MERIDIAN NURSING HOME

179791 N 2820 RD, COMANCHE, OK 73529 (580) 439-2398
For profit - Individual 63 Beds ELMBROOK MANAGEMENT COMPANY Data: November 2025
Trust Grade
75/100
#63 of 282 in OK
Last Inspection: November 2024

Within standard 12-15 month inspection cycle. Federal law requires annual inspections.

Overview

Meridian Nursing Home in Comanche, Oklahoma, has a Trust Grade of B, indicating it is a good option for families seeking care. It ranks #63 out of 282 facilities in Oklahoma, placing it in the top half, and #3 out of 5 in Stephens County, meaning only two local options are better. The facility is improving, having gone from one reported issue in 2022 to none in 2024. However, staffing is a concern, with a rating of 2 out of 5 stars and a turnover rate of 62%, which is average for the state. On a positive note, the home has not incurred any fines, and it maintains average RN coverage, although there was a recent finding indicating that there were instances where a registered nurse was not present for at least eight consecutive hours, which could potentially impact resident care. Overall, while there are strengths in its quality of care and compliance, families should weigh the staffing concerns carefully.

Trust Score
B
75/100
In Oklahoma
#63/282
Top 22%
Safety Record
Low Risk
No red flags
Inspections
Getting Better
1 → 0 violations
Staff Stability
⚠ Watch
62% turnover. Above average. Higher turnover means staff may not know residents' routines.
Penalties
✓ Good
No fines on record. Clean compliance history, better than most Oklahoma facilities.
Skilled Nurses
⚠ Watch
Each resident gets only 20 minutes of Registered Nurse (RN) attention daily — below average for Oklahoma. Fewer RN minutes means fewer trained eyes watching for problems.
Violations
✓ Good
Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
★★★★☆
4.0
Overall Rating
★★☆☆☆
2.0
Staff Levels
★☆☆☆☆
1.0
Care Quality
★★★★★
5.0
Inspection Score
Stable
2022: 1 issues
2024: 0 issues

The Good

  • Full Sprinkler Coverage · Fire safety systems throughout facility
  • No fines on record

Facility shows strength in fire safety.

The Bad

Staff Turnover: 62%

16pts above Oklahoma avg (46%)

Frequent staff changes - ask about care continuity

Chain: ELMBROOK MANAGEMENT COMPANY

Part of a multi-facility chain

Ask about local staffing decisions and management

Staff turnover is elevated (62%)

14 points above Oklahoma average of 48%

The Ugly 1 deficiencies on record

Oct 2022 1 deficiency
CONCERN (E)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0727 (Tag F0727)

Could have caused harm · This affected multiple residents

Based on record review and interview, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, seven days a week. A Resident Census and Conditions of ...

Read full inspector narrative →
Based on record review and interview, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, seven days a week. A Resident Census and Conditions of Residents form documented 33 residents resided in the facility. Findings: On 10/27/22 at 3:05 p.m., the corporate nurse reviewed staffing reports which documented four or more shifts in the 3rd quarter without a licensed nurse on duty. The nurse stated there was an error in reporting, as the facility always had a licensed nurse on duty every shift. The nurse stated there might have been a few shifts without RN coverage, but stated the facility was never without a licensed nurse on duty. On 10/27/22 at 4:02 p.m., the corporate nurse supplied facility hand-written daily staffing reports for the specific days identified as having no coverage. All of the identified days documented licensed nursing staff to be on duty. There were two days, 04/23/22 and 05/10/22, which were not provided to show an RN was on duty at least eight hours. The corporate nurse again stated she would not be surprised if there were days with no RN coverage. The nurse reported an LPN would frequently work double shifts on the weekends, and she believed the double shifts might have been missed and could be the reason for data be incorrectly reported. On 10/27/22 04:33 p.m., the corporate nurse reported the DON was currently the only full-time RN on staff. She stated the facility had at least one other part-time, PRN RN, but this was not someone who covered weekend shifts on a regular basis. The corporate nurse stated she was in the facility one day a week and occasionally she would fill the need for an RN, but for the most part the RN position was covered only by the DON. She stated the facility had advertised for the RN position and was actively interviewing and attempting to hire another RN to cover weekend shifts. On 10/27/22 at 4:49 p.m., the DON reported the facility had not had a weekend RN since at least July 2022. The DON reported occasionally there might be PRN coverage but for the most part, she had been the only RN on staff. The DON reported she worked Monday through Friday, as well as taking call to ensure there was always a licensed nurse on duty.
Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated K - Pattern L - Widespread
Actual Harm
G - Isolated H - Pattern I - Widespread
Potential for Harm
D - Isolated E - Pattern F - Widespread
No Harm (Minor)
A - Isolated B - Pattern C - Widespread

Questions to Ask on Your Visit

  • "Why is there high staff turnover? How do you retain staff?"
  • "Can I speak with families of current residents?"
  • "What's your RN coverage like on weekends and overnight?"

Our Honest Assessment

Strengths
  • • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
  • • No fines on record. Clean compliance history, better than most Oklahoma facilities.
  • • Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
Concerns
  • • 62% turnover. Above average. Higher turnover means staff may not know residents' routines.
Bottom line: Generally positive indicators. Standard due diligence and a personal visit recommended.

About This Facility

What is Meridian's CMS Rating?

CMS assigns MERIDIAN NURSING HOME an overall rating of 4 out of 5 stars, which is considered above average nationally. Within Oklahoma, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.

How is Meridian Staffed?

CMS rates MERIDIAN NURSING HOME's staffing level at 2 out of 5 stars, which is below average compared to other nursing homes. Staff turnover is 62%, which is 16 percentage points above the Oklahoma average of 46%. High turnover can affect care consistency as new staff learn residents' individual needs.

What Have Inspectors Found at Meridian?

State health inspectors documented 1 deficiencies at MERIDIAN NURSING HOME during 2022. These included: 1 with potential for harm.

Who Owns and Operates Meridian?

MERIDIAN NURSING HOME is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility is operated by ELMBROOK MANAGEMENT COMPANY, a chain that manages multiple nursing homes. With 63 certified beds and approximately 39 residents (about 62% occupancy), it is a smaller facility located in COMANCHE, Oklahoma.

How Does Meridian Compare to Other Oklahoma Nursing Homes?

Compared to the 100 nursing homes in Oklahoma, MERIDIAN NURSING HOME's overall rating (4 stars) is above the state average of 2.6, staff turnover (62%) is significantly higher than the state average of 46%, and health inspection rating (5 stars) is much above the national benchmark.

What Should Families Ask When Visiting Meridian?

Based on this facility's data, families visiting should ask: "How do you ensure continuity of care given staff turnover, and what is your staff retention strategy?" "Can you walk me through typical staffing levels on day, evening, and night shifts?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" These questions are particularly relevant given the facility's high staff turnover rate and the below-average staffing rating.

Is Meridian Safe?

Based on CMS inspection data, MERIDIAN NURSING HOME has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 4-star overall rating and ranks #1 of 100 nursing homes in Oklahoma. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.

Do Nurses at Meridian Stick Around?

Staff turnover at MERIDIAN NURSING HOME is high. At 62%, the facility is 16 percentage points above the Oklahoma average of 46%. High turnover means new staff may not know residents' individual needs, medications, or preferences. It can also be disorienting for residents, especially those with dementia who rely on familiar faces. Families should ask: What is causing the turnover? What retention programs are in place? How do you ensure care continuity during staff transitions?

Was Meridian Ever Fined?

MERIDIAN NURSING HOME has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.

Is Meridian on Any Federal Watch List?

MERIDIAN NURSING HOME is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.