Cordell, OK

Cordell Nursing And Rehabilitation

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

1400 North College, Cordell, OK

(580) 832-3371

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.16

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

3.77

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.70

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

0.93

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

4.01

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.17

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

0.19

CMS adjusted RN staffing hours

Adjusted total hours

5.54

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

250

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

Performance score

75.71

Composite VBP score used to determine payment impact.

Payment multiplier

1.0247

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

7.53

Baseline 100.00% · Performance 39.62% · Measure score 7.53 · Achievement 5.89 · Improvement 7.53

Adjusted total nurse staffing

7.61

Baseline 5.29 hours · Performance 5.24 hours · Measure score 7.61 · Achievement 7.61 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 13 · 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 4 · 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 1 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 1 · 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 5 · 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 67
Staff flu vaccination coverage	1.25%	42% 40.8 pts worse	Numerator 1 · Denominator 80
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · 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 Not Available · Newly certified or not enough cases to report.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	2.3 1.4 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.5 · Expected 1.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	2.9 0.5 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 2.2 · Expected 1.1 · 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	97.9%	94.6% 3.3 pts better	95.5% 2.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	4.5% 1.3 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.3% · Q3 2.1% · Q4 2.1% · 4Q avg 3.2% · Used in QM five-star
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 · Q1 4.8% · Q2 8.9% · Q3 2.2% · Q4 10.9% · 4Q avg 6.7%
Percentage of long-stay residents who lose too much weight	4.7%	3.6% 1.1 pts worse	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 7.4% · Q4 3.8% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.3%	25.3% 9 pts worse	19.6% 14.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 37.0% · Q3 37.0% · Q4 29.6% · 4Q avg 34.3%
Percentage of long-stay residents who received an antipsychotic medication	23.5%	18.6% 4.9 pts worse	16.7% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 24.0% · Q3 23.1% · Q4 20.0% · 4Q avg 23.5% · 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	8.4%	15.5% 7.1 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.0%	14.1% 6.1 pts better	14.9% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 16.0% · Q3 8.0% · Q4 8.0% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	2.1% 1.7 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · 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	21.8%	17.8% 4 pts worse	19.8% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 20.2% · Q3 17.2% · Q4 30.3% · 4Q avg 21.8%
Percentage of long-stay residents with pressure ulcers	3.9%	5.1% 1.2 pts better	5.1% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 3.9% · Q3 3.7% · Q4 1.8% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	75.0% 25 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-05 · Fire 2025-09-05

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-04-25 · Fire 2024-04-25

11 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-15 · Fire 2023-03-15

2 health deficiencies

Top issue: Infection Control (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-10-31

F · Potential for more than minimal harm 2025-09-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-05

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 2025-10-31

E · Potential for more than minimal harm 2025-09-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-05

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-05

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-31

E · Potential for more than minimal harm 2023-03-15

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-05-15

E · Potential for more than minimal harm 2023-03-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-05

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-05

F868 · Administration Deficiencies

Health

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

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-09-05

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-09-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-09-05

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-31

E · Potential for more than minimal harm 2024-04-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-04-25

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-04-25

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 2024-06-12

E · Potential for more than minimal harm 2024-04-25

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 2024-06-12