Norman, OK

24th Place

1-star overall rating with 1-star inspections with $35,660 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

600 24th Avenue Southwest, Norman, OK

(405) 329-6771

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

89

Certified beds

Average residents

73

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ihs Management Consultants

Operator or chain grouping

Approved since

1995-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.29

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

3.81

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,576

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

3.53

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 63.46% · Performance 66.67% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.71

Baseline 3.35 hours · Performance 3.28 hours · Measure score 0.71 · Achievement 0.71 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 62
Staff flu vaccination coverage 100%
42%
58 pts better
Numerator 40 · Denominator 40
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
2.3
0.6 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
2.9
1.1 pts better
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
90.3%
4.4 pts better
93.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 94.3% · Q3 94.3% · Q4 91.7% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
94.6%
4.1 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury 1.1%
4.5%
3.4 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 2.8% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.2%
3.3%
0.1 pts better
11.4%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 5.9% · Q4 3.4% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight 8.3%
3.6%
4.7 pts worse
5.4%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 8.6% · Q3 8.6% · Q4 1.8% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 39.4%
25.3%
14.1 pts worse
19.6%
19.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 39.7% · Q3 39.7% · Q4 33.3% · 4Q avg 39.4%
Percentage of long-stay residents who received an antipsychotic medication 22.0%
18.6%
3.4 pts worse
16.7%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 17.4% · Q3 24.0% · Q4 25.5% · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.7%
15.5%
1.2 pts worse
16.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 40.3% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.9%
14.1%
2.8 pts worse
14.9%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 10.9% · Q3 18.2% · Q4 28.3% · 4Q avg 16.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
2.1%
0.9 pts better
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 1.4% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.5%
2.8%
0.3 pts better
1.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 2.9% · Q4 1.4% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.1%
17.8%
2.3 pts worse
19.8%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 15.1% · Q3 15.3% · Q4 29.3% · 4Q avg 20.1%
Percentage of long-stay residents with pressure ulcers 6.9%
5.1%
1.8 pts worse
5.1%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.3% · Q3 5.0% · Q4 3.1% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 53.8%
75.0%
21.2 pts worse
81.7%
27.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 46.4% · Q3 55.2% · Q4 31.8% · 4Q avg 53.8%
Percentage of short-stay residents who newly received an antipsychotic medication 2.6%
1.9%
0.7 pts worse
1.6%
1 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 50.0%
74.0%
24 pts worse
79.7%
29.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-02 · Fire 2025-10-02

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-15 · Fire 2023-03-15

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-10-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-11-28

E · Potential for more than minimal harm 2025-10-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-28

F · Potential for more than minimal harm 2024-05-09

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-07-07

E · Potential for more than minimal harm 2024-05-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-07

E · Potential for more than minimal harm 2024-05-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-07-07

Inspection history

Recent health citations

G · Actual harm 2025-12-02

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-01-09

G · Actual harm 2025-12-02

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-01-09

J · Immediate jeopardy 2025-10-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-21

G · Actual harm 2025-10-02

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-21

F · Potential for more than minimal harm 2025-10-02

F574 · Resident Rights Deficiencies

Health

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

Corrected 2025-11-21

F · Potential for more than minimal harm 2025-10-02

F577 · Resident Rights Deficiencies

Health

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

Corrected 2025-11-21

E · Potential for more than minimal harm 2025-10-02

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-10-02

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-10-02

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-10-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-21

E · Potential for more than minimal harm 2025-08-18

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-05

E · Potential for more than minimal harm 2024-12-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-10-14

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-05-09

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-05-09

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-09

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-09

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-21

E · Potential for more than minimal harm 2023-11-07

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-07

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-03-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-03-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-03-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-15

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-05-15

Penalties and ownership

What sits behind the stars

$14,015 2025-12-02

Fine

Fine · fine $14,015

Fine

$21,645 2025-10-02

Fine

Fine · fine $21,645

Fine

$0 2025-10-02

Payment Denial

Payment Denial · denial start 2025-11-11 · 10 days

10 day denial

Ownership

Bk Strategies LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2021-01-01
Reed, Bart

5% Or Greater Indirect Ownership Interest · Individual

100% 5 facilities 2021-01-01
Reed, Bart

Operational/Managerial Control · Individual

0% 5 facilities 2021-01-01
Reed, Bart

Corporate Officer · Individual

0% 5 facilities 2021-01-01
Sorum, Jason

W-2 Managing Employee · Individual

0% 1 facilities 2021-01-01

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