Arbor Village
310 W Taft Ave, Sapulpa, OK 74066 · For profit - Corporation · 142 certified beds · (918) 224-6012 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has 1 actual-harm citation
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (63%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.1% | 13.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.7% | 3.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.0% | 1.9% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 2.3% | 2.8% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 6.1% | 3.4% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.0% | 4.7% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 13.1% | 13.7% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 35.8% | 25.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.4% | 94.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.7% | 4.7% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 17.1% | 17.1% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.3% | 17.5% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 3.1% | 1.8% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 47.9% | 74.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 39.4% | 27.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 8.3% | 16.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.45 | 2.31 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.32 | 2.96 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
47.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 51.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 47.1%CMS range 34.3–61.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.3%CMS range 8.6–17.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 51.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 35.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 35.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 96.2% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.8%CMS range 4.0–13.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.75 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 142 beds and averages 68.7 residents a day — about 48% occupied, or roughly 73 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.91 hrs/resident/day on weekends vs 3.58 on weekdays — 19% thinner on weekends. RN hours go from 0.27 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 63% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · Gcited before2025-08-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to provide an environment free of accident hazards for 1 (# 69) of 20 sampled residents reviewed for accident hazards. The administrator identified 84 residents resided in the facility. Findings:A quarterly assessment, dated 02/24/25 ,showed Resident #69 had diagnoses which included anxiety and vascular dementia, and a BIMs score of 5 which indicated the resident was severely cognitively impaired for daily decision making. An elopement evaluation, dated, 03/04/25, showed a score of 9 which put Resident #2 at risk for elopement. The evaluation showed Resident #2 had a history of walking around the facility but did not exhibit exit seeking behaviors. A progress note, dated 04/24/25 at 7:00 p.m., showed dietary staff notified nursing staff Resident #2 had fallen outdoors. The progress note showed Resident #2 was transported to a hospital for evaluation. A facility incident report to the Oklahoma Stated Department of Health, dated 04/24/25, showed Resident #2 exited the facility through a propped open door and fell on the uneven…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
The 2567 had been amended based on a determination resulting from an Informal Dispute Resolution (IDR). Existence of Immediate Jeopardy (IJ) has been removed. Based on observation, record review, and interview, the facility failed to:a. ensure supervision for residents who smoke and to secure smoking materials to prevent accident hazards for 1 (#5) of 3 sampled residents reviewed for smoking; andb. prevent elopement for 1 (#7) of 3 sampled residents reviewed for elopement.The DON identified 15 residents at risk for elopement resided in the facility.Findings:1. On 06/08/26 at 8:45 a.m., Res #5 was observed to have three packs of cigarettes and a lighter on their overbed table. On 06/09/26 at 9:54 a.m., Res #5 was observed to have cigarettes and a lighter on their overbed table.An undated Resident Smoking policy showed residents would be assessed to determine if they were safe to smoke either supervised or unsupervised. The policy showed smoking materials of residents requiring supervision would be secured by staff.A baseline care plan, dated 03/05/26, showed Res #5 received oxygen…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to develop a comprehensive care plan for 1 (#5) of 3 sampled residents reviewed for care plans.The DON identified 65 residents resided in the facility.Findings:An undated Comprehensive Care Plans policy, read in part, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality.An admission record, dated 03/05/26, showed Res #5 had diagnoses which included depression and atrial fibrillation.An admission assessment, dated 03/18/26, showed Res #5 had a BIMS score of 15, which indicated the resident was cognitively intact for daily decision making. The assessment showed Res #5 was always incontinent, was at risk for