Federal inspection record · CMS data as of October 1, 2026
Blue River Healthcare, Inc
1105 East Main, Tishomingo, OK · (580) 371-2636
- Certified beds
- 70
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Elmbrook Management Company
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1997
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
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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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Blue River Healthcare, Inc carries 11 inspection points. That is fewer than 94% of Oklahoma's 281 rated homes.
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
7 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care2E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights1E
- E
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.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning1D
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspection history
2024-08-29
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-07-27
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2022-03-10
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 58 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 58 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 25% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 98.5% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 5.1% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts worse | 4.4% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 2.2% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24 pts worse | 50.0% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.5 pts better | 4.3% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15.2 pts worse | 28.2% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts worse | 20.3% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 3.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts better | 14.1% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 1.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11 pts worse | 65.5% | 76.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 0.0% | 1.8% | 1.5% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blue River Healthcare Inc. | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Blue River Healthcare Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Blue River Healthcare Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Coble, Tom | Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Coble, Tom | Corporate Officer · Individual | 0% | 10 facilities |
| Coble, Tom | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Coble, Tom | Adp Of The SNF · Individual | 0% | 10 facilities |
| Dixson, James | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Dixson, James | Adp Of The SNF · Individual | 0% | 5 facilities |
| Lodes, Jason | Corporate Officer · Individual | 0% | 9 facilities |
| Lodes, Jason | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Lodes, Jason | Adp Of The SNF · Individual | 0% | 9 facilities |
| Mcglamery, Dena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcglamery, Dena | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have exits that are accessible at all times.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Smoke3F
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems1D
- D
Have power receptacles that are properly grounded.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Brookside Nursing Center
Madill, OK · Elmbrook Management Company
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $31,530
-
Family Care Center Of Kingston
Kingston, OK
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 37 min
- Fines
- $0
-
The King's Daughters & Sons Nursing Home
Durant, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 39 min
- Fines
- $15,249