Cycle 1
Health 2025-08-01 · Fire 2025-08-01
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Elk City, OK
Elk City Nursing And Rehabilitation Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
301 North Garrett, Elk City, OK
(580) 225-2811
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
118
Certified beds
Average residents
46
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-11-14
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
0.25
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
3.08
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
4.20
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.18
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
0.31
CMS adjusted RN staffing hours
Adjusted total hours
5.19
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
42%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,880
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.33
Composite VBP score used to determine payment impact.
Payment multiplier
1.0080
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
2.51
Baseline 5.75% · Performance 7.08% · Measure score 2.51 · Achievement 2.51 · Improvement 0
Total nurse turnover
6.57
Baseline 44.44% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 3.38
Adjusted total nurse staffing
6.92
Baseline 3.89 hours · Performance 5.05 hours · Measure score 6.92 · Achievement 6.92 · Improvement 5.61
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 11.76% · Lower 95% interval 6.94% |
| Discharge to community | 50.93% |
50.57%
0.4 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 41.94% · Lower 95% interval 33.74% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 31 · Denominator 31 |
| Falls with major injury | 3.23% |
0.77%
2.5 pts worse
|
Numerator 1 · Denominator 31 |
| 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 | 3.23% |
2.29%
0.9 pts worse
|
Numerator 1 · Denominator 31 · Adjusted rate 2.46% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 3.42% |
| Staff COVID-19 vaccination coverage | 8.7% |
8.2%
0.5 pts better
|
Numerator 8 · Denominator 92 |
| 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 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 5 · Denominator 20 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
2.9
About the same
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.3 · Expected 1.3 · 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 | 5.3% |
4.5%
0.8 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.9% · Q3 4.8% · Q4 7.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
3.3%
1.6 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.4% · Q4 2.4% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
3.6%
2.2 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.1% · Q3 0.0% · Q4 6.9% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.3% |
25.3%
7 pts worse
|
19.6%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 36.4% · Q3 32.1% · Q4 27.6% · 4Q avg 32.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.4% |
18.6%
9.8 pts worse
|
16.7%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 30.0% · Q3 30.0% · Q4 26.1% · 4Q avg 28.4% · 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 | 18.5% |
15.5%
3 pts worse
|
16.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 26.7% · Q3 15.6% · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
14.1%
4.9 pts worse
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 31.2% · Q3 7.1% · Q4 10.3% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
2.1%
0.4 pts better
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 2.6% · Q4 2.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
2.8%
1.1 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 2.4% · Q4 9.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
17.8%
3.1 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 13.6% · Q3 10.9% · Q4 15.1% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.1%
2.9 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.3% · Q3 14.6% · Q4 5.0% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
75.0%
21.3 pts better
|
81.7%
14.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 95.5% · Q3 100.0% · Q4 100.0% · 4Q avg 96.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.3% |
17.1%
0.2 pts worse
|
12.0%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 17.2% · Expected 11.2% · 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 | 100.0% |
74.0%
26 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
27.0%
3 pts better
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 24.1% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-20 · Fire 2024-03-20
9 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-02 · Fire 2023-02-02
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-01
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 2025-08-20
E · Potential for more than minimal harm
2025-08-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-01
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 2025-09-15
D · Potential for more than minimal harm
2025-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-15
F · Potential for more than minimal harm
2024-03-20
F642 · Resident Assessment and Care Planning Deficiencies
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2024-05-06
E · Potential for more than minimal harm
2024-03-20
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-05-06
E · Potential for more than minimal harm
2024-03-20
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 2024-05-06
E · Potential for more than minimal harm
2024-03-20
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 2024-05-06
E · Potential for more than minimal harm
2024-03-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-20
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-20
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-20
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 2024-05-06
Penalties and ownership
What sits behind the stars
Ownership
Brown, James
5% Or Greater Direct Ownership Interest · Individual
David Braly Rev Trust
5% Or Greater Indirect Ownership Interest · Organization
Maria Trapp-Braly Rev Trust
5% Or Greater Indirect Ownership Interest · Organization
Elk 421, LLC
5% Or Greater Direct Ownership Interest · Organization
Bank, David
Operational/Managerial Control · Individual
Brimer, Armeldia
Operational/Managerial Control · Individual
Dout, Alexander
Corporate Officer · Individual
Fogle, Kimberly
Corporate Officer · Individual
Glosser, Patricia
Operational/Managerial Control · Individual
Hennigh, Cathy
Operational/Managerial Control · Individual
Hopper, Delanee
Operational/Managerial Control · Individual
Jernigan, Zina
Operational/Managerial Control · Individual
Leaper, Rocky
Operational/Managerial Control · Individual
White, Corrisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Bell Avenue Nursing Center
Elk City, OK
3-star overall rating with 4-star inspections with $31,008 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Hensley Nursing & Rehab
Sayre, OK
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
River Valley Skilled Nursing And Therapy
Clinton, OK
5-star overall rating with 5-star inspections with 2 recent health deficiencies
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