Cycle 1
Health 2025-06-27 · Fire 2024-07-24
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Owasso, OK
Baptist Village Of Owasso
2-star overall rating with 2-star inspections with abuse icon flag with $23,060 in total fines with 7 recent health deficiencies
12600 East 73rd Street North, Owasso, OK
(918) 272-8007
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
74
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-05-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.15
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
4.54
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.16
CMS adjusted RN staffing hours
Adjusted total hours
5.39
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
66%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,291
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.13% · Performance 24.84% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.88
Baseline 6.06% · Performance 7.27% · Measure score 1.88 · Achievement 1.88 · Improvement 0
Total nurse turnover
0
Baseline 57.78% · Performance 63.44% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
5.07
Baseline 5.30 hours · Performance 4.52 hours · Measure score 5.07 · Achievement 5.07 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.31% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 9.35% · Lower 95% interval 7.23% |
| Discharge to community | 46.35% |
50.57%
4.2 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 42.42% · Lower 95% interval 36.08% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.67% |
95.27%
3.4 pts better
|
Numerator 74 · Denominator 75 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 75 |
| Discharge self-care score | 73.21% |
53.69%
19.5 pts better
|
Numerator 41 · Denominator 56 |
| Discharge mobility score | 62.5% |
50.94%
11.6 pts better
|
Numerator 35 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.33% |
2.29%
1 pts better
|
Numerator 1 · Denominator 75 · Adjusted rate 1.53% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 6.85% · Lower 95% interval 3.39% |
| Staff COVID-19 vaccination coverage | 4.8% |
8.2%
3.4 pts worse
|
Numerator 6 · Denominator 125 |
| Staff flu vaccination coverage | 11.57% |
42%
30.4 pts worse
|
Numerator 14 · Denominator 121 |
| Discharge function score | 64.29% |
56.45%
7.8 pts better
|
Numerator 36 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 10.87% |
25.2%
14.3 pts worse
|
Numerator 5 · Denominator 46 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.3
0.4 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.9
0.7 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 6.6% |
90.3%
83.7 pts worse
|
93.4%
86.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.3% · Q3 8.1% · Q4 5.1% · 4Q avg 6.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.8% |
94.6%
6.8 pts worse
|
95.5%
7.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
4.5%
3 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.6% · Q4 3.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.9% |
3.3%
5.6 pts worse
|
11.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.7% · Q3 7.5% · Q4 11.8% · 4Q avg 8.9% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
3.6%
4.4 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 8.3% · Q3 4.4% · Q4 4.8% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
25.3%
11.3 pts better
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 10.0% · Q3 19.1% · Q4 15.9% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.6% |
18.6%
11 pts better
|
16.7%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 8.1% · Q3 13.9% · Q4 4.9% · 4Q avg 7.6% · 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 | 18.4% |
15.5%
2.9 pts worse
|
16.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.4% |
14.1%
3.3 pts worse
|
14.9%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 26.2% · Q3 12.5% · Q4 15.0% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.5% |
2.1%
1.4 pts worse
|
1.0%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.9% · Q3 4.4% · Q4 4.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.0% |
2.8%
3.2 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.1% · Q3 3.3% · Q4 10.5% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
17.8%
1.4 pts worse
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 25.5% · Q3 14.0% · Q4 16.8% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.1%
1.3 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 5.9% · Q3 5.6% · Q4 2.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.1% |
75.0%
27.9 pts worse
|
81.7%
34.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 42.6% · Q3 59.3% · Q4 64.2% · 4Q avg 47.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
17.1%
7.1 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 10.5% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.9%
0.9 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.2% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.0% |
74.0%
25 pts worse
|
79.7%
30.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.7% |
