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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.
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.
Homestead of Bethany is a 30-bed nursing home on North Council Road in Bethany, Oklahoma, a rural community west of Oklahoma City. Owned by Gwendolyn Chance and operating for 47 years, the home has established deep roots in the area, serving a stable local population. It’s currently fully occupied with 30 residents, reflecting consistent demand and community trust in the facility. Accepted are Medicare, Medicaid, and private pay, which provide families with many ways to cover care costs.
The community serves post-acute rehabilitation residents and those requiring active nursing care, averaging a stay length of 162 days. Substantial is daily nursing support, with total nursing care averaging 4 hours and 41 minutes per resident day. That level of hands-on staffing includes registered nurses, nurse aides, and licensed practical nurses working across the day. Bethany itself is car-dependent, with limited nearby walkable options, though the location offers easy access to the broader Oklahoma City area for visiting family members and medical appointments.
State inspections have documented stable compliance over time. A recent survey found no deficiencies and substantiated no complaints regarding care as per physician orders. Inspections from earlier years had flagged concerns in food service, medication storage, staff reviews, and fire safety, but the home has addressed such issues and shown improvement over subsequent surveys.
Families contemplating Homestead of Bethany may want to tour the facility to see the care setting and learn about its daily operations and staffing approach.
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 19th out of 46 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.
| 15m per day | ▼ 26% 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.
| 32m per day | ▼ 42% State avg: 55m 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.
| 1h 36m per day | ▼ 37% State avg: 2h 34m per day · National avg: 2h 20m 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.
| 2h 7m per day | ▼ 39% 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.
| 1m per day | ▼ 47% 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.
| 13m per day | ▼ 25% State avg: 17m per day · National avg: 28m per day |
Higher than the Oklahoma average: 60.6%Homestead of Bethany is administrated by Bre'ana Griesel.
Key information about the people who lead and staff this community.
In Oklahoma, the State Department of Health, Protective Health Services is the regulatory body responsible for conducting unannounced inspections and reporting on facility compliance.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oklahoma state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OK Average | vs. OK Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 55 | 8 | This facility has 588% more total deficiencies than a typical Oklahoma nursing home (55 vs. OK avg 8).↑ 588% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 7.9 | 1.1 | This facility has 618% more deficiencies per year than a typical Oklahoma nursing home (7.9 vs. OK avg 1.1).↑ 618% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Oklahoma average 4.8
Last Health inspection on Jun 2025
Oklahoma average 23.5
Oklahoma average 4.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 42 citations resulted from standard inspections; 12 of 42 resulted from complaint investigations; and 3 of 42 came from combined inspections (standard and complaint).
400% worse than Oklahoma averageOklahoma average: 0.6
100% better than Oklahoma averageOklahoma average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Oklahoma average
6% worse 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 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 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.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,292 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 | 7,864 | 92 | 100% | 7.4 |
| Occupational Therapy Aide | 17 | 0 | 17 | 2,900 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 13 | 0 | 13 | 2,496 | 91 | 99% | 8.5 |
| Registered Nurse | 5 | 0 | 5 | 1,168 | 86 | 93% | 8.9 |
| Medication Aide/Technician | 4 | 0 | 4 | 823 | 80 | 87% | 9 |
| Administrator | 3 | 0 | 3 | 739 | 56 | 61% | 7.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 517 | 64 | 70% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 496 | 60 | 65% | 8.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 494 | 61 | 66% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 402 | 33 | 36% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 203 | 41 | 45% | 5 |
| Nurse Practitioner | 1 | 0 | 1 | 173 | 20 | 22% | 8.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 48 | 27 | 29% | 1.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 30 | 19 | 21% | 1.6 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
43% higher than Oklahoma averageOklahoma average: $43K
29% more fines than Oklahoma averageOklahoma average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
142% more payment denials than Oklahoma averageOklahoma average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 8, 2024 · $23K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024Last updated: Jan 2026
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.
