4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Gregston’s Nursing and Rehabilitation is a highly rated nursing home in Marlow, OK, offering assisted living, long-term care, rehabilitation, and skilled nursing. The community promotes a nurturing and welcoming environment, ensuring older adults can keep their peace of mind in retirement. 24-hour care, therapies, and nutritious meals are also offered to improve residents’ quality of life. Residents also receive the utmost attention and care through personalized care plans.
Holiday parties, gardening, and cooking classes ensure residents can continue learning and gain meaningful experiences. Cozy seating areas and spacious communal spaces are also available, so residents can freely connect with friends and relax. With its ideal location in the quiet residential area of Marlow, the community guarantees a laid-back retirement. This nursing home is a trusted choice for senior living in Oklahoma, especially with its commitment to helping older adults live to their potential in retirement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 12th out of 51 homes in Oklahoma for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▲ 19% State avg: 20m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 14m per day | ▲ 33% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 7m per day | ▲ 21% State avg: 2h 34m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 24m per day | ▲ 26% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 68% State avg: 1m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▲ 24% State avg: 17m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% more staff per resident than Oklahoma average
7% better than Oklahoma average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 32 CNA Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,363 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 0 | 32 | 10,136 | 92 | 100% | 11 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,164 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,929 | 92 | 100% | 8.7 |
| Nurse Aide in Training | 7 | 0 | 7 | 1,384 | 67 | 73% | 11.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,217 | 66 | 72% | 7.4 |
| Registered Nurse | 4 | 0 | 4 | 958 | 92 | 100% | 7.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 609 | 68 | 74% | 4.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 576 | 78 | 85% | 5.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 509 | 43 | 47% | 11.8 |
| Nurse Practitioner | 1 | 0 | 1 | 502 | 67 | 73% | 7.5 |
| Administrator | 1 | 0 | 1 | 454 | 60 | 65% | 7.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 34 | 26 | 28% | 1.3 |
| Medical Director | 0 | 1 | 1 | 33 | 21 | 23% | 1.5 |
| Qualified Social Worker | 0 | 1 | 1 | 30 | 31 | 34% | 1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 26 | 28 | 30% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 21 | 4 | 4% | 5.1 |
| Other Physician | 0 | 1 | 1 | 13 | 9 | 10% | 1.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
8% worse than Oklahoma averageOklahoma average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
14% worse than Oklahoma averageOklahoma average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.8%
30% worse than Oklahoma averageOklahoma average: 14.4%
Percent of long-stay residents whose ability to move independently worsened
16.1%
In line with Oklahoma averageOklahoma average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
19% worse than Oklahoma averageOklahoma average: 17.8%
Percent of long-stay residents experiencing one or more falls with major injury
9.0%
106% worse than Oklahoma averageOklahoma average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
1.1%
78% better than Oklahoma averageOklahoma average: 5.2%
Percent of long-stay residents with a urinary tract infection
3.3%
10% worse than Oklahoma averageOklahoma average: 3.0%
Percent of long-stay residents who lose too much weight
3.1%
18% better than Oklahoma averageOklahoma average: 3.7%
Percent of long-stay residents who have depressive symptoms
4.6%
37% worse than Oklahoma averageOklahoma average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
22.8%
47% worse than Oklahoma averageOklahoma average: 15.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.8%
12% worse than Oklahoma averageOklahoma average: 90.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
In line with Oklahoma averageOklahoma average: 94.6%
Number of hospitalizations per 1,000 long-stay resident days.
3.93
72% worse than Oklahoma averageOklahoma average: 2.28
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.93
35% worse than Oklahoma averageOklahoma average: 2.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.0%
67% worse than Oklahoma averageOklahoma average: 75.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
66% better than Oklahoma averageOklahoma average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
25.8%
65% worse than Oklahoma averageOklahoma average: 74.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.5%
13% worse than Oklahoma averageOklahoma average: 27.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.4%
31% worse than Oklahoma averageOklahoma average: 17.1%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
195% worse than Oklahoma averageOklahoma average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.7%
6% better than Oklahoma averageOklahoma average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.0%
11% better than Oklahoma averageOklahoma average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Gregston’s Nursing and Rehab from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #41 / 55Payroll — State benchmarkedThis home is ranked 41st out of 55 homes in Oklahoma. Shows total annual staff payroll benchmarked to the Oklahoma average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Oklahoma that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #19 / 55Payroll % — State benchmarkedThis home is ranked 19th out of 55 homes in Oklahoma. Shows payroll as a percentage of revenue versus the Oklahoma average. Well-run Oklahoma facilities typically land around 55–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Oklahoma that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.6 miles from city center
Estimated distance in miles from Marlow's city center to Gregston’s Nursing and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Oklahoma State Department of Health, Protective Health Services.