developing pressure ulcers, and received an opioid pain medication.Res #5's care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to assess, monitor, and intervene to prevent worsening pressure ulcers for 1 (#2) of 3 sampled residents reviewed for pressure ulcers.The DON identified 7 residents with pressure ulcers resided in the facility. Findings:An undated Pressure Injury Prevention and Management policy, read in part, Licensed nurses will conduct a full body assessment on all residents upon admission/readmission, weekly, and after any newly identified pressure injury. Findings will be documented in the medical record. Findings should include type of wound, wound measurements (measured upon discovery and at least weekly thereafter), other wound characteristics (color, exudate, odor, pain, tissue type in wound bed), and treatment and interventions implemented.An admission note, dated 01/19/26, showed Res #2 had multiple wounds upon admission including a wound to the right buttock, wound to the left gluteal fold, a wound to the left great toe, deep tissue injury to right heel, scab on the right earlobe, wound to upper lip, and a small pea-sized wound to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure medications were administered as ordered for 1 (#5) of 3 sampled residents reviewed for medications.The DON identified 65 residents resided in the facility.Findings:An admission record, dated 03/05/26, showed Res #5 had diagnoses which included epilepsy and heart failure.A physician's order, dated 03/05/26, showed Res #5 was to receive 750 mg of levetiracetam (an anticonvulsant medication) twice a day by mouth for epilepsy. The order was discontinued on 03/07/26.A nurse note, dated 03/07/26 at 2:04 p.m., showed Res #5 had seizure activity at 9:50 a.m., 11:55 a.m., and 12:21 p.m. The note showed hospice arrived at 2:00 p.m. to assess the resident.A physician's order, dated 03/07/26, showed Res #5 was to receive 1000 mg of levetiracetam twice a day by mouth for epilepsy.A nurse note, dated 03/08/26 at 4:44 p.m., showed Res #5 was had seizure activity throughout the day. The note showed hospice had been notified earlier in the morning the increased dose of levetiracetam was not available in the facility. The note…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-06-11 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure infection control was maintained for residents with indwelling urinary catheters for 1 (#8) of 3 sampled residents reviewed for infection control.The DON identified 5 residents with indwelling urinary catheters.Findings:On 06/04/26 at 2:25 p.m., Res #8 was observed in the lobby area of the facility seated in their wheelchair with their catheter drainage bag attached to the back of their wheelchair. The bottom of Res #8's catheter drainage bag and part of the drainage tubing was observed to be resting on the floor.On 06/04/26 at 2:57 p.m., Res #8 was observed in the outside smoking area. The bottom of the catheter drainage bag and part of the drainage tubing was observed to be resting on the floor.An undated facility policy titled Indwelling Catheter Use and Removal, read in part, If an indwelling catheter is in use, the facility will provide appropriate care for the catheter in accordance to current professional standards that include . Insertion, ongoing care and catheter removal protocols that adhere…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-08-10 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to:a. review infection prevention control policies and procedures at least annually,b. assess locations Legionella and other opportunistic waterborne pathogens can grow and spread,c. implement measures to prevent the growth of waterborne pathogens, andd. have monitoring in place to evaluate effectiveness of water pathogen program.The administrator reported 64 residents resided in the facility. FindingsA facility policy titled Legionella Surveillance, implemented on 08/22/22, did not include a plan for assessing, evaluating and monitoring the measures to prevent the growth of waterborne pathogens.On 08/07/25 at 2:20 p.m., the infection prevention coordinator was asked about annual review of policies. They stated they were not current and had not been reviewed in a few years.On 08/10/25 at 10:05 a.m., the administrator was asked about the annual review of infection control policies. They stated they could not find any documentation of any reviews.On 08/07/25 at 2:20 p.m., the infection prevention coordinator was asked about the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-08-10 · tag F0848 — patternProvide a neutral and fair arbitration process and agree to arbitrator and venue.