Hearth Record

First Shamrock Care Center

A nursing home in Kingfisher, Oklahoma 73750

1415 South Main Street, Kingfisher, Oklahoma 73750. (405) 375-3157.

  • A candidate for CMS’s special focus list
  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 27 citations in 4 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
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.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

15 health citations at the latest inspection cycle

The Oklahoma average is 6.5.

Last standard inspection May 6, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on May 6, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

27 citations in 4 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

27 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 27 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 9 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 6, 2026: standard inspection14 citations
  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. K: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Jun 15, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. J: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Jun 15, 2026.

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • The resident has the right to receive notices in a format and a language he or she understands.

    Rule F0574. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

    Rule F0577. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Rule F0585. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Have 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Ensure 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.

    Rule F0803. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

  • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Rule F0841. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 15, 2026.

May 6, 2026: complaint inspection1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jun 15, 2026.

Aug 21, 2025: complaint inspection5 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 22, 2025.

Jul 19, 2024: standard inspection4 citations
  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Rule F0661. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

Jan 30, 2024: complaint inspection3 citations
  • Honor the resident’s right to manage his or her financial affairs.

    Rule F0567. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2024.

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 10, 2024.

  • Have 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 12, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jun 5, 2002.
  • A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 55 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $29,726 in all.
  • No Medicare payment denials in the last three years.
  • 9 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
May 6, 2026Fine$29,726

Who does the caring?

3.77 nurse hours per resident per day

The Oklahoma average is 3.82.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOklahoma average
Nurse hours per resident per day3.773.82
Of which registered nurses0.150.34
At weekends3.513.44
Nursing staff turnover63%55.4%
Registered nurse turnoverNot given52%
Administrators who left3Not given

Who owns it?

  • Bgm Estate LLC owns 37.5% directly since Aug 1, 2019; Philip M. Green Revocable Trust owns 25% directly since Aug 1, 2019; Tiffany Seay Exempt Tr owns 13.67% directly since Dec 12, 2025; Angelus Holdings LLC owns 12.5% directly since Dec 12, 2025; Philip Marion Green Exempt Tr Cu Gilbert F Green Tr owns 11.33% directly since Dec 12, 2025.
  • 21 owners or officers are people: Marcinda Mitchell (owns 5% or more through other companies, 9.38%); Robert Mitchell (owns 5% or more through other companies, 9.38%); Kelly Mitchell (owns 5% or more through other companies, 9.38%); Angela Tabor (owns 5% or more through other companies, 9.38%); Marcinda Mitchell (additional disclosable party (controls, leases property to, or provides services to the home)); Robert Mitchell (additional disclosable party (controls, leases property to, or provides services to the home)); Peggy Wahweah (runs it (operational or managerial control)); Jaci Pitts (corporate officer); Lisa Sutton (runs it (operational or managerial control)); Sandra Taylor (corporate officer); Miranda Belt (corporate officer); Kristel Jordan (runs it (operational or managerial control)); Lori Lipska (runs it (operational or managerial control)); Lori Lipska (additional disclosable party (controls, leases property to, or provides services to the home)); Ashley Munoz (runs it (operational or managerial control)); Chase Thrower (runs it (operational or managerial control)); Ronald Marion Cable (runs it (operational or managerial control)); Ronald Marion Cable (additional disclosable party (controls, leases property to, or provides services to the home)); Rhiannon Snyder (runs it (operational or managerial control)); Kelly Mitchell (additional disclosable party (controls, leases property to, or provides services to the home)); Angela Tabor (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Bgm Estate (15 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Bgm Estate LLCOwns 5% or more directly37.5%Aug 1, 2019
Philip M. Green Revocable TrustOwns 5% or more directly25%Aug 1, 2019
Tiffany Seay Exempt TrOwns 5% or more directly13.67%Dec 12, 2025
Angelus Holdings LLCOwns 5% or more directly12.5%Dec 12, 2025
Philip Marion Green Exempt Tr Cu Gilbert F Green TrOwns 5% or more directly11.33%Dec 12, 2025
Stein Ancillary Services, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2014
Angelus Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 12, 2025
Tiffany Seay Exempt TrAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 12, 2025
Mobile Wound Care LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2024
NS Group Consulting DivisionAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 1, 2024
Advanced Wound TherapyAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 1, 2024
Philip M. Green Revocable TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 1, 2019
Bgm Estate LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 1, 2019
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2010
Pharmcareok of Durant Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Nov 1, 2015
Philip Marion Green Exempt Tr Cu Gilbert F Green TrAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 12, 2025

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Oklahoma average 2.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 26.6 miles, this one had the 2nd most health citations at the latest inspection cycle (15; the middle value was 6).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 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.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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