Muskogee, OK

Eastgate Village Care & Rehab Center

2-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3500 Haskell Blvd, Muskogee, OK

(918) 682-3191

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-09-01

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

0.31

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.76

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.04

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.34

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,657

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

Performance score

22.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.76

Baseline 23.17% · Performance 20.55% · Measure score 3.76 · Achievement 1.89 · Improvement 3.76

Healthcare-associated infections

3.78

Baseline 10.00% · Performance 7.86% · Measure score 3.78 · Achievement 0 · Improvement 3.78

Total nurse turnover

Baseline 63.75% · Performance 100.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.65

Baseline 3.6 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.22%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 107 · Observed rate 13.08% · Lower 95% interval 8.07%
Discharge to community	39.38%	50.57% 11.2 pts worse	Worse than the National Rate · Eligible stays 80 · Observed rate 31.25% · Lower 95% interval 29.8%
Medicare spending per beneficiary	1.36	1.02 0.3 pts worse
Drug regimen review with follow-up	98.82%	95.27% 3.5 pts better	Numerator 84 · Denominator 85
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 85
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.53%	2.29% 1.2 pts worse	Numerator 3 · Denominator 85 · Adjusted rate 2.77%
Healthcare-associated infections requiring hospitalization	7.86%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 62 · Observed rate 9.68% · Lower 95% interval 4.45%
Staff COVID-19 vaccination coverage	83.13%	8.2% 74.9 pts better	Numerator 69 · Denominator 83
Staff flu vaccination coverage	24.03%	42% 18 pts worse	Numerator 31 · Denominator 129
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	98.08%	95.95% 2.1 pts better	Numerator 51 · Denominator 52
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	3.85%	25.2% 21.3 pts worse	Numerator 2 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	2.3 0.3 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.9 1.7 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	90.3% 8.6 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.8% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.9%	94.6% 0.3 pts better	95.5% 0.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	4.5% 0.1 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.8% · Q3 5.6% · Q4 4.2% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.9%	3.3% 0.4 pts better	11.4% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.2% · Q3 1.6% · Q4 3.2% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight	1.0%	3.6% 2.6 pts better	5.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 2.0% · 4Q avg 1.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.6%	25.3% 3.7 pts better	19.6% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 23.4% · Q3 16.0% · Q4 23.5% · 4Q avg 21.6%
Percentage of long-stay residents who received an antipsychotic medication	8.4%	18.6% 10.2 pts better	16.7% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.1% · Q3 11.8% · Q4 5.6% · 4Q avg 8.4% · 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	1.8%	15.5% 13.7 pts better	16.3% 14.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	14.1% 9.8 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.3% · Q4 8.0% · 4Q avg 4.3% · 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	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	16.1%	17.8% 1.7 pts better	19.8% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 18.6% · Q3 21.2% · Q4 10.3% · 4Q avg 16.1%
Percentage of long-stay residents with pressure ulcers	3.5%	5.1% 1.6 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.6% · Q3 2.6% · Q4 6.3% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	75.0% 21.5 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.1% · Q4 89.5% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	13.7%	17.1% 3.4 pts better	12.0% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 14.1% · Expected 11.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	41.7%	74.0% 32.3 pts worse	79.7% 38 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 41.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.9%	27.0% 0.9 pts worse	23.9% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 26.8% · Expected 22.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

11 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-11-06 · Fire 2023-11-06

8 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-04-22 · Fire 2022-04-22

5 health deficiencies

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

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-06

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-03-24

F · Potential for more than minimal harm 2023-11-06

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-22

E · Potential for more than minimal harm 2023-11-06

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 2024-05-22

E · Potential for more than minimal harm 2023-11-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-22

C · Minimal harm 2023-11-06

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-22

C · Minimal harm 2023-11-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-22

F · Potential for more than minimal harm 2022-04-22

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-06-07

F · Potential for more than minimal harm 2022-04-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-06-07

E · Potential for more than minimal harm 2022-04-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-06-07

E · Potential for more than minimal harm 2022-04-22

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 2022-06-07

E · Potential for more than minimal harm 2022-04-22

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-07

E · Potential for more than minimal harm 2022-04-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-07

E · Potential for more than minimal harm 2022-04-22

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-07

E · Potential for more than minimal harm 2022-04-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-06-07

C · Minimal harm 2022-04-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-06-07

C · Minimal harm 2022-04-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-06-07

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-02

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 2025-06-22

E · Potential for more than minimal harm 2025-02-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-19

E · Potential for more than minimal harm 2025-02-06

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 2025-03-19

E · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-06

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 2025-03-19

D · Potential for more than minimal harm 2025-02-06

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-06

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-06

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 2025-03-19

D · Potential for more than minimal harm 2025-02-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-06

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 2025-03-19

D · Potential for more than minimal harm 2025-02-06

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 2025-03-19

F · Potential for more than minimal harm 2023-11-06

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 2023-12-26

D · Potential for more than minimal harm 2023-11-06

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 2023-12-26

D · Potential for more than minimal harm 2023-11-06

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 2023-12-26

D · Potential for more than minimal harm 2023-11-06

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-11-06

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-11-06

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 2023-12-26

D · Potential for more than minimal harm 2023-11-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-11-06

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-26

E · Potential for more than minimal harm 2022-04-22

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 2022-05-27

E · Potential for more than minimal harm 2022-04-22

F839 · Administration Deficiencies

Health

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2022-05-27

D · Potential for more than minimal harm 2022-04-22

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-05-27

D · Potential for more than minimal harm 2022-04-22

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 2022-05-27

D · Potential for more than minimal harm 2022-04-22

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 2022-05-27

Penalties and ownership