Federal inspection record · CMS data as of October 1, 2026

Baptist Village of Oklahoma City

9700 Mashburn Blvd, Oklahoma City, OK · (405) 721-2466

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
99
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 2000

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Oklahoma homes

Baptist Village of Oklahoma City carries 94.25 inspection points. That is fewer than 20% of Oklahoma's 281 rated homes.

5★4★3★2★1★+9 homes above 193.505102550100inspection points → fewer is better on the leftThis home · 94.25 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–14 pts
  • 4★ 14–36 pts
  • 3★ 36–55 pts
  • 2★ 55–95 pts
  • 1★ over 95 pts

Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

25 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 11 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. G

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

    October 1, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 23, 2025

  2. K

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

    July 19, 2024 · Standard inspection · Quality of Life and Care · F689 · Corrected August 29, 2024

  3. G

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    July 19, 2024 · Standard inspection · Quality of Life and Care · F688 · Corrected August 29, 2024

  4. G

    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.

    July 19, 2024 · Standard inspection · Pharmacy Service · F758 · Corrected August 29, 2024

Everything else, by area of care

Resident Rights7E
  1. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    July 19, 2024 · Standard · F565 · Corrected August 29, 2024

  2. E

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

    July 19, 2024 · Standard · F574 · Corrected August 29, 2024

  3. E

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    July 19, 2024 · Standard · F576 · Corrected August 29, 2024

  4. E

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

    July 19, 2024 · Standard · F577 · Corrected August 29, 2024

  5. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    July 19, 2024 · Standard · F585 · Corrected August 29, 2024

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 19, 2024 · Standard · F550 · Corrected August 29, 2024

  7. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    July 19, 2024 · Standard · F554 · Corrected August 29, 2024

Quality of Life and Care4E
  1. E

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

    October 1, 2025 · Complaint · F689 · Corrected November 10, 2025

  2. E

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

    July 19, 2024 · Standard · F684 · Corrected August 29, 2024

  3. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    July 19, 2024 · Standard · F700 · Corrected August 29, 2024

  4. D

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

    July 19, 2024 · Standard · F695 · Corrected August 29, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    October 16, 2024 · Complaint · F880 · Corrected November 1, 2024

  2. D

    Provide and implement an infection prevention and control program.

    July 19, 2024 · Standard · F880 · Corrected August 29, 2024

Nutrition and Dietary2F
  1. F

    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.

    July 19, 2024 · Standard · F803 · Corrected August 29, 2024

  2. E

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

    July 19, 2024 · Standard · F812 · Corrected August 29, 2024

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    July 19, 2024 · Standard · F641 · Corrected August 29, 2024

  2. D

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

    July 19, 2024 · Standard · F657 · Corrected August 29, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    October 16, 2024 · Complaint · F604 · Corrected September 25, 2024

Environmental1E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    July 19, 2024 · Standard · F919 · Corrected August 29, 2024

Nursing and Physician Services1D
  1. D

    Post nurse staffing information every day.

    July 19, 2024 · Standard · F732 · Corrected August 29, 2024

Administration1C
  1. C

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    July 19, 2024 · Standard · F838 · Corrected August 29, 2024

Inspection history

  1. 2025-10-01

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2024-07-19

    23 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (7 deficiencies)

  3. 2023-06-15

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 58 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

5 h 58 min

Oklahoma average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 50% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$28,695 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-01Fine$10,358
2024-07-19Fine$18,337

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better2.02.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better1.12.81.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better100.0%91.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better2.3%4.8%3.2%
Percentage of long-stay residents who have depressive symptoms0.4 pts better3.0%3.4%13.5%
Percentage of long-stay residents who lose too much weight5.8 pts worse9.0%3.2%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better22.2%26.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.7 pts better7.1%17.8%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.6 pts worse16.6%13.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse23.8%13.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better1.1%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse2.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse25.5%16.4%18.3%
Percentage of long-stay residents with pressure ulcers4.2 pts better0.5%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.3 pts better99.8%76.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better13.8%15.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better0.1%1.8%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20 pts better94.6%74.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts better26.1%26.8%23.4%