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure the arbitration agreement provided the selection of a neutral arbitrator for 3 (#2, 11, and #71) of 3 sampled residents whose arbitration agreements were reviewed.The administrator identified 63 residents had signed binding arbitration agreements. Findings:An undated Policy and Procedure for Arbitration, read in part, Arbitration: A binding process where a neutral third party [arbitrator] hears and resolves disputes outside of court.Arbitrator Selection: Arbitration will be conducted by a neutral, qualified arbitrator agreed upon by both parties.1. An Arbitration Agreement, signed by Resident #2's representative, on 05/09/24, did not show a neutral arbitrator would be utilized.An admission assessment, dated 05/17/25, showed Resident #2 had BIMS score of 15, which indicated the resident was cognitively intact for daily decision making.2. An Arbitration Agreement, signed by Resident #11 on 07/29/24, did not show a neutral arbitrator would be utilized.A quarterly assessment, dated 04/10/25, showed Resident #11 had a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-10 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure quarterly assessments were completed within 14 days of the assessment reference date for 3 (#6, 27, and #28) of 20 sampled residents whose assessments were reviewed. The administrator identified 64 residents resided in the facility. Findings: 1. A quarterly assessment, dated 06/17/25, showed a BIMS assessment had not been conducted for Resident #6 and the assessment had been completed on 07/12/25. On 08/10/25 at 10:12 a.m., the MDS coordinator stated they were unable to complete the BIMS assessment because they had completed the quarterly assessment late and they were outside of the timeframe to obtain a BIMS score. They stated the quartely MDS was completed late for Resident #6 because the previous MDS coordinator had resigned, they did not have access to complete MDS assessments for a while, and they had gotten behind. 2. A quarterly/discharge return not anticipated assessment, dated 07/01/25, showed Resident #27 had a BIMS score of 15, which indicated the resident was cognitively intact for daily decision making,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-10 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure assessments were submitted/transmitted within 14 days of completion for 2 (#27 and #28) of 20 sampled residents whose assessments were reviewed.The administrator identified 64 residents resided in the facility.Findings: 1. A quarterly/discharge return not anticipated assessment, dated 07/01/25, showed Resident #27 had a BIMS score of 15, which indicated the resident was cognitively intact for daily decision making, and the assessment had been completed late on 07/20/25. An MDS 3.0 NH Final Validation Report, dated 08/05/25, showed the quarterly/discharge return not anticipated assessment for Resident #27, dated 07/01/25, had been submitted late. On 08/10/25 at 10:15 a.m., the MDS coordinator stated the quarterly/discharge return not anticipated had been submitted/transmitted on 08/05/25. The MDS coordinator stated they had not known how to transmit/submit assessments so the regional office had been transmitting them. 2. A quarterly assessment, dated 06/29/25, showed Resident #28 had a BIMS score of 15, which…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-10 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to ensure assessments were accurate for 1 (#2) of 20 sampled residents whose assessments were reviewed. The administrator identified 64 residents resided in the facility. Findings: An admission assessment, dated 05/17/25, showed Resident #2 had a BIMS score of 15, which indicated the resident was cognitively intact for daily decision making, had a diagnosis of hemiplegia, and was taking an anticoagulant during the seven-day look back period. A medication administration record, dated 05/01/25 through 05/31/25, did not show Resident #2 had received an anticoagulant medication during the look back period. On 08/10/25 at 10:05 a.m., the MDS coordinator reviewed the admission assessment, physician orders, and the medication administration record and stated the assessment had been coded in error regarding the anticoagulant medication. They stated Resident #2 had not been ordered or received an anticoagulant medication during the look back period for the assessment.
Show the remaining 10 citations
- Potential for harm · Dcited before2025-08-10 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure care plans were updated for 1 (#2) of 20 sampled residents reviewed for care plans. The administrator identified 64 residents resided in the facility. A care plan, dated 05/09/25, did not include restorative care for Resident #2.An admission assessment, dated 05/17/25, showed the Resident #2 had diagnoses which included hemiplegia and hemiparesis and a BIMS score of 15 which indicated the resident was cognitively intact. A restorative care order dated, 07/07/25, showed a resting hand splint was to be applied daily to the right hand and removed after 6-8 hours. A progress note, dated 07/07/25, documented restorative care treatment with the application of a splint to Resident #2's right hand. On 08/10/25 at 10:01 a.m. the admissions coordinator stated Resident #2 was on restorative care and the restorative aide provided the care. The admissions coordinator was asked who completed the restorative care on days the aide was not in the facility. The admission coordinator stated they would need to train someone. On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-10 · tag F0730 — isolatedObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to complete a performance review of nurse aides, hired over one year ago, at least once every 12 months for 1 (CNA #1) of 2 reviewed for performance reviews. Human resources identified 13 CNAs have been employed over one year. Findings:Review of employee training records showed