16.4
85% worse than Oklahoma averageOklahoma average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
64% 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
27.7%
92% worse than Oklahoma averageOklahoma average: 14.4%
Percent of long-stay residents whose ability to move independently worsened
37.4%
123% worse than Oklahoma averageOklahoma average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
16% better than Oklahoma averageOklahoma average: 17.8%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
36% worse than Oklahoma averageOklahoma average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
7.8%
49% worse than Oklahoma averageOklahoma average: 5.2%
Percent of long-stay residents with a urinary tract infection
1.6%
48% better than Oklahoma averageOklahoma average: 3.0%
Percent of long-stay residents who lose too much weight
3.3%
12% better than Oklahoma averageOklahoma average: 3.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oklahoma averageOklahoma average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
19.0%
22% worse than Oklahoma averageOklahoma average: 15.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
8% better than Oklahoma averageOklahoma average: 90.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Oklahoma averageOklahoma average: 94.6%
Number of hospitalizations per 1,000 long-stay resident days.
3.25
43% worse than Oklahoma averageOklahoma average: 2.28
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.72
28% 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
98.8%
32% better than Oklahoma averageOklahoma average: 75.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Oklahoma averageOklahoma average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
35% better than Oklahoma averageOklahoma average: 74.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
45.2%
67% worse than Oklahoma averageOklahoma average: 27.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.4%
25% worse than Oklahoma averageOklahoma average: 17.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oklahoma averageOklahoma average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
74.2%
38% better than Oklahoma averageOklahoma average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.0%
27% worse 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.
58% of new residents, usually for short-term rehab.
14% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
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 Homestead of Bethany based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #43 / 50Payroll — State benchmarkedThis home is ranked 43rd out of 50 homes in Oklahoma for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.9 miles from city center
Estimated distance in miles from Bethany's city center to Homestead of Bethany's address, calculated via Google Maps.
Add your location
Homestead of Bethany is located in BETHANY, Oklahoma.
Here are the financial assistance programs available to residents in Oklahoma.
The information below is reported by the Oklahoma State Department of Health, Protective Health Services.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Tulsa | 84
Facility
84
OK AVG
74
Rank
#47 / 141 | 71.3% | +18% | 5.96 | +24% | +30% | $0 | 5 | 2.5 | - | 54 |
37
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37
OK AVG
38
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#107 / 208 | Trinity Woods | $24.8M | $11.8M | 47.6% | 375454 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oklahoma City (Eagle Hill) | 120
Facility
120
OK AVG
74
Rank
#48 / 141 | - | - | 4.86 | +42% | +6% | $0 | 21 | 5.3 | - | 109 |
28
Facility
28
OK AVG
38
Rank
#131 / 208 | - | $10.5M | $5.2M | 49.8% | 375561 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oklahoma City (Central Oklahoma City) | 75
Facility
75
OK AVG
74
Rank
#57 / 141 | - | - | 3.27 | +37% | -29% | $0 | 17 | 2.4 | - | 72 |
52
Facility
52
OK AVG
38
Rank
#62 / 208 | Ignite Oklahoma Jv, LLC | $18.9M | $7.6M | 40.1% | 375412 | ||||
| Homestead of Bethany |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bethany (Central Oklahoma City) | 30
Facility
30
OK AVG
74
Rank
#134 / 141 | 100.0% | +65% | 4.69 | -1% | +3% | $38.8k | 42 | 4.7 | 3 | 51 |
15
Facility
15
OK AVG
38
Rank
#170 / 208 | Gwendolyn Chance | $5.4M | $2.1M | 39% | 375492 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
218
OK AVG
74
Rank
#2 / 141 | - | - | - | - | - | - | - | - | - | - | - | - | - |
27
Facility
27
OK AVG
38
Rank
#133 / 208 | $10.9M | $4.4M | 40.2% | 375183 |
Homestead of Bethany is in the Central Oklahoma City neighborhood of BETHANY.
Homestead of Bethany has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
Homestead of Bethany's occupancy is 100%.
Bre'Ana Griesel is the administrator of Homestead of Bethany.
Homestead of Bethany has 30 beds.
Yes — there are 4 photos of Homestead of Bethany in the photo gallery on this page.
Homestead of Bethany is located at 4101 NORTH COUNCIL ROAD.
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