Oklahoma City, OK

Heritage Manor

1-star overall rating with 1-star inspections with $30,133 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

3804 North Barr Ave, Oklahoma City, OK

(405) 789-7103

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

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

No chain reported

Operator or chain grouping

Approved since

2006-11-08

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

0.21

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.17

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.25

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

0.26

CMS adjusted RN staffing hours

Adjusted total hours

4.18

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,633

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

Performance score

11.33

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Baseline 71.64% · Performance 86.89% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.27

Baseline 3.90 hours · Performance 3.72 hours · Measure score 2.27 · Achievement 2.27 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	95.24%	95.27% About the same	Numerator 20 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
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	9.52%	2.29% 7.2 pts worse	Numerator 2 · Denominator 21 · Adjusted rate 9.61%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	10%	8.2% 1.8 pts better	Numerator 5 · Denominator 50
Staff flu vaccination coverage	9.09%	42% 32.9 pts worse	Numerator 4 · Denominator 44
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 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · 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
Number of hospitalizations per 1000 long-stay resident days	0.7	2.3 1.6 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.9 1.3 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.1%	90.3% 16.2 pts worse	93.4% 19.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 66.7% · Q3 59.5% · Q4 72.1% · 4Q avg 74.1%
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	7.4%	4.5% 2.9 pts worse	3.3% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.5% · Q3 2.7% · Q4 4.7% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.6%	3.3% 3.3 pts worse	11.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 5.1% · Q3 2.9% · Q4 0.0% · 4Q avg 6.6%
Percentage of long-stay residents who lose too much weight	11.0%	3.6% 7.4 pts worse	5.4% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 8.8% · Q3 6.5% · Q4 10.5% · 4Q avg 11.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.9%	25.3% 0.6 pts worse	19.6% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 26.5% · Q3 21.9% · Q4 15.0% · 4Q avg 25.9%
Percentage of long-stay residents who received an antipsychotic medication	22.9%	18.6% 4.3 pts worse	16.7% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 29.2% · 4Q avg 22.9% · 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	13.0%	15.5% 2.5 pts better	16.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.1%	14.1% 6 pts better	14.9% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 6.2% · Q4 18.4% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	2.1% 0.7 pts better	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 2.5% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.8%	2.8% 1 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 8.3% · Q4 4.9% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.6%	17.8% 10.2 pts better	19.8% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 11.3% · Q3 7.3% · Q4 4.3% · 4Q avg 7.6%
Percentage of long-stay residents with pressure ulcers	4.4%	5.1% 0.7 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.4% · Q3 3.7% · Q4 6.2% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	41.4%	75.0% 33.6 pts worse	81.7% 40.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 51.7% · Q2 31.8% · Q3 29.2% · Q4 50.0% · 4Q avg 41.4%
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	1.9% 0.7 pts worse	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	47.8%	74.0% 26.2 pts worse	79.7% 31.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-21 · Fire 2025-11-21

7 health deficiencies

Top issue: Administration (2 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2024-05-23 · Fire 2024-05-23

16 health deficiencies

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

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-04-10 · Fire 2023-04-10

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-21

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-11-21

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-11-21

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-12-29

F · Potential for more than minimal harm 2025-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-29

E · Potential for more than minimal harm 2025-11-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-12-29

E · Potential for more than minimal harm 2025-11-21

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 2025-12-29

C · Minimal harm 2025-11-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-29

C · Minimal harm 2025-11-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-12-29

C · Minimal harm 2024-05-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-20

E · Potential for more than minimal harm 2023-04-10

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 2023-06-15

E · Potential for more than minimal harm 2023-04-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-06-15

E · Potential for more than minimal harm 2023-04-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-21

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-12-10

F · Potential for more than minimal harm 2025-11-21

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2025-12-10

E · Potential for more than minimal harm 2025-11-21

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-11-21

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 2025-11-24

D · Potential for more than minimal harm 2025-11-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-11-24

D · Potential for more than minimal harm 2025-11-21

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 2025-11-24

J · Immediate jeopardy 2025-03-24

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 2025-04-04

D · Potential for more than minimal harm 2024-10-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-24

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 2024-11-18

D · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-18

G · Actual harm 2024-05-23

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 2024-07-01

F · Potential for more than minimal harm 2024-05-23

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-07-01