one of two employee files did not have an annual performance review or skills assessment completed in past year.On 08/10/25 at 9:40 a.m., CNA #1 was asked if they had an annual performance review or skills checklist completed in past year. CNA #1 stated they only worked on the weekends and had not done anything like that, that they were aware of.On 08/10/25 at 10:05 a.m., the administrator stated they had not been doing annual evaluations until recently. On 08/10/25 at 2:36 p.m., the administrator in training stated performance and skills assessments had not been consistently done before their arrival a few months ago. The administrator in training stated they have been trying to get them all completed, but they were not sure if they had all been…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-03-14 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview the facility failed to store, prepare, and serve food under sanitary conditions for 77 residents who ate meals prepared by the kitchen. The administrator identified 77 residents who resided in the facility and ate meals prepared by the kitchen. Findings: A policy titled Food Service/Distribution documented .Dietary staff shall wear hair restraints (hair net, hat, beard restraint, etc.) so that hair does not contact food . A policy titled Sanitization documented .All utensils, counters, shelves and equipment shall be kept clean, maintained in good repair and shall be free from breaks,corrosions, open seams, cracks and chipped areas that may affect their use or proper cleaning . On 03/11/24 at 10:12 a.m., a scoop was observed in the sugar bin. On 03/11/24 at 10:13 a.m., the dietary cook #1 stated the scoop should not be left in the sugar bin. On 03/11/24 at 10:15 a.m., a staff member entered the kitchen and identified their job title as a host for the residents. The staff had a beard and was not wearing a beard guard. On 03/11/24 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-03-14 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview the facility failed to maintain an infection prevention and control program for one (#10) of one resident reviewed for pressure ulcers. The director of nursing identified 12 residents who received wound care. Findings: A policy titled Hand Hygiene documented .All staff will perform proper had hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors .Hand hygiene is indicated and will be performed under conditions listed in, but not limited to, the attached hand hygiene table .After handling contaminated objects .Before applying and after removing personal protective equipment (PPE), including gloves .When, during resident care, moving from a contaminated body site to a clean body site . Resident #10 had diagnoses which included hemiplegia and hemiparesis, type 2 diabetes mellitus, and pain. The care plan, dated 01/18/24, documented the resident had actual impairment to skin integrity of the right ankle on the lateral side. A discharge return anticipated assessment, dated 02/04/24, documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-14 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the PASRR for a resident with a serious mental health diagnosis was filled out correctly and referred to the OHCA for two (#14 and #25) of three sampled residents reviewed for PASRR evaluations. The Administrator identified 77 residents resided in the facility. Findings: 1. Res #14 admitted to the facility with diagnoses of PTSD, COPD, A-Fib, Depression, and alcohol abuse. A PASRR Level I, dated 06/13/23, documented the resident did not have a mental health diagnosis. A quarterly assessment dated , 01/09/24, documented the resident had a mental health diagnosis. 2. Res #25 was admitted to the facility on [DATE] with diagnoses of PTSD, heart failure, HTN, dementia, obstructive sleep apnea, DM, and GERD. A PASRR level I, dated 10/12/23, documented the resident did not have a mental health diagnosis. A quarterly assessment, dated 1/11/24, documented the resident had a mental health diagnosis. On 03/14/24 at 11:20 a.m., the Administrator and ADON…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-14 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure the physician responded to the pharmacist medication reviews related to the GDR request with a clinical rational for three (#1, 25, and #34) of five sampled residents reviewed for unnecessary medications. The Administrator reported 77 residents resided in the facility. Findings: 1. Res #1 admitted to the facility with diagnoses of Hypertension, Dementia, and depression. A pharmacy recommendation, dated 06/24/23, documented to evaluate the use of Glimeperide 4mg QD. The physician marked- report reviewed- no changes, no rational was documented by the physician. A pharmacy recommendation, dated 10/21/23, documented to evaluate the use of an opioid with a Gabapentinoid, Morphine ER, Norco, and Gabapentin. The physician did not document a rational. 