Nursing homeActive

Cross Timbers Nursing And Rehabilitation

1400 Buena Vista Avenue, Midwest City, OK 731104052519988187 certified beds · 58 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
31
0265
Penalties · 3 yrs
$126,808
1 fine · 3 actions
Last survey
2025-02-26
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
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
2025-02-26Standard030CMS-2567 (Care Compare)
2024-09-06Complaint020CMS-2567 (Care Compare)
2024-08-23Standard050CMS-2567 (Care Compare)
2024-03-15Complaint040CMS-2567 (Care Compare)
2023-11-16Standard051CMS-2567 (Care Compare)
2023-08-04Complaint074CMS-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.

2025-02-26Standard survey · 3 deficienciesOfficial report
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 375573-20250226-F640
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 DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 375573-20250226-F803
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 2025-04-11Record 375573-20250226-F812
2024-09-06Complaint survey · 2 deficienciesOfficial report
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 2024-10-04Record 375573-20240906-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375573-20240906-F610
2024-08-23Standard survey · 5 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 2024-10-04Record 375573-20240823-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375573-20240823-F645
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375573-20240823-F695
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 2024-09-27Record 375573-20240823-F727
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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 375573-20240823-F758
2024-03-15Complaint survey · 4 deficienciesOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 375573-20240315-F622
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 375573-20240315-F623
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 375573-20240315-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 375573-20240315-F689
2023-11-16Standard survey · 6 deficienciesOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-28Record 375573-20231116-F760
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-28Record 375573-20231116-F580
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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-05Record 375573-20231116-F693
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 375573-20231116-F755
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 2023-12-28Record 375573-20231116-F812
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-28Record 375573-20231116-F919
2023-08-04Complaint survey · 11 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-09-06Record 375573-20230804-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-09-06Record 375573-20230804-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-09-06Record 375573-20230804-F689
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 KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-09-06Record 375573-20230804-F726
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 375573-20230804-F565
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 2023-09-06Record 375573-20230804-F567
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 375573-20230804-F584
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 2023-09-06Record 375573-20230804-F607
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 375573-20230804-F610
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 375573-20230804-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 2023-09-06Record 375573-20230804-F656

Penalties & enforcement

DateActionAmountSource
2025-02-26Denial of payment for new admissions
Payment denial for 7 days, from 2025-04-04
CMS · Penalties
2024-08-23Denial of payment for new admissions
Payment denial for 10 days, from 2024-10-01
CMS · Penalties
2023-11-16Civil money penalty$126,808CMS · Penalties
2023-11-16Denial of payment for new admissions
Payment denial for 48 days, from 2023-12-19
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.17
Facility
Oklahoma
National
Oklahoma 0.34 · National 0.69
Total nurse hours per resident day3.20
Facility
Oklahoma
National
Oklahoma 3.79 · National 3.86
Weekend total nurse hours2.77
Facility
Oklahoma
National
Oklahoma 3.44 · National 3.42
Total nursing staff turnover57%
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
5.2%4.7%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.3%4.7%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
25.6%17.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
6.7%13.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.6%3.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
36.3%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
Rivers Edge Operations LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Oelbaum, Yitzchok
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
Rivers Edge Partners LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
Ganz, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Oelbaum, Yitzchok
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ganz, David
Individual
CORPORATE OFFICERNOT APPLICABLE
Vasser, Chrishuna
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Skyblue Healthcare12 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 Oklahoma.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Emerald Care Center Midwest
Midwest City
1.7 mi2026-06-150290
Midwest City Post Acute & Rehab
Midwest City
2.0 mi2026-06-250221
Mid-Del Skilled Nursing And Therapy
Del City
2.2 mi2025-05-16060
Sienna Extended Care & Rehab
Midwest City
2.8 mi2025-04-210200
Park Place Healthcare and Rehab
Oklahoma City
3.5 mi2026-02-180305
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