Commerce, OK

Eastwood Manor

2-star overall rating with 3-star inspections with $72,882 in total fines with 7 recent health deficiencies

6th And Highway 69, Commerce, OK

(918) 675-4455

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Oklahoma Nursing Homes, Ltd.

Operator or chain grouping

Approved since

2008-07-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 2 overall / 3 health / 2 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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

8,773

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

Performance score

25.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9839

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 23.23% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.67

Baseline 7.23% · Performance 7.33% · Measure score 1.67 · Achievement 1.67 · Improvement 0

Total nurse turnover

3.66

Baseline 43.64% · Performance 48.72% · Measure score 3.66 · Achievement 3.66 · Improvement 0

Adjusted total nurse staffing

4.96

Baseline 4.60 hours · Performance 4.49 hours · Measure score 4.96 · Achievement 4.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.42%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 18.03% · Lower 95% interval 8.65%
Discharge to community	50.64%	50.57% 0.1 pts better	No Different than the National Rate · Eligible stays 59 · Observed rate 47.46% · Lower 95% interval 37.78%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	96.43%	95.27% 1.2 pts better	Numerator 27 · Denominator 28
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 28
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · 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 28 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.33%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 3.96%
Staff COVID-19 vaccination coverage	63.64%	8.2% 55.4 pts better	Numerator 28 · Denominator 44
Staff flu vaccination coverage	29.58%	42% 12.4 pts worse	Numerator 21 · Denominator 71
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
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	97.2%	94.6% 2.6 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	5.0%	4.5% 0.5 pts worse	3.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.9% · Q3 5.9% · Q4 2.7% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.0%	3.3% 0.3 pts better	11.4% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.9% · Q3 3.1% · Q4 0.0% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight	2.1%	3.6% 1.5 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 3.7% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	46.9%	25.3% 21.6 pts worse	19.6% 27.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 47.6% · Q3 48.0% · Q4 51.9% · 4Q avg 46.9%
Percentage of long-stay residents who received an antipsychotic medication	20.5%	18.6% 1.9 pts worse	16.7% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 20.0% · Q3 19.0% · Q4 27.3% · 4Q avg 20.5% · 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	29.4%	15.5% 13.9 pts worse	16.3% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	31.6%	14.1% 17.5 pts worse	14.9% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 42.9% · Q3 36.0% · Q4 19.2% · 4Q avg 31.6% · 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 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.8% 2.1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	32.5%	17.8% 14.7 pts worse	19.8% 12.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 39.2% · Q3 32.8% · Q4 31.0% · 4Q avg 32.5%
Percentage of long-stay residents with pressure ulcers	5.0%	5.1% 0.1 pts better	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.9% · Q3 0.0% · Q4 4.7% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.0%	75.0% 7 pts better	81.7% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 78.3% · Q3 84.0% · Q4 96.3% · 4Q avg 82.0%
Percentage of short-stay residents who had an outpatient emergency department visit	4.8%	17.1% 12.3 pts better	12.0% 7.2 pts better	Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 4.5% · Expected 10.6% · 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	61.5%	74.0% 12.5 pts worse	79.7% 18.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 61.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.7%	27.0% 2.7 pts worse	23.9% 5.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 27.3% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

7 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-19 · Fire 2023-12-19

9 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

7 health deficiencies

Top issue: Environmental (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-12-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-09

E · Potential for more than minimal harm 2023-12-19

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-09

F · Potential for more than minimal harm 2023-03-09

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-06-17

F · Potential for more than minimal harm 2023-03-09

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-03-09

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-19

F · Potential for more than minimal harm 2023-03-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-19

E · Potential for more than minimal harm 2023-03-09

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-06-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-27

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 2025-04-15

E · Potential for more than minimal harm 2025-02-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-02-27

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 2025-04-15

E · Potential for more than minimal harm 2025-02-27

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 2025-04-15

E · Potential for more than minimal harm 2025-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-02-27

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 2025-04-15

D · Potential for more than minimal harm 2025-02-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-15

E · Potential for more than minimal harm 2023-12-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-01-31

E · Potential for more than minimal harm 2023-12-19

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 2024-01-31

E · Potential for more than minimal harm 2023-12-19

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-01-31

E · Potential for more than minimal harm 2023-12-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-01-31

D · Potential for more than minimal harm 2023-12-19

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 2024-01-31

D · Potential for more than minimal harm 2023-12-19

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 2024-01-31

D · Potential for more than minimal harm 2023-12-19

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 2024-01-31

D · Potential for more than minimal harm 2023-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-31

D · Potential for more than minimal harm 2023-12-19

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 2024-01-31

E · Potential for more than minimal harm 2023-03-09

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2023-03-10