·

Who owns and runs it

87 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Baptist Village Retirement Communities Of Oklahoma, Inc5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Abbott, PaulCorporate Director · Individual0%3 facilities
Abbott, PaulAdp Of The SNF · Individual0%3 facilities
Bancfirst5% Or Greater Mortgage Interest · Organization0%2 facilities
BancfirstAdp Of The SNF · Organization0%2 facilities
Baptist Village Retirement Communities Of Oklahoma, IncOperational/Managerial Control · Organization0%3 facilities
Baptist Village Retirement Communities Of Oklahoma, IncAdp Of The SNF · Organization0%3 facilities
Barrett, JeanCorporate Director · Individual0%3 facilities
Barrett, JeanAdp Of The SNF · Individual0%3 facilities
Bell, KevinCorporate Director · Individual0%11 facilities
Bell, KevinAdp Of The SNF · Individual0%11 facilities
Briggs, ParnieceCorporate Director · Individual0%3 facilities
Briggs, ParnieceAdp Of The SNF · Individual0%3 facilities
Burrows, DougCorporate Director · Individual0%3 facilities
Burrows, DougAdp Of The SNF · Individual0%3 facilities
Davis, FrankCorporate Director · Individual0%3 facilities
Davis, FrankAdp Of The SNF · Individual0%3 facilities
Enlow, LindaCorporate Director · Individual0%3 facilities
Enlow, LindaAdp Of The SNF · Individual0%3 facilities
Fisher, ToddCorporate Director · Individual0%3 facilities
Fisher, ToddAdp Of The SNF · Individual0%3 facilities
Fluke, LauriCorporate Officer · Individual0%3 facilities
Fluke, LauriAdp Of The SNF · Individual0%3 facilities
Fuchs, KellyeCorporate Director · Individual0%3 facilities
Fuchs, KellyeAdp Of The SNF · Individual0%3 facilities
Gandy, MarkCorporate Director · Individual0%3 facilities
Gandy, MarkCorporate Officer · Individual0%3 facilities
Gandy, MarkAdp Of The SNF · Individual0%3 facilities
Gibbs, GeorgeCorporate Director · Individual0%3 facilities
Gibbs, GeorgeAdp Of The SNF · Individual0%3 facilities
Gibbs, LindaCorporate Director · Individual0%3 facilities
Gibbs, LindaAdp Of The SNF · Individual0%3 facilities
Goddard, CatherineCorporate Director · Individual0%3 facilities
Goddard, CatherineAdp Of The SNF · Individual0%3 facilities
Hall, MartinOperational/Managerial Control · Individual0%1 facilities
Hall, MartinAdp Of The SNF · Individual0%1 facilities
Haynes, NanCorporate Director · Individual0%3 facilities
Haynes, NanTrustee Of The SNF · Individual0%3 facilities
Haynes, NanAdp Of The SNF · Individual0%3 facilities
Johnson, MichaelCorporate Director · Individual0%7 facilities
Johnson, MichaelAdp Of The SNF · Individual0%7 facilities
Johnson, WillCorporate Director · Individual0%3 facilities
Johnson, WillAdp Of The SNF · Individual0%3 facilities
Koons, BrianCorporate Director · Individual0%3 facilities
Koons, BrianAdp Of The SNF · Individual0%3 facilities
Matlock, MichaelCorporate Director · Individual0%3 facilities
Matlock, MichaelAdp Of The SNF · Individual0%3 facilities
Mcfarland, RandallCorporate Director · Individual0%3 facilities
Mcfarland, RandallCorporate Officer · Individual0%3 facilities
Mcfarland, RandallAdp Of The SNF · Individual0%3 facilities
Mcpherson, AndyCorporate Director · Individual0%3 facilities
Mcpherson, AndyAdp Of The SNF · Individual0%3 facilities
Miles, JudyCorporate Director · Individual0%3 facilities
Miles, JudyAdp Of The SNF · Individual0%3 facilities
Miller, EddieCorporate Director · Individual0%3 facilities
Miller, EddieAdp Of The SNF · Individual0%3 facilities
Mink, JacquelineCorporate Director · Individual0%3 facilities
Mink, JacquelineAdp Of The SNF · Individual0%3 facilities
Pierce, WilliamCorporate Officer · Individual0%5 facilities
Pierce, WilliamOperational/Managerial Control · Individual0%5 facilities
Pierce, WilliamAdp Of The SNF · Individual0%5 facilities
Rooker, SusanCorporate Officer · Individual0%3 facilities
Rooker, SusanOperational/Managerial Control · Individual0%3 facilities
Rooker, SusanAdp Of The SNF · Individual0%3 facilities
Russell, KerryCorporate Director · Individual0%3 facilities
Russell, KerryAdp Of The SNF · Individual0%3 facilities
Russell, MaryCorporate Officer · Individual0%3 facilities
Scott, PaulCorporate Director · Individual0%3 facilities
Scott, PaulAdp Of The SNF · Individual0%3 facilities
Short, WendellCorporate Officer · Individual0%3 facilities
Short, WendellOperational/Managerial Control · Individual0%3 facilities
Short, WendellAdp Of The SNF · Individual0%3 facilities
Smith, MargaretCorporate Director · Individual0%3 facilities
Smith, MargaretAdp Of The SNF · Individual0%3 facilities
Staats, SamuelCorporate Director · Individual0%3 facilities
Staats, SamuelAdp Of The SNF · Individual0%3 facilities
Stewart, FriedaCorporate Officer · Individual0%3 facilities
Stewart, FriedaOperational/Managerial Control · Individual0%3 facilities
Stewart, FriedaAdp Of The SNF · Individual0%3 facilities
Thomas, StevenCorporate Officer · Individual0%3 facilities
Thomas, StevenOperational/Managerial Control · Individual0%3 facilities
Thomas, StevenAdp Of The SNF · Individual0%3 facilities
Trentham, MatthewCorporate Director · Individual0%3 facilities
Trentham, MatthewCorporate Officer · Individual0%3 facilities
Trentham, MatthewAdp Of The SNF · Individual0%3 facilities
Turner, JamesCorporate Director · Individual0%3 facilities
Turner, JamesAdp Of The SNF · Individual0%3 facilities

·

Fire safety

6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3E
  1. E

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

    July 19, 2024 · K374 · Corrected September 3, 2024

  2. E

    Provide properly protected cooking facilities.

    June 15, 2023 · K324 · Corrected December 19, 2023

  3. E

    Install corridor and hallway doors that block smoke.

    June 15, 2023 · K363 · Corrected December 19, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    July 19, 2024 · K712 · Corrected September 3, 2024

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 19, 2024 · K761 · Corrected September 3, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Have proper medical gas storage and administration areas.

    June 15, 2023 · K923 · Corrected December 19, 2023

·

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