First Shamrock Care Center
Kingfisher, Kingfisher County, Oklahoma · CCN 375416 · For-profit (Corporation) · part of Bgm Estate (15 facilities, chain average 1.8 stars)
CMS rates First Shamrock Care Center 1 of 5 overall as of August 2026. 55 certified beds, 38 residents a day on average. 34 citations on record from the current inspection cycles, 3 at immediate jeopardy; 1 fine totalling $29,726.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / — of 5 |
Staffing
| Total nurse staffing | 3.25927 hours per resident per day |
|---|---|
| Registered nurses | 0.1358 hours per resident per day |
| Weekend total | 3.23501 hours per resident per day |
| Nursing staff turnover | 70.2% |
| Administrators who left | 3 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · tag F0574 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | 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. Resident Rights Deficiencies · tag F0585 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2026-05-06 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · tag F0841 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-15 |
| 2025-08-21 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-21 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-21 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-21 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-21 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2024-07-19 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-19 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-01-30 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-12 |
| 2024-01-30 complaint survey |
Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · tag F0567 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-10 |
| 2024-01-30 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-10 |
| 2023-06-27 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
| 2023-06-27 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-06 | Fine | $29,726 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Angelus Holdings LLC Organization | 5% or greater direct ownership interest | 13% | 2025-12-12 |
| Bgm Estate LLC Organization | 5% or greater direct ownership interest | 38% | 2019-08-01 |
| Philip M. Green Revocable Trust Organization | 5% or greater direct ownership interest | 25% | 2019-08-01 |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr Organization | 5% or greater direct ownership interest | 11% | 2025-12-12 |
| Tiffany Seay Exempt Tr Organization | 5% or greater direct ownership interest | 14% | 2025-12-12 |
| Advanced Wound Therapy Organization | adp of the snf | — | 2024-11-01 |
| Angelus Holdings LLC Organization | adp of the snf | — | 2025-12-12 |
| Bgm Estate LLC Organization | adp of the snf | — | 2019-08-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2010-01-01 |
| Mobile Wound Care LLC Organization | adp of the snf | — | 2024-10-01 |
| Ns Group Consulting Division Organization | adp of the snf | — | 2024-11-01 |
| Pharmcareok Of Durant Inc. Organization | adp of the snf | — | 2015-11-01 |
| Philip M. Green Revocable Trust Organization | adp of the snf | — | 2019-08-01 |
| Philip Marion Green Exempt Tr Cu Gilbert F Green Tr Organization | adp of the snf | — | 2025-12-12 |
| Stein Ancillary Services, LLC Organization | adp of the snf | — | 2014-09-01 |
| Tiffany Seay Exempt Tr Organization | adp of the snf | — | 2025-12-12 |
| Mitchell, Kelly Individual | 5% or greater indirect ownership interest | 9% | 2019-08-01 |
| Mitchell, Marcinda Individual | 5% or greater indirect ownership interest | 9% | 2019-08-01 |
| Mitchell, Robert Individual | 5% or greater indirect ownership interest | 9% | 2019-08-01 |
| Tabor, Angela Individual | 5% or greater indirect ownership interest | 9% | 2019-08-01 |
| Cable, Ronald Individual | adp of the snf | — | 2022-03-01 |
| Lipska, Lori Individual | adp of the snf | — | 2025-12-01 |
| Mitchell, Kelly Individual | adp of the snf | — | 2025-12-12 |
| Mitchell, Marcinda Individual | adp of the snf | — | 2025-12-12 |
| Mitchell, Robert Individual | adp of the snf | — | 2025-12-12 |
| Tabor, Angela Individual | adp of the snf | — | 2025-12-12 |
| Belt, Miranda Individual | corporate officer | — | 2024-12-09 |
| Pitts, Jaci Individual | corporate officer | — | 2024-12-09 |
| Taylor, Sandra Individual | corporate officer | — | 2019-08-01 |
| Green, Philip Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-01-29 |
| Cable, Ronald Individual | operational/managerial control | — | 2022-03-01 |
| Jordan, Kristel Individual | operational/managerial control | — | 2021-10-28 |
| Lipska, Lori Individual | operational/managerial control | — | 2025-04-18 |
| Munoz, Ashley Individual | operational/managerial control | — | 2019-09-03 |
| Snyder, Rhiannon Individual | operational/managerial control | — | 2024-12-02 |
| Sutton, Lisa Individual | operational/managerial control | — | 2015-01-08 |
| Thrower, Chase Individual | operational/managerial control | — | 2025-08-15 |
| Wahweah, Peggy Individual | operational/managerial control | — | 2025-10-14 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for First Shamrock Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kingfisher County.