Broken Arrow, OK

Cedarcrest Care Center

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1306 East College, Broken Arrow, OK

(918) 251-3200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.30

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

3.28

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.22

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

0.95

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.87

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.38

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

0.37

CMS adjusted RN staffing hours

Adjusted total hours

5.24

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

66%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,995

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

Performance score

37.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9910

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

1.31

Performance 58.33% · Measure score 1.31 · Achievement 1.31 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

6.26

Baseline 4.50 hours · Performance 4.86 hours · Measure score 6.26 · Achievement 6.26 · Improvement 2.32

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 12 · 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 3 · 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 3 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 3 · 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 1 · 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 65
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · 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 1.3 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.9 0.3 pts better	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.8 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.0%	90.3% 4.3 pts worse	93.4% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 85.2% · Q3 84.5% · Q4 90.0% · 4Q avg 86.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.9%	94.6% 2.3 pts better	95.5% 1.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	4.5% 2.4 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.7% · Q4 5.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	3.3% 2.8 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	4.1%	3.6% 0.5 pts worse	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.4%	25.3% 0.1 pts worse	19.6% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 26.7% · Q3 30.0% · Q4 22.0% · 4Q avg 25.4%
Percentage of long-stay residents who received an antipsychotic medication	12.0%	18.6% 6.6 pts better	16.7% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 12.8% · Q3 10.0% · Q4 10.8% · 4Q avg 12.0% · 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	10.7%	15.5% 4.8 pts better	16.3% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 6.2% · Q3 5.8% · Q4 11.3% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.1%	14.1% 7 pts better	14.9% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 4.5% · Q3 2.6% · Q4 7.5% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	2.1% 1.6 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.8% 2.8 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	7.2%	17.8% 10.6 pts better	19.8% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 3.1% · Q3 7.4% · Q4 10.7% · 4Q avg 7.2%
Percentage of long-stay residents with pressure ulcers	2.4%	5.1% 2.7 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.5% · Q3 1.4% · Q4 3.9% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	65.8%	75.0% 9.2 pts worse	81.7% 15.9 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 65.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-23 · Fire 2024-02-23

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-01-09 · Fire 2023-01-09

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-09-25 · Fire 2019-09-25

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-02-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-02-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-02-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-02-23

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-02-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-01-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-01

F · Potential for more than minimal harm 2023-01-09

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 2023-03-10

F · Potential for more than minimal harm 2023-01-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-10

E · Potential for more than minimal harm 2023-01-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-10

E · Potential for more than minimal harm 2023-01-09

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2023-03-10

C · Minimal harm 2023-01-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-17

F · Potential for more than minimal harm 2019-09-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-11-06

F · Potential for more than minimal harm 2019-09-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-27

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 2025-07-17

D · Potential for more than minimal harm 2025-03-04

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-07

E · Potential for more than minimal harm 2024-08-23

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 2024-09-17

E · Potential for more than minimal harm 2024-08-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-17

E · Potential for more than minimal harm 2024-08-23

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 2024-09-24

D · Potential for more than minimal harm 2024-08-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-23

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 2024-09-20

D · Potential for more than minimal harm 2024-02-23

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-03-19

D · Potential for more than minimal harm 2024-02-23

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 2024-03-19

D · Potential for more than minimal harm 2024-02-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-19

D · Potential for more than minimal harm 2023-11-22

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 2023-12-21

E · Potential for more than minimal harm 2023-01-09

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-01-09

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-01-09

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-01-09