Oklahoma City, OK

Bellevue Health & Rehabilitation Center

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

6500 North Portland Avenue, Oklahoma City, OK

(405) 767-6500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

142

Certified beds

Average residents

128

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1998-08-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.35

Registered nurse staffing

LPN hours / resident day

1.35

Licensed practical nurse staffing

Aide hours / resident day

2.84

Nurse aide staffing

Weekend hours

4.20

Weekend nurse staffing

RN turnover

59%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
2.3
1 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.3
2.9
0.4 pts worse
1.8
1.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
90.3%
9.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
94.6%
3 pts better
95.5%
2.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
4.5%
0.1 pts better
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.7%
3.3%
3.4 pts worse
11.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.4%
3.6%
3.8 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.0%
25.3%
0.3 pts better
19.6%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.1%
18.6%
15.5 pts better
16.7%
13.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 8.1%
15.5%
7.4 pts better
16.3%
8.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.9%
14.1%
3.8 pts worse
14.9%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
2.1%
1.8 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.9%
2.8%
1.1 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.5%
17.8%
1.7 pts worse
19.8%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.0%
5.1%
3.1 pts better
5.1%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
75.0%
21.7 pts better
81.7%
15 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.9%
17.1%
4.2 pts better
12.0%
0.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.9%
1.4 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.2%
74.0%
16.2 pts better
79.7%
10.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.6%
27.0%
2.4 pts better
23.9%
0.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-05 · Fire 2024-06-05

9 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-04-28 · Fire 2023-04-28

5 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-02-22 · Fire 2022-02-22

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-05

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-03

E · Potential for more than minimal harm 2023-04-28

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-06-29

E · Potential for more than minimal harm 2023-04-28

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-29

E · Potential for more than minimal harm 2023-04-28

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-06-29

E · Potential for more than minimal harm 2022-02-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-03-15

E · Potential for more than minimal harm 2022-02-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-03-15

E · Potential for more than minimal harm 2022-02-22

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2022-02-17

E · Potential for more than minimal harm 2022-02-22

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 2022-03-09

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-18

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2026-01-30

E · Potential for more than minimal harm 2025-12-18

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-09-11

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 2025-10-06

E · Potential for more than minimal harm 2024-06-05

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-05

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-05

D · Potential for more than minimal harm 2024-06-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-07-05

D · Potential for more than minimal harm 2024-06-05

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 2024-07-05

D · Potential for more than minimal harm 2024-06-05

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 2024-07-05

E · Potential for more than minimal harm 2023-04-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-04-28

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 2023-05-31

E · Potential for more than minimal harm 2023-04-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-04-28

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 2023-05-31

D · Potential for more than minimal harm 2023-04-28

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-05-31

E · Potential for more than minimal harm 2022-02-22

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-03-10

E · Potential for more than minimal harm 2022-02-22

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2022-03-18

Penalties and ownership

What sits behind the stars

Ownership

Bellevue Northwest Nursing Center LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-04-14
Bellevue Convalescent Hospital, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2023-04-14
Botello, David

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Botello, Haley

Operational/Managerial Control · Individual

0% 1 facilities 2021-11-02
Botello, Haley

Corporate Officer · Individual

0% 1 facilities 2021-11-02
Burgess, Diane

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Deaver, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Forvis Mazars Llp

Operational/Managerial Control · Organization

0% 80 facilities 2008-02-15
Fuechsel, Kelley

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Fuechsel, Kelley

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-14
Gfeller, Healther

Operational/Managerial Control · Individual

0% 1 facilities 2021-11-02
Gfeller, Healther

Corporate Officer · Individual

0% 1 facilities 2021-11-02
Hardeman, Nancy

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Meadows, Tamara

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-14
Rangel, Oscar

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Robert A. Thompson 2000 Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2023-04-14
Shirey, Brianne

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Stuart, Hollie

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Stuart, Matt

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Stuart, Matt

Corporate Officer · Individual

0% 1 facilities 2021-11-02
Thompson, Norman

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Thompson, Stephen

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2023-04-14
Thompson, Tara

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Thompson, Turner

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2023-04-14
Waxman, Kathleen

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01

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Health
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