27.0%
9.7 pts worse
|
23.9%
12.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.7% · Observed 39.5% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-24 · Fire 2023-06-29
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-29 · Fire 2021-04-13
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2025-06-27
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 2025-07-21
E · Potential for more than minimal harm
2025-06-27
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-07-21
D · Potential for more than minimal harm
2025-06-27
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-21
D · Potential for more than minimal harm
2025-06-27
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-21
D · Potential for more than minimal harm
2025-06-27
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 2025-07-21
D · Potential for more than minimal harm
2025-06-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-21
J · Immediate jeopardy
2025-03-11
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 2025-03-28
E · Potential for more than minimal harm
2024-07-24
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 2024-09-06
D · Potential for more than minimal harm
2024-07-24
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-07-24
F642 · Resident Assessment and Care Planning Deficiencies
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2024-09-06
E · Potential for more than minimal harm
2023-06-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-18
E · Potential for more than minimal harm
2023-06-29
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 2023-08-18
E · Potential for more than minimal harm
2023-06-29
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-08-18
E · Potential for more than minimal harm
2023-06-29
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2023-08-18
Penalties and ownership
What sits behind the stars
$14,015
2025-06-27
Fine
Fine · fine $14,015
Fine
$9,045
2025-03-11
Fine
Fine · fine $9,045
Fine
Ownership
Baptist Village Retirement Communities Of Oklahoma, Inc
5% Or Greater Direct Ownership Interest · Organization
Abbott, Paul
Corporate Director · Individual
Baptist Village Retirement Communities Of Oklahoma, Inc
Operational/Managerial Control · Organization
Barrett, Jean
Corporate Director · Individual
Bell, Kevin
Corporate Director · Individual
Briggs, Parniece
Corporate Director · Individual
Burrows, Doug
Corporate Director · Individual
Davis, Frank
Corporate Director · Individual
Enlow, Linda
Corporate Director · Individual
Epperson, Mitzi
Operational/Managerial Control · Individual
Fisher, Todd
Corporate Director · Individual
Fluke, Lauri
Operational/Managerial Control · Individual
Fluke, Lauri
Corporate Officer · Individual
Fuchs, Kellye
Corporate Director · Individual
Gandy, Mark
Corporate Director · Individual
Gandy, Mark
Corporate Officer · Individual
Gibbs, George
Corporate Director · Individual
Gibbs, Linda
Corporate Director · Individual
Goddard, Catherine
Corporate Director · Individual
Haynes, Nan
Corporate Director · Individual
Johnson, Michael
Corporate Director · Individual
Johnson, Will
Corporate Director · Individual
Koons, Brian
Corporate Director · Individual
Matlock, Michael
Corporate Director · Individual
Mcfarland, Randall
Corporate Director · Individual
Mcfarland, Randall
Corporate Officer · Individual
Mcpherson, Andy
Corporate Director · Individual
Miles, Judy
Corporate Director · Individual
Miller, Eddie
Corporate Director · Individual
Mink, Jacqueline
Corporate Director · Individual
Pierce, William
Operational/Managerial Control · Individual
Pierce, William
Corporate Officer · Individual
Rooker, Susan
Operational/Managerial Control · Individual
Rooker, Susan
Corporate Officer · Individual
Russell, Kerry
Corporate Director · Individual
Russell, Mary
Corporate Officer · Individual
Scott, Paul
Corporate Director · Individual
Short, Wendell
Operational/Managerial Control · Individual
Short, Wendell
Corporate Officer · Individual
Smith, Margaret
Corporate Director · Individual
Staats, Samuel
Corporate Director · Individual
Stewart, Frieda
Operational/Managerial Control · Individual
Stewart, Frieda
Corporate Officer · Individual
Thomas, Steven
Operational/Managerial Control · Individual
Thomas, Steven
Corporate Officer · Individual
Trentham, Matthew
Corporate Director · Individual
Trentham, Matthew
Corporate Officer · Individual
Turner, James
Corporate Director · Individual
Walkingstick, Steven
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Sequoyah Pointe Living Center
Owasso, OK
2-star overall rating with 4-star inspections with $52,192 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
The Highlands at Owasso
Owasso, OK
3-star overall rating with 3-star inspections with $12,735 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Rolling Hills Care Center
Catoosa, OK
5-star overall rating with 4-star inspections with 2 recent health deficiencies
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