2. Res #25 admitted to the facility with diagnoses of heart failure, DM, HTN, dementia, PTSD, and obstructive sleep apnea. A pharmacy recommendation, dated 10/21/23, documented: Please evaluate the routine…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-13 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a baseline care plan included fall risk and interventions for one (#1) of three sampled residents reviewed for falls. The DON identified 70 residents resided in the facility. Findings: A facility Fall Risk Assessment/Falls policy, dated 01/08/21, read in part, .Each resident's plan will include interventions, including adequate supervision, consistent with a resident's needs, goals, and current standards of practice in order to reduce the risk of an accident .Monitor the effectiveness of the care plan interventions, and modify the interventions as necessary, in accordance with current standards of practice . Res #1 admitted to the facility on [DATE] with diagnoses which included Alzheimer's disease, syncope and collapse, COPD, and COVID-19. A fall risk assessment, dated 01/19/24, documented the resident was high risk for falls. A baseline care plan, initiated 01/19/24, did not document the resident was at risk for falls or include fall…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-26 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observation, and interview, the facility failed to develop a comprehensive person-centered care plan for one (#42) of six residents reviewed for care plans. The Resident Census and Conditions of Residents, dated 01/23/23, documented a census of 78. Findings: A policy titled Comprehensive Care Plans, dated 08/01/21, read in parts, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident .to meet the resident's medical, nursing . needs that are identified in the resident's comprehensive assessment . Res #42 was admitted with diagnoses which included encounter for cystostomy, kidney failure, Parkinson's disease, and neuromuscular dysfunction of bladder. An admission assessment, dated 10/26/22, documented Res #42 was cognitively intact, required minimum assistance with activities of daily living, and had a suprapubic urinary catheter (a drainage tube from the abdominal wall to the bladder). A care plan, dated 01/11/23, read in part, Neuromuscular dysfunction of bladder .document and notify physician of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-26 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop a discharge summary for one (#77) of one resident reviewed for discharge summary. The Entrance Conference Worksheet, completed on 01/23/23, documented 10 residents had been discharged in the last six months. Findings: A Discharge Summary and Plan of Care policy, dated 10/01/19, read in part, .a discharge summary will be provided . Res #77 was admitted with diagnoses which included acute cholecystitis, diabetes mellitus, and congestive heart failure. A review of the record for Res #77 failed to show a discharge summary. An admission assessment, dated 01/08/23, documented Res #77 was cognitively intact and required minimum assistance with activities of daily living. A physician's order, dated 01/12/23, read in parts, Discharge to home on [DATE] with .home health . On 01/25/23 at 10:26 a.m., the MDS coordinator reported a discharge summary for Res #77 was not completed. On 01/25/23 at 10:28 a.m., the administrator reported a discharge summary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-26 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure pureed meals were prepared in a sanitary manner. The administrator reported two residents received pureed meals from the kitchen. Findings: The Dietary Employee Personal Hygiene policy, dated 09/19, read in parts, Employees should never use bare hand contact with foods .Gloves are to be worn and changed appropriately to reduce the spread of infection. On 01/25/23 at 3:23 p.m., dietary aide #1 was observed to place the puree canister in the dish washer. On 01/25/23 at 3:27 p.m., dietary aide #1 was observed stacking dishes into a tray and touching the counter. On 01/25/23 at 3:32 p.m., dietary aide #1 was observed opening the dishwasher with bare hands, obtained the puree canister and blade from the dishwasher. Dietary aide #1 placed the blade into the canister with bare hands without performing hand hygiene. On 01/25/23 at 03:42 p.m., dietary aide #1 reported they should have performed hand hygiene prior to placing the blade into the puree canister. On 01/25/23 at 4:10 p.m., the administrator reported dietary aide #1…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record. 1 Medicare payment denial on record.
- Medicare payment denial — starting 2025-09-05 for 7 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to SKYBLUE HEALTHCARE — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.1 | -0.1 vs chain |
| Health inspection | 2 of 5 | 2.2 | -0.2 vs chain |
| Staffing | 2 of 5 | 2.2 | -0.2 vs chain |
| Quality measures | 3 of 5 | 3.3 | -0.3 vs chain |
The other 11 homes this chain runs (chain average 2.1★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| RIVERS EDGE OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/06/2023 |
| RIVERS EDGE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | since 10/01/2023 |
| OELBAUM, YITZCHOK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | 15% | since 01/06/2023 |
| JOHNSON, ERNEST | Individual | W-2 MANAGING EMPLOYEE | — | since 01/06/2023 |
| GANZ, DAVID | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2023 |
CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OK
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375284. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.