Memorial Health
An acute care hospital in Lawton, Oklahoma 73505
3401 West Gore Blvd, Lawton, Oklahoma 73505. (580) 355-8620.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 2of 5 CMS’s overall rating
- 2of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 265 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
The last inspection on record was on Jan 7, 2026: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Jan 2026. Most serious: Condition-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.
Jan 7, 2026: complaint inspection2 deficiencies
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Nursing Services
The inspectors’ words, 108 words
“NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 42140 Based on record review and interview, the hospital failed to ensure: 1. Intervention for urine output for one (Patient #3) of five patients reviewed 2. Intervention for bowel movement for one (Patient #3) of five patients reviewed. 3. Pain assessment for one (Patient #3) of five patients reviewed. This failed practice had the likelihood to result in delayed recognition and identification of clinical decline and delayed treatment. (See Tag A395)”
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Rn Supervision Of Nursing Care
The inspectors’ words, 916 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 42140 Based on record review and interview, the hospital failed to ensure: 1. Intervention for urine output for one (Patient #3) of five patients reviewed 2. Intervention for bowel movement for one (Patient #3) of five patients reviewed. 3. Pain assessment for one (Patient #3) of five patients reviewed. This failed practice had the likelihood to result in delayed recognition and identification of clinical decline and delayed treatment. URINE OUTPUT Findings: A policy titled “Genitourinary/Renal Care” last revised 08/2023 was supplied upon request for intake/output policies. It read in part, “Report urine output less than 0.5mL/kg/hr to the appropriate healthcare provider(s) assigned to the patient.” Patient #3 Review of the medical record showed decreased urine output and did not show provider notification by nursing. The patient subsequently transferred to the ICU. Specifically: 1. The “Vital Sign Report” dated 06/23/25 at 9:46 AM read in part, “Wt ...59kgs.” (29.5mL/hour urine output expected) 2. The “Vital Sign Report” dated 06/26/25 at 11:13 PM read in part, “Wt ...60kgs.” (30mL/hour urine output expected) 3. The “Intake/Output (mL) Report” showed the following urine output: a. 600mL on 06/23/25 from noon to midnight (50mL/hr) b. 300mL on 06/24/25 from midnight to noon (25mL/hr) c. 200mL on 06/24/25 from noon to midnight (17mL/hr) d. 200mL on 06/25/25 from midnight to noon (17mL/hr) e. 150mL on 06/25/25 from noon to midnight (12.5mL/hr) f. 300mL on 06/26/25 from midnight to midnight (12.5mL/hr) 4. The “Daily Focus Assessment Report” dated 06/27/25 at 2:45 PM read in part, “Pt TRANSFERRED TO ICU.” On 01/06/26 at 3:02 PM, Staff C reviewed the medical record and stated: 1. The parameter for physician notification for urine output was less than 30mL/hour. 2. They could not find documentation the physician was notified for decreased urine output. 3. Physician notification was important to determine the cause and possibly treat the kidneys with perfusion. BOWEL MOVEMENT Findings: Patient #3 Review of the medical record showed administration of narcotics, documentation of no bowel movements and did not show administration of medication to move bowels. The patient subsequently required surgery. Specifically: 1. The Medication Administration History Report showed administration of: a. Morphine Sulfate 2mg IV on 06/24/25 at 1:34 PM b. Morphine Sulfate 2mg IV on 06/25/25 at 9:00 AM c. Norco 5mg 1 tablet on 06/25/25 at 2:42 PM d. Norco 5mg 1 tablet on 06/26/25 at 9:11 PM 2. The Intake/Output Report showed: a. No bowel movement assessment on 06/24/25 b. “Bowel Movement 0” on 06/25/25 at 6:00 AM c. “Bowel Movement 0” on 06/26/25 at 5:22 AM d. “Bowel Movement 0” on 06/27/25 at 6:00 AM 3. The Medication Administration History Report showed no administration of Dulcolax 10mg ordered daily as needed for constipation and was an active order from 06/23/25 12:13 PM to 07/01/25 4:02 PM. 4. The “Daily Focus Assessment Report” dated 06/27/25 at 2:45 PM read in part, “Pt TRANSFERRED TO ICU.” 5. The CT ABD/PELVIS results dated 06/27/25 at 7:34 PM read in part, “IMPRESSION: probable internal hernia.” 6. The Consultation Report dated 06/28/25 at 8:38 AM, read in part, “Assessment and Plan ...Septic shock.” 7. The Operative Note date 06/28/25 at 2:44 PM read in part, “Procedure ...Partial colectomy ...Small bowel resection ...Findings: Internal hernia ...causing acute bowel obstruction ...and necrotic.” 