Pryor, OK

Colonial Terrace Care Center

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1320 Northeast 1st Place, Pryor, OK

(918) 825-5311

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

Bgm Estate

Operator or chain grouping

Approved since

1997-04-14

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

0.38

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

0.91

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.97

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,725

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

Performance score

10.86

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

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

1.02

Baseline 7.76% · Performance 7.53% · Measure score 1.02 · Achievement 1.02 · Improvement 0.34

Total nurse turnover

Performance 73.91% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.24

Baseline 4.03 hours · Performance 3.72 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.8%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 11.63% · Lower 95% interval 7.53%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.36	1.02 0.3 pts worse
Drug regimen review with follow-up	24%	95.27% 71.3 pts worse	Numerator 6 · Denominator 25
Falls with major injury	4%	0.77% 3.2 pts worse	Numerator 1 · Denominator 25
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 25 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.53%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 9.38% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 42
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 49
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · 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	2.0	2.3 0.3 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.9 1.1 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.7 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.6% 5.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	4.5% 0.2 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.6% · Q3 5.7% · Q4 6.1% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	3.3% 3.3 pts better	11.4% 11.4 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 who lose too much weight	2.7%	3.6% 0.9 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	37.9%	25.3% 12.6 pts worse	19.6% 18.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 39.3% · Q3 37.0% · Q4 38.5% · 4Q avg 37.9%
Percentage of long-stay residents who received an antipsychotic medication	11.5%	18.6% 7.1 pts better	16.7% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 9.1% · 4Q avg 11.5% · 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	8.1%	15.5% 7.4 pts better	16.3% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	14.1% 8 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.7% · Q3 0.0% · Q4 0.0% · 4Q avg 6.1% · 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	1.4%	2.8% 1.4 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.2%	17.8% 8.6 pts better	19.8% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 11.1% · Q3 2.6% · Q4 8.8% · 4Q avg 9.2%
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 · Q1 3.9% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	73.9%	75.0% 1.1 pts worse	81.7% 7.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 86.4% · Q3 67.9% · Q4 59.3% · 4Q avg 73.9%
Percentage of short-stay residents who had an outpatient emergency department visit	7.5%	17.1% 9.6 pts better	12.0% 4.5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.7% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.6%	74.0% 8.6 pts better	79.7% 2.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.6%	27.0% 1.4 pts better	23.9% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 23.1% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-21 · Fire 2024-06-21

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-05-17 · Fire 2023-05-17

18 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-10-28 · Fire 2019-10-28

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-21

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-12

E · Potential for more than minimal harm 2024-06-21

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-12

F · Potential for more than minimal harm 2023-05-17

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-08-10

E · Potential for more than minimal harm 2023-05-17

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 2023-08-10

E · Potential for more than minimal harm 2023-05-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-10

E · Potential for more than minimal harm 2023-05-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-10

C · Minimal harm 2023-05-17

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-08-10

F · Potential for more than minimal harm 2019-10-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-20

E · Potential for more than minimal harm 2019-10-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-06-21

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 2024-08-27

E · Potential for more than minimal harm 2024-06-21

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 2024-08-27

E · Potential for more than minimal harm 2024-06-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-27

E · Potential for more than minimal harm 2024-06-21

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 2024-08-27

D · Potential for more than minimal harm 2024-06-21

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-27

D · Potential for more than minimal harm 2024-06-21

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-08-27

E · Potential for more than minimal harm 2024-04-11

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-31

F · Potential for more than minimal harm 2023-05-17

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 2023-06-26

E · Potential for more than minimal harm 2023-05-17

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 2023-06-26

E · Potential for more than minimal harm 2023-05-17

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 2023-06-26

E · Potential for more than minimal harm 2023-05-17

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 2023-06-26

E · Potential for more than minimal harm 2023-05-17

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 2023-06-26

E · Potential for more than minimal harm 2023-05-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-17

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-06-26