Oklahoma City, OK

Emerald Care Center Southwest LLC

1-star overall rating with 1-star inspections with $8,278 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

5600 South Walker, Oklahoma City, OK

(405) 632-7771

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Emerald Healthcare

Operator or chain grouping

Approved since

1993-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 2 overall / 2 health / 2 staffing / 2 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

0.41

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,769

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

Performance score

10.61

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

Baseline 19.15% · Performance 21.33% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.92% · Performance 8.14% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.49

Baseline 76.12% · Performance 60.81% · Measure score 2.49 · Achievement 0.70 · Improvement 2.49

Adjusted total nurse staffing

1.76

Baseline 3.85 hours · Performance 3.58 hours · Measure score 1.76 · Achievement 1.76 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.65%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 101 · Observed rate 15.84% · Lower 95% interval 8.42%
Discharge to community	51.79%	50.57% 1.2 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 45% · Lower 95% interval 41.79%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 103 · Denominator 103
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 103
Discharge self-care score	42.11%	53.69% 11.6 pts worse	Numerator 24 · Denominator 57
Discharge mobility score	36.84%	50.94% 14.1 pts worse	Numerator 21 · Denominator 57
Pressure ulcers or injuries, new or worsened	2.94%	2.29% 0.6 pts worse	Numerator 3 · Denominator 102 · Adjusted rate 2.35%
Healthcare-associated infections requiring hospitalization	8.14%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 60 · Observed rate 11.67% · Lower 95% interval 5.51%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 103
Staff flu vaccination coverage	11.76%	42% 30.2 pts worse	Numerator 18 · Denominator 153
Discharge function score	47.37%	56.45% 9.1 pts worse	Numerator 27 · Denominator 57
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 43 · Denominator 43
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.31%	25.2% 7.9 pts worse	Numerator 9 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	2.3 1 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.2	2.9 1.3 pts worse	1.8 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 4.7 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.3%	90.3% 4 pts worse	93.4% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 51.0% · Q2 96.0% · Q3 100.0% · Q4 100.0% · 4Q avg 86.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.7%	94.6% 8.9 pts worse	95.5% 9.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	4.5% 3.5 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	3.3% 2.2 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.3% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	1.2%	3.6% 2.4 pts better	5.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.4%	25.3% 5.9 pts better	19.6% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 22.7% · Q3 15.4% · Q4 14.6% · 4Q avg 19.4%
Percentage of long-stay residents who received an antipsychotic medication	15.5%	18.6% 3.1 pts better	16.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 12.0% · Q3 20.7% · Q4 10.3% · 4Q avg 15.5% · 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	3.8%	15.5% 11.7 pts better	16.3% 12.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.9%	14.1% 2.2 pts better	14.9% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 16.2% · Q3 5.6% · Q4 7.9% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.5%	2.1% 0.4 pts worse	1.0% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.3% · Q3 2.0% · Q4 2.2% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.7%	2.8% 0.1 pts better	1.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 8.2% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.3%	17.8% 10.5 pts worse	19.8% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 40.0% · Q3 28.4% · Q4 19.7% · 4Q avg 28.3%
Percentage of long-stay residents with pressure ulcers	10.4%	5.1% 5.3 pts worse	5.1% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 15.5% · Q3 5.5% · Q4 12.8% · 4Q avg 10.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.2%	75.0% 12.8 pts worse	81.7% 19.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 43.6% · Q3 73.4% · Q4 83.5% · 4Q avg 62.2%
Percentage of short-stay residents who had an outpatient emergency department visit	20.8%	17.1% 3.7 pts worse	12.0% 8.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 23.7% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.9% 0.4 pts better	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 3.2% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	69.0%	74.0% 5 pts worse	79.7% 10.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 69.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.8%	27.0% 1.8 pts worse	23.9% 4.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 32.9% · Expected 27.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-13 · Fire 2024-12-13

15 health deficiencies

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

2 fire-safety deficiencies

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

Cycle 2 Health 2023-08-18 · Fire 2023-08-18

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-12-21 · Fire 2021-12-21

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-21

E · Potential for more than minimal harm 2024-12-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-21

F · Potential for more than minimal harm 2023-08-18

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-01

E · Potential for more than minimal harm 2023-08-18

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 2024-04-01

E · Potential for more than minimal harm 2023-08-18

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 2024-04-01

E · Potential for more than minimal harm 2023-08-18

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-01

E · Potential for more than minimal harm 2021-12-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-02-01

E · Potential for more than minimal harm 2021-12-21

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2022-02-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-05

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 2026-02-17

G · Actual harm 2025-04-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-05

E · Potential for more than minimal harm 2025-04-09

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-05-05

E · Potential for more than minimal harm 2025-04-09

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-05

E · Potential for more than minimal harm 2025-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-05

D · Potential for more than minimal harm 2025-04-09

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 2025-05-05

D · Potential for more than minimal harm 2025-04-09

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-05-05

E · Potential for more than minimal harm 2024-12-13

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 2025-01-21

E · Potential for more than minimal harm 2024-12-13

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 2025-01-21

E · Potential for more than minimal harm 2024-12-13

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 2025-01-21

E · Potential for more than minimal harm 2024-12-13

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 2025-01-21

E · Potential for more than minimal harm 2024-12-13

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 2025-01-21

E · Potential for more than minimal harm 2024-12-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-01-21

E · Potential for more than minimal harm 2024-12-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-01-21

E · Potential for more than minimal harm 2024-12-13

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-21

D · Potential for more than minimal harm 2024-10-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-10-12

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 2024-11-11

E · Potential for more than minimal harm 2024-06-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-05-17

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 2024-06-28

D · Potential for more than minimal harm 2024-05-17

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 2024-06-28

E · Potential for more than minimal harm 2024-02-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-04

E · Potential for more than minimal harm 2024-02-05

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 2024-03-04

D · Potential for more than minimal harm 2024-02-05

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-02-05

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-02-05

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-02-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-04

E · Potential for more than minimal harm 2023-08-18

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 2023-09-27

E · Potential for more than minimal harm 2023-08-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-18

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-18

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 2023-09-27

E · Potential for more than minimal harm 2023-08-18

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-09-27

E · Potential for more than minimal harm 2023-08-18

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 2023-09-27

E · Potential for more than minimal harm 2023-08-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-18

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 2023-09-27

D · Potential for more than minimal harm 2023-08-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-18

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-18

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-03-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-16

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 2023-04-25

E · Potential for more than minimal harm 2021-12-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-01

E · Potential for more than minimal harm 2021-12-21

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-01

E · Potential for more than minimal harm 2021-12-21

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-02-01

E · Potential for more than minimal harm 2021-12-21

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 2022-02-01

Penalties and ownership