| Meridian Nursing Home | NH HC MC RC | Comanche | 63
Facility
63
OK AVG
74
Rank
#78 / 141 |
76.2%
Facility
76.2%
OK AVG
60.6%
Rank
#65 / 132 | +26% | 3.96
Facility
3.96
OK AVG
4.57
Rank
#39 / 51 | -22% | -13% | $0
Facility
$0
OK AVG
$48.8k
Rank
#1 / 53 | 1
Facility
1
OK AVG
23.5
Rank
#1 / 53 | 1.0
Facility
1.0
OK AVG
5.0
Rank
#1 / 53 | - | 45 | - |
0
Facility
0
OK AVG
38
Rank
#200 / 208 | Washita Valley Investments LLC | $3.9M
Facility
$3.9M
OK AVG
$6.4M
Rank
#47 / 55 | $2.6M
Facility
$2.6M
OK AVG
$2.8M
Rank
#44 / 55 | 66.5%
Facility
66.5%
OK AVG
47.7%
Rank
#12 / 55 | 375426 | ||||
| Gregston’s Nursing and Rehab | NH AL | Marlow | 96
Facility
96
OK AVG
74
Rank
#34 / 141 |
61.4%
Facility
61.4%
OK AVG
60.6%
Rank
#108 / 132 | +1% | 5.43
Facility
5.43
OK AVG
4.57
Rank
#12 / 51 | -29% | +19% | $0
Facility
$0
OK AVG
$48.8k
Rank
#1 / 53 | 6
Facility
6
OK AVG
23.5
Rank
#6 / 53 | 3.0
Facility
3.0
OK AVG
5.0
Rank
#17 / 53 | - | 54 | - |
51
Facility
51
OK AVG
38
Rank
#65 / 208 | Jeff Gregston | $5.5M
Facility
$5.5M
OK AVG
$6.4M
Rank
#41 / 55 | $2.6M
Facility
$2.6M
OK AVG
$2.8M
Rank
#41 / 55 | 46.8%
Facility
46.8%
OK AVG
47.7%
Rank
#19 / 55 | 375425 | ||||
| Wilkins Health & Rehabilitation Community | NH MC | Duncan (Dixie Park) | 118
Facility
118
OK AVG
74
Rank
#18 / 141 |
93.0%
Facility
93.0%
OK AVG
60.6%
Rank
#10 / 132 | +53% | 5.35
Facility
5.35
OK AVG
4.57
Rank
#12 / 51 | -4% | +17% | $0
Facility
$0
OK AVG
$48.8k
Rank
#1 / 53 | 9
Facility
9
OK AVG
23.5
Rank
#10 / 53 | 1.5
Facility
1.5
OK AVG
5.0
Rank
#2 / 53 | - | 114 | - |
1
Facility
1
OK AVG
38
Rank
#197 / 208 | Tyler Wilkins | $9.9M
Facility
$9.9M
OK AVG
$6.4M
Rank
#28 / 55 | $5.4M
Facility
$5.4M
OK AVG
$2.8M
Rank
#19 / 55 | 54.7%
Facility
54.7%
OK AVG
47.7%
Rank
#10 / 55 | 375424 |
Gregston’s Nursing and Rehab is located in Marlow, Oklahoma.
Here are the financial assistance programs available to residents in Oklahoma.
Gregston’s Nursing and Rehab has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Gregston’s Nursing and Rehab's occupancy is 61.4%.
Gregston’s Nursing and Rehab is registered as a for-profit.
Yes — there are 7 photos of Gregston’s Nursing and Rehab in the photo gallery on this page.
Gregston’s Nursing and Rehab is located at 711 S Broadway St, Marlow, OK 73055.
(580) 658-2319 will put you in contact with the team at Gregston’s Nursing and Rehab.
Yes — Gregston’s Nursing and Rehab is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