8. The physician Progress Note dated 06/29/25 at 8:00 PM read in part, “Assessment and Plan ...Septic Shock sec to gangrene of bowel.” A policy titled “Bowel Program Protocol” last revised 06/2025 read in part, “Assess the patient for ...e. Medication affecting bowels ...Utilize stool softeners, suppositories and/or digital stimulation as ordered by the physician ...If no result or bowel movement by second evening, may need to utilize oral laxatives or enemas.” On 01/06/26 at 3:02 PM, Staff C reviewed the medical record and stated the Dulcolax was never administered. On 01/07/26 at 8:59 AM, Staff C stated: 1. Reasons to implement a bowel program included patients taking opioids and not having bowel movements. 2. Nursing should have intervened for the patient. 3. Risk to an elderly patient on opioid medication was constipation and impaction. PAIN ASSESSMENT Findings: Patient #3 Review of the medical record showed administration of narcotics and did not show location of patient’s pain. Specifically: 1. The Medication Administration History Report showed administration of: a. Morphine Sulfate 2mg IV on 06/24/25 at 1:34 PM b. Morphine Sulfate 2mg IV on 06/25/25 at 9:00 AM c. Norco 5mg 1 tablet on 06/25/25 at 2:42 PM d. Norco 5mg 1 tablet on 06/26/25 at 9:11 PM 2. The Vital Sign Report read in part, “06/24/2025 [1:43 PM] Pain Score: 6 ...Location: general,” and showed no pain assessments for 06/25/25 or 06/26/25. Review of a policy titled “Pain Assessment and Management” last revised 11/2024 read in part, “Pain management will be assessed, intervened and reassessed depending on the patient’s condition ...Questions related to pain include ...1. Location of Pain 2. Duration 3. Type 4. Intensity.” On 01/07/26 at 8:55 AM, Staff C reviewed the medical record and stated: 1. They could not find documentation of pain location for any of the narcotic administrations. 2. Location of pain was part of a pain assessment and useful to determine if a new problem had occurred that needed to be addressed. 3. They would like to have known if the patient’s pain was from the ankle fracture or abdominal pain.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 7, 2026 | Complaint inspection | 2 deficiencies cited |
| Apr 3, 2024 | Complaint inspection | No deficiencies 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 2 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 0 worse of 8; safety of care, 1 better and 0 worse of 7; readmission, 0 better and 5 worse of 11.
- Patients rate it 2 of 5 in CMS’s patient survey (830 surveys completed, Oct 1, 2024 to Sep 30, 2025): 62% rated it 9 or 10 out of 10, and 59% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, 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 12.7%, heart failure 11.1%, pneumonia 14.8%, COPD 5.7%, stroke 12.5%, heart bypass surgery 6%. 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 15.4%, heart failure 22.4%, pneumonia 18.4%, COPD 20.1%, heart bypass surgery 11.1%, hip or knee replacement 5.6%. 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 121 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 56% 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 0.97 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 | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 2 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: government - hospital district or authority.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- It has an inpatient rehabilitation unit of 30 beds, which CMS lists apart as a rehabilitation facility.
- Government - Hospital District or Authority.
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.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 2 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.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
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 2 of 5.
- 71% 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?
- Comanche County Hospital Authority runs it.
- 14 owners or officers are people: George W Kruger (corporate officer); George W Kruger (managing employee (on the payroll)); George W Kruger (runs it (operational or managerial control)); Dustin J Hilliary (corporate director); John P Zelbst (corporate officer); John P Zelbst (corporate director); Mark A Henry (corporate officer); Mark A Henry (corporate director); Brent L Smith (corporate officer); Brent L Smith (managing employee (on the payroll)); Brent L Smith (runs it (operational or managerial control)); Natalie J Fitch (corporate officer); Natalie J Fitch (corporate director); Edward A Legako (corporate director).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Dec 1, 2025.
- 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.
How does it compare nearby?
- Of the 4 hospitals CMS lists in Comanche County, 2 have an overall star rating from CMS: 2 rated 2 of 5.
- CMS rates this one 2 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Southwestern Medical Center | 2 |
| Jim Taliaferro Comm Mental Health Ctr | Not given |
| Lawton Indian Hospital | Not given |
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.