Cycle 1
Health 2025-08-28 · Fire 2025-08-28
4 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Ada, OK
Ballard Nursing Center
2-star overall rating with 3-star inspections with $12,740 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
201 West 5th Street, Ada, OK
(580) 436-1414
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
73
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ihs Management Consultants
Operator or chain grouping
Approved since
1996-08-04
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
0.38
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
0.95
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.22
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
0.49
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.06
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,096
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9994
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.68
Performance 19.72% · Measure score 3.68 · Achievement 3.68 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
7.36
Baseline 13.41% · Performance 6.80% · Measure score 7.36 · Achievement 3.46 · Improvement 7.36
Total nurse turnover
4.41
Performance 45.65% · Measure score 4.41 · Achievement 4.41 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.97
Baseline 3.69 hours · Performance 3.92 hours · Measure score 2.97 · Achievement 2.97 · Improvement 0.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.8% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 7.81% · Lower 95% interval 6.11% |
| Discharge to community | 56.99% |
50.57%
6.4 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 51.02% · Lower 95% interval 45.53% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 35 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 43.75% |
53.69%
9.9 pts worse
|
Numerator 14 · Denominator 32 |
| Discharge mobility score | 43.75% |
50.94%
7.2 pts worse
|
Numerator 14 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 35 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 53 |
| Staff flu vaccination coverage | 12.99% |
42%
29 pts worse
|
Numerator 10 · Denominator 77 |
| Discharge function score | 43.75% |
56.45%
12.7 pts worse
|
Numerator 14 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · 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 | 2.8 |
2.3
0.5 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.3 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.9
0.9 pts better
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 30.5% |
90.3%
59.8 pts worse
|
93.4%
62.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 38.8% · Q3 33.3% · Q4 21.3% · 4Q avg 30.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 71.7% |
94.6%
22.9 pts worse
|
95.5%
23.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 71.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
4.5%
0.7 pts better
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.1% · Q3 3.9% · Q4 4.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.3%
3.3 pts better
|
11.4%
11.4 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 who lose too much weight | 5.4% |
3.6%
1.8 pts worse
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 12.2% · Q3 2.4% · Q4 2.3% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7% |
25.3%
13.6 pts better
|
19.6%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.9% · Q3 9.3% · Q4 11.6% · 4Q avg 11.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.3% |
18.6%
13.7 pts worse
|
16.7%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 31.0% · Q3 33.3% · Q4 32.4% · 4Q avg 32.3% · 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 | 59.9% |
15.5%
44.4 pts worse
|
16.3%
43.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 59.4% · 4Q avg 59.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.8% |
14.1%
23.7 pts worse
|
14.9%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.5% · Q2 41.0% · Q3 21.1% · Q4 35.9% · 4Q avg 37.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
2.1%
0.6 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 4.4% · Q3 2.0% · Q4 2.8% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.5% |
2.8%
7.7 pts worse
|
1.7%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 14.6% · Q3 14.0% · Q4 6.6% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
17.8%
10.4 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 21.1% · Q3 39.8% · Q4 22.0% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.1%
2.8 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 1.8% · Q4 3.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 21.0% |
75.0%
54 pts worse
|
81.7%
60.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 18.4% · Q3 20.7% · Q4 22.5% · 4Q avg 21.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
17.1%
2.6 pts better
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.7% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.0% |
1.9%
4.1 pts worse
|
1.6%
4.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 9.1% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 20.0% |
74.0%
54 pts worse
|
79.7%
59.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 20.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.2% |
27.0%
6.2 pts worse
|
23.9%
9.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.2% · Observed 32.4% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-27 · Fire 2024-03-27
13 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-09 · Fire 2023-02-09
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-28
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-12-19
F · Potential for more than minimal harm
2025-08-28
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-12-19
E · Potential for more than minimal harm
2025-08-28
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-12-19
C · Minimal harm
2025-08-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-28
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-10-03
E · Potential for more than minimal harm
2025-08-28
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 2025-10-03
D · Potential for more than minimal harm
2025-08-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-03
J · Immediate jeopardy
2025-05-20
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 2025-05-09
E · Potential for more than minimal harm
2024-03-27
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 2024-05-31
E · Potential for more than minimal harm
2024-03-27
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-31
E · Potential for more than minimal harm
2024-03-27
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-31
E · Potential for more than minimal harm
2024-03-27
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 2024-05-31
E · Potential for more than minimal harm
2024-03-27
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 2024-05-31
E · Potential for more than minimal harm
2024-03-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-31
E · Potential for more than minimal harm
2024-03-27
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-27
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-27
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-27
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 2024-05-31
D · Potential for more than minimal harm
2024-03-27
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-27
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 2024-05-31
E · Potential for more than minimal harm
2023-02-09
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 2023-04-01
Penalties and ownership
What sits behind the stars
$12,740
2025-05-20
Fine
Fine · fine $12,740
Fine
Ownership
Ihs Holding Inc
5% Or Greater Direct Ownership Interest · Organization
Reed, Bart
5% Or Greater Indirect Ownership Interest · Individual
Ihs Management Consultants Inc.
Operational/Managerial Control · Organization
Phillips, Jeanette
W-2 Managing Employee · Individual
Reed, Bart
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Jan Frances Care Center
Ada, OK
1-star overall rating with 1-star inspections with abuse icon flag with $20,750 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Ada Care Center
Ada, OK
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Callaway Nursing Home
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1-star overall rating with 1-star inspections with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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