Bartlesville, OK

Bartlesville Health and Rehabilitation Community

1-star overall rating with 1-star inspections with $75,816 in total fines with 8 recent health deficiencies

3434 Kentucky Place, Bartlesville, OK

(918) 333-9545

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-04-01

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

0.11

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

3.38

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.46

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.09

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

4.07

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.10

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

0.13

CMS adjusted RN staffing hours

Adjusted total hours

5.59

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

10,614

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

Performance score

19.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.40% · Performance 21.48% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.46% · Performance 7.91% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

5.93

Baseline 4.14 hours · Performance 4.76 hours · Measure score 5.93 · Achievement 5.93 · Improvement 3.29

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.99%
10.72%
2.3 pts worse
No Different than the National Rate · Eligible stays 99 · Observed rate 17.17% · Lower 95% interval 8.95%
Discharge to community 43.76%
50.57%
6.8 pts worse
No Different than the National Rate · Eligible stays 62 · Observed rate 38.71% · Lower 95% interval 35.07%
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 97.18%
95.27%
1.9 pts better
Numerator 69 · Denominator 71
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 71
Discharge self-care score 50.85%
53.69%
2.8 pts worse
Numerator 30 · Denominator 59
Discharge mobility score 59.32%
50.94%
8.4 pts better
Numerator 35 · Denominator 59
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 71 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.91%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 54 · Observed rate 9.26% · Lower 95% interval 4.37%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 151
Staff flu vaccination coverage 3.47%
42%
38.5 pts worse
Numerator 6 · Denominator 173
Discharge function score 69.49%
56.45%
13 pts better
Numerator 41 · Denominator 59
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 28 · Denominator 28
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 35

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 2.2 · 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 2.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
90.3%
1.8 pts better
93.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 77.4% · Q2 100.0% · Q3 96.1% · Q4 93.3% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.6%
94.6%
4 pts better
95.5%
3.1 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
4.5%
2.3 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.2% · Q3 6.5% · Q4 9.3% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.5%
3.3%
0.8 pts better
11.4%
8.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 3.0% · Q4 3.2% · 4Q avg 2.5%
Percentage of long-stay residents who lose too much weight 6.6%
3.6%
3 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 3.6% · Q3 4.9% · Q4 6.9% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.5%
25.3%
8.8 pts better
19.6%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 20.7% · Q3 16.7% · Q4 11.7% · 4Q avg 16.5%
Percentage of long-stay residents who received an antipsychotic medication 10.0%
18.6%
8.6 pts better
16.7%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 6.1% · Q3 8.3% · Q4 10.2% · 4Q avg 10.0% · 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 19.9%
15.5%
4.4 pts worse
16.3%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 20.4% · Q3 22.4% · Q4 16.9% · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.4%
14.1%
6.3 pts worse
14.9%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 18.2% · Q3 20.0% · Q4 22.0% · 4Q avg 20.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.6%
2.1%
3.5 pts worse
1.0%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.7% · Q3 3.9% · Q4 5.3% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 7.9%
2.8%
5.1 pts worse
1.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.8% · Q3 9.7% · Q4 5.5% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.5%
17.8%
6.7 pts worse
19.8%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 17.8% · Q3 25.6% · Q4 29.1% · 4Q avg 24.5%
Percentage of long-stay residents with pressure ulcers 3.6%
5.1%
1.5 pts better
5.1%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.1% · Q3 2.8% · Q4 4.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.4%
75.0%
1.6 pts worse
81.7%
8.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 72.1% · Q2 81.2% · Q3 71.7% · Q4 67.9% · 4Q avg 73.4%
Percentage of short-stay residents who had an outpatient emergency department visit 6.7%
17.1%
10.4 pts better
12.0%
5.3 pts better
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.3% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.4%
1.9%
0.5 pts better
1.6%
0.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.1%
74.0%
15.1 pts better
79.7%
9.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.7%
27.0%
8.3 pts better
23.9%
5.2 pts better
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 15.9% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-04 · Fire 2024-12-04

8 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-08-28 · Fire 2023-08-28

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-12-16 · Fire 2021-12-16

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2021-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-01-20

E · Potential for more than minimal harm 2021-12-16

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 2022-01-20

Inspection history

Recent health citations

J · Immediate jeopardy 2026-01-12

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Not marked corrected

E · Potential for more than minimal harm 2024-12-04

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-12-04

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 2024-12-20

E · Potential for more than minimal harm 2024-12-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-04

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 2024-12-20

D · Potential for more than minimal harm 2024-12-04

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 2024-12-20

D · Potential for more than minimal harm 2024-12-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-04

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 2024-12-20

E · Potential for more than minimal harm 2024-03-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-08

H · Actual harm 2023-08-28

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 2023-09-27

F · Potential for more than minimal harm 2023-08-28

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 2024-01-12

E · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2023-08-28

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2023-08-28

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-28

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 2023-09-27

E · Potential for more than minimal harm 2021-12-16

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-01-20

E · Potential for more than minimal harm 2021-12-16

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-01-20

E · Potential for more than minimal harm 2021-12-16

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 2022-01-20

E · Potential for more than minimal harm 2021-12-16

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 2022-01-20

Penalties and ownership

What sits behind the stars

$14,020 2026-01-12

Fine

Fine · fine $14,020

Fine

$61,796 2023-08-28

Fine

Fine · fine $61,796

Fine

$0 2023-08-28

Payment Denial

Payment Denial · denial start 2023-09-28 · 106 days

106 day denial

Ownership

Bhrc LLC

5% Or Greater Indirect Ownership Interest · Organization

100% 1 facilities 2012-11-01
Dout, Alexander

5% Or Greater Direct Ownership Interest · Individual

50% 3 facilities 2012-11-01
Wilkins, Tony

5% Or Greater Direct Ownership Interest · Individual

50% 2 facilities 2012-11-01
Davito, William

Operational/Managerial Control · Individual

0% 1 facilities 2004-05-01
Dout, Alexander

Corporate Officer · Individual

0% 3 facilities 2012-11-01
Driggers, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-08
Fogle, Kimberly

Corporate Officer · Individual

0% 3 facilities 2023-04-30
Fowler, Tammy

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-31
Holmes, Logan

Operational/Managerial Control · Individual

0% 1 facilities 2025-09-01
Rumsey, Kenneth

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-01
Ryan, Kristen

Operational/Managerial Control · Individual

0% 1 facilities 2010-06-28
Vaclaw, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2004-05-01
Wilkins, Tony

Corporate Officer · Individual

0% 2 facilities 2012-11-01

Nearby options

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2-star overall rating with 2-star inspections with $8,278 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$8,278
#2

Medicalodges Dewey

Dewey, OK

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#3

Ignite Medical Resort Adams Parc

Bartlesville, OK

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
2 / 5
Fines
$0

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