-06-15Record 375416-20260506-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-15Record 375416-20260506-F689
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F552
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F574
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F577
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F585
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F605
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F655
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F727
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F756
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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F804
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F835
F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 375416-20260506-F841
2025-08-21Complaint survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 375416-20250821-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 375416-20250821-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 375416-20250821-F610
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 375416-20250821-F657
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-22Record 375416-20250821-F740
2024-07-19Standard survey · 4 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 375416-20240719-F641
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 375416-20240719-F661
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 375416-20240719-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 375416-20240719-F880
2024-01-30Complaint survey · 3 deficienciesOfficial report
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-10Record 375416-20240130-F567
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-10Record 375416-20240130-F602
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-12Record 375416-20240130-F727
2023-06-27Standard survey · 7 deficienciesOfficial report
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F578
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F607
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F656
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F726
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F727
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 375416-20230627-F770

Penalties & enforcement

DateActionAmountSource
2026-05-06Civil money penalty$29,726CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.14
Facility
Oklahoma
National
Oklahoma 0.34 · National 0.69
Total nurse hours per resident day3.26
Facility
Oklahoma
National
Oklahoma 3.79 · National 3.86
Weekend total nurse hours3.24
Facility
Oklahoma
National
Oklahoma 3.44 · National 3.42
Total nursing staff turnover70%
Facility
Oklahoma
National
Oklahoma 56% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOklahomaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.7%4.7%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.6%4.7%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
62.1%17.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.3%2.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
19.4%13.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%3.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
42.5%25.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Angelus Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST13%
Bgm Estate LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST38%
Philip M. Green Revocable Trust
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST25%
Philip Marion Green Exempt Tr Cu Gilbert F Green Tr
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST11%
Tiffany Seay Exempt Tr
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST14%
Mitchell, Kelly
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
Mitchell, Marcinda
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
Mitchell, Robert
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
Tabor, Angela
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
Cable, Ronald
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jordan, Kristel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lipska, Lori
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Munoz, Ashley
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Snyder, Rhiannon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sutton, Lisa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thrower, Chase
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wahweah, Peggy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Advanced Wound Therapy
Organization
ADP OF THE SNFNOT APPLICABLE
Angelus Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Belt, Miranda
Individual
CORPORATE OFFICERNOT APPLICABLE
Bgm Estate LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cable, Ronald
Individual
ADP OF THE SNFNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Green, Philip
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Lipska, Lori
Individual
ADP OF THE SNFNOT APPLICABLE
Mitchell, Kelly
Individual
ADP OF THE SNFNOT APPLICABLE
Mitchell, Marcinda
Individual
ADP OF THE SNFNOT APPLICABLE
Mitchell, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Mobile Wound Care LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ns Group Consulting Division
Organization
ADP OF THE SNFNOT APPLICABLE
Pharmcareok Of Durant Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Philip M. Green Revocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Philip Marion Green Exempt Tr Cu Gilbert F Green Tr
Organization
ADP OF THE SNFNOT APPLICABLE
Pitts, Jaci
Individual
CORPORATE OFFICERNOT APPLICABLE
Stein Ancillary Services, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Tabor, Angela
Individual
ADP OF THE SNFNOT APPLICABLE
Taylor, Sandra
Individual
CORPORATE OFFICERNOT APPLICABLE
Tiffany Seay Exempt Tr
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Bgm Estate15 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Oklahoma.

No county cost figures on file for Kingfisher.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Cimarron Nursing Center
Kingfisher
0.3 mi2025-02-05020
Hennessey Nursing & Rehab
Hennessey
18.2 mi2026-03-260222
El Reno Post-Acute Rehabilitation Center
El Reno
21.6 mi2024-05-23080
River Oaks Skilled Nursing And Therapy
El Reno
21.9 mi2025-04-18010
Heritage At Brandon Place Health & Rehabilitation
Oklahoma City
23.7 mi2026-05-070142
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01