Federal inspection record · CMS data as of October 1, 2026
Franciscan Villa
17110 East 51St Street, Broken Arrow, OK · (918) 355-1596
- Certified beds
- 110
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2008
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Franciscan Villa carries 42 inspection points. That is fewer than 57% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Pharmacy Service2E
- E
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning1D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-12-23
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2023-09-21
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2022-07-20
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 7 min of it from a registered nurse.
This home
3 h 24 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-11 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.9 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 98.6% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 97.3% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 2.9% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 2.9% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 0.5% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse | 29.7% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.2 pts better | 2.6% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.2 pts worse | 25.2% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts worse | 23.4% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.9% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.3% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse | 17.0% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.5% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 77.3% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better | 10.2% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.6% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.6 pts worse | 71.0% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 27.0% | 26.8% | 23.4% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bearer, Ruben | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Bearer, Ruben | Adp Of The SNF · Individual | 0% | 2 facilities |
| Franciscan Villa SNF Realty LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Franciscan Villa SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ganz, David | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Ganz, David | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Ganz, David | Adp Of The SNF · Individual | 0% | 17 facilities |
| Hanover, Yaacov | Indirect Ownership Interest · Individual | 0% | 6 facilities |
| Hanover, Yaacov | Adp Of The SNF · Individual | 0% | 6 facilities |
| Kravetz, Avrohom | Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Moore, Joseph | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Moore, Joseph | Adp Of The SNF · Individual | 0% | 4 facilities |
| Retter, S. Aryeh | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Retter, S. Aryeh | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Retter, S. Aryeh | Adp Of The SNF · Individual | 0% | 7 facilities |
| Rivers Edge Operations Iii LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Rivers Edge Partners Ii LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Rivers Edge Property Holdings Iii LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Skyblue Healthcare Management LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Skyblue Healthcare Management LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Provide properly protected cooking facilities.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Egress2E
- E
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.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Broken Arrow Nursing Home, Inc
Broken Arrow, OK
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
-
Cedarcrest Care Center
Broken Arrow, OK
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0
-
Aspen Health and Rehab
Broken Arrow, OK · Central Arkansas Nursing Centers
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 16 min
- Fines
- $35,721