Hillcrest Medical Center
An acute care hospital in Tulsa, Oklahoma 74104
1120 South Utica Avenue, Tulsa, Oklahoma 74104. (918) 579-1000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 4 deficiencies cited in the last three years
- 620 beds
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 24, 2026: a complaint inspection.
4 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
4 deficiencies in 2 months of the last 36. Last cited Apr 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 24, 2026: complaint inspection3 deficiencies
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Patient Rights: Informed Consent
The inspectors’ words, 374 words
“PATIENT RIGHTS: INFORMED CONSENT CFR(s): 482.13(b)(2) The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient’s rights include being informed of his or her health status, being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate. This Standard is not met as evidenced by: 53719 Based on observation, record review, and interview, the hospital failed to ensure proper consent for treatment for one (Patient 16) of 19 patients. Findings: Patient #16 Review of the medical record showed no documentation the patient designated a support person to act on their behalf and showed no documentation identifying a legal representative. On 04/24/26 at 1:18 pm, the 6th floor ICU unit was toured and the patient was observed. No family was present. The patient was intubated and unable to answer questions. A review of the medical record showed the following consents: 1. “Operation & Other Procedure Consent - Spanish” dated 04/19/26 4:45 pm showed the daughter’s signature. 2. “Consent for PICC Insertion” dated 04/19/26 at 7:45 pm showed the spouse’s signature. 3. “Operation and Other Procedure Consent” dated 04/20/26 at 3:30 pm showed the daughter’s signature. 4. “Anesthesia Services Consent” dated 04/20/26 at 4:26 pm showed the daughter’s signature. 5. “Blood or Blood Component Transfusion Consent or Refusal” dated 04/20/26 at 6:20 pm showed the daughter’s signature. A review of a policy titled “Patient Rights and Responsibilities - RM”, last reviewed 10/19/22, read in part, “The patient’s legal representative or patient-designated support person may act on behalf of the patient when the patient is incapable of doing so... While a family member may be designated as a patient’s representative, a family member is not automatically granted that status under Oklahoma law...The patient’s support person is included in communications among caregivers when indicated by the patient’s unique circumstances” On 04/24/26 at 9:00 am, Staff K reviewed the patient record and stated the patient did not have an advance directive, living will, or health care power of attorney that would have designated a guardian on file.”
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Patient Rights: Care In Safe Setting
The inspectors’ words, 226 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 53719 Based on record review and interview, the hospital failed to ensure policy was followed for two (Patient 1 and Patient 3) of 19 patients reviewed. Findings: Review of the policy titled “Patient Leaves AMA”, effective 10/20/23, read in part, 1. “Patients have the right to refuse care, treatment, and services in accordance with law and regulation 2. Document the event...in the Medical Record 3. Complete and submit an online risk event report” Patient 1 Review of an inpatient discharged patients log showed discharge date of 09/01/25 with a discharge disposition of “Left Against Medical Advice.” Review of the incident log did not show an entry for the patient on 09/01/25 for leaving against medical advice. Patient 3 Review of an emergency room discharged patients log showed a discharge date of 12/09/25 at 10:15 am for the patient with a discharge disposition of “Left Against Medical Advice.” Review of the incident log did not show an entry for the patient on 12/09/25 for leaving against medical advice. On 04/24/26 at 3:24 pm, Staff C stated Patient 1 and Patient 3: 1. Weren’t on the log. 2. Should have been put in risk system. 3. Nursing didn’t follow policy.”
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Infection Control Surveillance, Prevention
The inspectors’ words, 115 words
“INFECTION CONTROL SURVEILLANCE, PREVENTION CFR(s): The infection prevention and control program includes surveillance, prevention, and control of HAIs, including maintaining a clean and sanitary environment to avoid sources and transmission of infection, and addresses any infection control issues identified by public health authorities; and This Standard is not met as evidenced by: 53719 Based on observation and interview, the hospital failed to ensure cleanliness in one (Room 302) of one terminally cleaned rooms observed. Findings: Room 302 On 04/24/26 at 12:54 pm, brown debris was observed on a vent cover in the bathroom. On 04/24/26 at 12:54 pm, Staff J stated: 1. The room had been terminally cleaned. 2. The risk to patients was infection.”
