Holdenville, OK

Boyce Manor Nursing Home

1-star overall rating with 1-star inspections with abuse icon flag with $90,201 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1600 East Highway, Holdenville, OK

(405) 379-5443

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bgm Estate

Operator or chain grouping

Approved since

2013-10-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 2 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

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

0.21

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

2.88

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

0.97

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

2.60

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.35

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

0.30

CMS adjusted RN staffing hours

Adjusted total hours

4.10

CMS adjusted total nurse staffing hours

Case-mix index

0.96

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

63%

Annual nurse turnover · state 56% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 46
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 52
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

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 1.5 · Expected 1.5 · Used in QM five-star
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 · Adjusted 3.3 · Observed 3.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.3%	90.3% 16 pts worse	93.4% 19.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 59.6% · Q2 82.0% · Q3 80.0% · Q4 77.3% · 4Q avg 74.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.4%	94.6% 4.2 pts worse	95.5% 5.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	4.5% 2.9 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 0.0% · Q4 2.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	3.3% 1.6 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	5.8%	3.6% 2.2 pts worse	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.5% · Q3 2.4% · Q4 4.9% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.2%	25.3% 4.1 pts better	19.6% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 23.4% · Q3 19.0% · Q4 19.5% · 4Q avg 21.2%
Percentage of long-stay residents who received an antipsychotic medication	43.3%	18.6% 24.7 pts worse	16.7% 26.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.2% · Q2 42.9% · Q3 40.9% · Q4 37.5% · 4Q avg 43.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.5%	0.1% 0.4 pts worse	0.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents whose ability to walk independently worsened	9.0%	15.5% 6.5 pts better	16.3% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 11.2% · Q3 4.4% · Q4 13.6% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.8%	14.1% 2.3 pts better	14.9% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.4% · Q3 4.8% · Q4 7.3% · 4Q avg 11.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.1% 2.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	2.8% 1.7 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.8%	17.8% 11 pts better	19.8% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 9.6% · Q3 1.9% · Q4 3.9% · 4Q avg 6.8%
Percentage of long-stay residents with pressure ulcers	2.6%	5.1% 2.5 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.5% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	43.3%	75.0% 31.7 pts worse	81.7% 38.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 43.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-11 · Fire 2025-02-11

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-12-07 · Fire 2023-12-07

13 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-12-05 · Fire 2022-12-05

12 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-03-13

E · Potential for more than minimal harm 2025-02-11

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-03-13

E · Potential for more than minimal harm 2025-02-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-13

F · Potential for more than minimal harm 2023-12-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-20

F · Potential for more than minimal harm 2023-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-20

E · Potential for more than minimal harm 2023-12-07

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-04-20

E · Potential for more than minimal harm 2022-12-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-12-23

E · Potential for more than minimal harm 2022-12-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-23

C · Minimal harm 2022-12-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-12-23

C · Minimal harm 2022-12-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-23

Inspection history

Recent health citations

J · Immediate jeopardy 2025-05-03

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 2025-05-04

D · Potential for more than minimal harm 2025-05-03

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 2025-05-04

E · Potential for more than minimal harm 2025-02-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-23

E · Potential for more than minimal harm 2025-02-11

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-02-23

D · Potential for more than minimal harm 2025-02-11

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-02-23

D · Potential for more than minimal harm 2025-02-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-23

D · Potential for more than minimal harm 2025-02-11

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 2025-02-23

J · Immediate jeopardy 2024-12-17

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 2024-12-18

E · Potential for more than minimal harm 2024-12-17

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 2024-12-18

F · Potential for more than minimal harm 2023-12-07

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 2024-01-22

F · Potential for more than minimal harm 2023-12-07

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-02-05

E · Potential for more than minimal harm 2023-12-07

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-01-22

E · Potential for more than minimal harm 2023-12-07

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-01-22

E · Potential for more than minimal harm 2023-12-07

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 2024-01-22

E · Potential for more than minimal harm 2023-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-07

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-07

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 2024-01-22

D · Potential for more than minimal harm 2023-12-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-01-22

K · Immediate jeopardy 2022-12-05

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 2023-02-20

F · Potential for more than minimal harm 2022-12-05

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-02-20

E · Potential for more than minimal harm 2022-12-05

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-02-20

E · Potential for more than minimal harm 2022-12-05

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 2023-02-20

E · Potential for more than minimal harm 2022-12-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-23

E · Potential for more than minimal harm 2022-12-05

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 2023-02-20

E · Potential for more than minimal harm 2022-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-23

D · Potential for more than minimal harm 2022-12-05

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 2022-12-23

D · Potential for more than minimal harm 2022-12-05

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-12-23

D · Potential for more than minimal harm 2022-12-05

F770 · Administration Deficiencies

Health

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

Corrected 2022-12-23

D · Potential for more than minimal harm 2022-12-05

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2022-12-23

D · Potential for more than minimal harm 2022-12-05

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2022-12-23

Penalties and ownership

What sits behind the stars

$12,165 2025-05-03

Fine

Fine · fine $12,165

Fine

$78,036 2024-12-17

Fine

Fine · fine $78,036

Fine

Ownership

Tiffany Seay Exempt Tr

5% Or Greater Direct Ownership Interest · Organization

27% 9 facilities 2025-12-12

Philip Marion Green Exempt Tr Cu Gilbert F Green Tr

5% Or Greater Direct Ownership Interest · Organization

23% 9 facilities 2025-12-12

Mitchell, Kelly

5% Or Greater Direct Ownership Interest · Individual

13% 14 facilities 2020-12-27

Mitchell, Marcinda

5% Or Greater Direct Ownership Interest · Individual

13% 11 facilities 2020-12-27

Mitchell, Robert

5% Or Greater Direct Ownership Interest · Individual

13% 12 facilities 2020-12-27

Tabor, Angela

5% Or Greater Direct Ownership Interest · Individual

13% 11 facilities 2020-12-27

Agodi, Faith