Elara Caring Xxiv
A home health agency in Lawton, Oklahoma 73505
7205 West Gore Blvd, Ste. B, Lawton, Oklahoma 73505. (580) 510-8006.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 21, 2026.
- 5of 5 quality of patient care rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 11, 2024: a complaint and recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Apr 2024. Most serious: Element-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Apr 11, 2024: complaint and recertification inspection2 deficiencies
-
Only As Ordered By A Physician
The inspectors’ words, 358 words
“Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This Element is not met as evidenced by: Based on record review and interview, the agency failed to ensure: 1. SN notified the physician of a pain level outside the ordered parameters for one (Patient #1) of 19 patients; 2. SN frequencies were followed as ordered for two (Patient #2 and 14) of 19 patients. 1. Patient #1 A review of the POC dated 01/21/24 to 03/20/24 showed an order for the physician to be notified of pain greater than six out of ten. A review of a SN note dated 03/18/24 showed the patient’s reported pain as seven out of ten. Documents showed no physician notification for the reported pain greater than six. 2. Patient #2 A review of a POC dated 12/21/23 to 02/18/24 showed a SN frequency of once a week for eight weeks. A review of a SN missed visit note dated 01/17/24 documented the reason for the missed visit as patient not home, and no other visits documented for the week of 01/14/24 to 01/20/24. Documentation showed no refusal of visits or services from the patient or caregiver and no contact made with the patient or caregiver and no physician order for a change in services. Patient #14 A review of the POC dated 01/22/24 to 03/21/24 showed a SN frequency of once a week for nine weeks. A review of a SN missed visit note dated 03/01/24 documented the reason for the missed visit as unavailable due to a lawyer’s appointment, and no other visits documented for the week of 02/25/24 to 03/02/24. Documentation showed no refusal of visits or services from the patient or caregiver and no contact made with the patient or caregiver and no physician order for a change in services. On 04/11/24 at 1:27 p.m., Staff A stated: 1. there was no documentation of physician notification of the pain level being out of parameters for Patient #1; and 2. the SN frequencies for Patients #2 and 14 were not met as ordered by the physician.”
-
Interventions And Patient Response
The inspectors’ words, 212 words
“Interventions and patient response CFR(s): 484.110(a)(2) All interventions, including medication administration, treatments, and services, and responses to those interventions; This Element is not met as evidenced by: Based on record review and interview, the agency failed to ensure accurate treatment information were contained in the clinical record for three (Patients #10, 11 and 18) of 19 patients. Patient #10 A review of the POC dated 02/11/24 to 04/10/24 showed an order for oxygen to be administered at 4 liters via nasal cannula continuous. A review of the medication administration record showed an order for oxygen at 2 liters continuous. Patient #11 A review of the POC dated 02/08/24 to 04/07/24 showed an order for oxygen to be administered at 2 liters via nasal cannula continuous. A review of the medication administration record showed an order for oxygen at 2 liters as needed. Patient #18 A review of the POC dated 03/26/24 to 05/24/24 showed an order for oxygen to be administered at 2 liters via nasal cannula at bedtime. A review of the medication administration record showed no oxygen ordered/listed. On 04/11/24 at 1:32 p.m., Staff A stated the oxygen order for Patients #10, 11 and 18 should have been clarified with the provider and entered correctly onto the medication administration record.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 11, 2024 | Complaint and recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Aug 7, 2003.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy and speech pathology.
- Doesn’t offer medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Home Health Holdings Inc. owns 100% directly since Jul 31, 2009.
- 10 owners or officers are people: Daniel R Manley (corporate officer); Ananth P Mohan (corporate officer, 0%); Ananth P Mohan (corporate director); John Mcmahon (corporate officer); Katie L Monastiere (corporate officer); Joshua Gotbaum (corporate director); Harvey Tepner (corporate director); Lori Clark (runs it (operational or managerial control), 0%); Crystal Berdinner (runs it (operational or managerial control)); Angel Stansbury (managing employee (on the payroll), 0%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Airjaguar Holdco, Inc. | Owns 5% or more through other companies | 100% | May 15, 2018 |
| Airjaguar Acquisition, LLC | Owns 5% or more through other companies | 100% | May 15, 2018 |
| HCI Holdings Corporation | Owns 5% or more through other companies | 100% | Mar 21, 2018 |
| Healthcare Innovations Private Services Inc. | Owns 5% or more through other companies | 100% | Mar 21, 2018 |
| Home Health Holdings Inc. | Owns 5% or more directly | 100% | Jul 31, 2009 |
| Bw Homecare Holdings LLC | Owns 5% or more through other companies | 100% | May 15, 2018 |
| Hci Parent Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 21, 2018 |
| Elara Holdings, L.L.C. | Owns 5% or more through other companies | 100% | Dec 30, 2019 |
| Jhh/Cima Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 21, 2018 |
| Bw Nhhc Holdco, LLC | Owns 5% or more through other companies | 100% | May 15, 2018 |
| Bw Nhhc Co-Invest, L.P. | Owns 5% or more through other companies | 42.85% | Jul 1, 2023 |
| Kia Ix (Hh) Investor, L.P. | Owns 5% or more through other companies | 40.27% | Jul 1, 2023 |
| Kelso Hh Co-Investment, L.P. | Owns 5% or more through other companies | 19.2% | Dec 30, 2019 |
| Kelso Investment Associates Ix, L.P. | Owns 5% or more through other companies | 15.68% | Dec 30, 2019 |
| Blue WOLF Capital Fund III L.P. | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Bw III Homecare Holdings, LLC | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Stepstone H Opportunities Fund, L.P. | Owns 5% or more through other companies | 8.78% | Dec 30, 2019 |
| Stepstone K Strategic Opportunities Fund II L.P. | Owns 5% or more through other companies | 5.48% | Dec 30, 2019 |
| Ironsides Direct Investment Fund IV, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Uss-Constitution Co-Investment Fund II, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Kep VI LLC | Owns 5% or more through other companies | 4.52% | Dec 30, 2019 |
How do patients fare?
- CMS rates its quality of patient care 5 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (170 surveys completed): 85% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, worse; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 85.10% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 15.00% (worse than the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.10% (same as the national rate) |
How does it compare nearby?
- Of the 23 agencies CMS’s data show serving patients in ZIP code 73505, where this agency’s office is, 23 have a quality of patient care rating; the middle one is 3.5 of 5, and this one is rated 5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Carter Healthcare of Southwest Oklahoma, LLC | 4 |
| Southwestern Home Health | 4 |
| Elara Caring Xxiv This home health agency | 5 |
| A Path of Care Home Health VI, LLC | 4 |
| Enhabit Home Health of Western Oklahoma | 3.5 |
| Phenyx Home Care LLC | 2 |
| Memorial Home Health | 4 |
| Duncan Regional Hospital Home Care | 3.5 |
| Choice Homecare of Oklahoma | 4 |
| Traditions Health of Western Oklahoma | 3.5 |
| Health Watch Health Care of Duncan, LLC | 4.5 |
| Angels Care Home Health of Oklahoma | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
-
Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.