Mar 19, 2024: complaint inspection1 deficiency
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Content Of Record: Orders,Notes,Reports
The inspectors’ words, 257 words
“CONTENT OF RECORD: ORDERS,NOTES,REPORTS CFR(s): 482.24(c)(4)(vi) [All records must document the following, as appropriate:] All practitioner’s orders, nursing notes, reports of treatment, medication records, radiology and laboratory reports, and vital signs and other information necessary to monitor the patient’s condition. This Standard is not met as evidenced by: 41505 Based upon record review and interviews, the hospital failed to ensure for 1 of 10 (#4) Emergency Department records reviewed, the Registered Nurse documented interventions related to patient care was promptly entered in the medical record. Findings: On 02/06/24 at 11:00 a.m. patient #4, a 90 year old male, presented to the Emergency Department by ambulance with the chief complaint of altered mental status and admitted to the hospital on 02/07/24 at 2:51 p.m. Further review of the Emergency Department record revealed the following addendum was added to the medical record on 02/07/24 at 7:24 p.m. by Staff G “Patient attempting to pull at foley catheter. Multiple attempts to reorient patient failed. Patient placed in mitts for his safety. Skin tears found on bilateral arms and bandaged appropriately.” There failed to be further documentation by Staff G related to the number of tears, the location, how the skin tears occurred and the type of would care and dressings provided. Interview with Staff D on 03/18/24 at 11:50 a.m. revealed after reviewing patient #4’s Emergency Department record, she instructed Staff G to complete an addennum related to the application of the mittens for safety and the skin tears which had occurred while the patient was in the Emergency Department.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 24, 2026 | Complaint inspection | 3 deficiencies cited |
| Dec 12, 2024 | Complaint inspection | No deficiencies cited |
| Mar 19, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall 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. for it is 3 of 5.
- Of the measures behind its 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., CMS counts against the national value: mortality, 0 better and 2 worse of 8; safety of care, 3 better and 0 worse of 8; readmission, 0 better and 1 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (1,372 surveys completed, Oct 1, 2024 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 67% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, better than the national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.1%, heart failure 10.9%, pneumonia 20.4%, COPD 9.4%, stroke 13.9%, heart bypass surgery 1.8%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.2%, heart failure 20%, pneumonia 17%, COPD 21.1%, heart bypass surgery 9.1%, hip or knee replacement 6.8%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 223 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 5% left before being seen.
- 73% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.04 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: proprietary.
- It is accredited by DNV, whose surveys stand in for the state’s routine inspections.
- 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.
- It has an inpatient rehabilitation unit of 32 beds, which CMS lists apart as a rehabilitation facility.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 4 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 95% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Ahs Management Company Inc. runs it.
- 3 owners or officers are people: Jeffrey A Johnston (managing employee (on the payroll), 100%); Mary A Crabtree (corporate officer); Stephen C Petrovich (corporate director).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Aug 12, 2004.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ardent Health Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2019 |
| Ahs Oklahoma, LLC | Owns 5% or more through other companies | 100% | Jul 1, 2019 |
| Ahs Management Company Inc. | Runs it (operational or managerial control) | 100% | Jul 1, 2019 |
| Ardent Legacy Holdings LLC | Owns 5% or more through other companies | 100% | Aug 4, 2015 |
| Ahp Health Partners, Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2019 |
| Ahs Hillcrest Healthcare System LLC | Owns 5% or more through other companies | Feb 6, 2009 |
How does it compare nearby?
- Of the 16 hospitals CMS lists in Tulsa County, 10 have an overall star rating from CMS: 5 rated 5 of 5, 1 rated 4 of 5, 3 rated 3 of 5, 1 rated 2 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. 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 Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital 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 hospital”, and paying will never change a finding, a rating or the order of results.