Oklahoma City, OK

Meadowlake Estates

1-star overall rating with 1-star inspections with $36,260 in total fines with 10 recent health deficiencies

959 Southwest 107th Street, Oklahoma City, OK

(405) 703-3400

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stonegate Senior Living

Operator or chain grouping

Approved since

1996-04-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

24 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 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

0.24

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.07

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.16

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

0.28

CMS adjusted RN staffing hours

Adjusted total hours

4.10

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

33%

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

11,205

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

Performance score

17.68

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.24

Baseline 21.42% · Performance 20.86% · Measure score 1.24 · Achievement 1.24 · Improvement 0.78

Healthcare-associated infections

3.59

Baseline 8.56% · Performance 7.10% · Measure score 3.59 · Achievement 2.45 · Improvement 3.59

Total nurse turnover

Performance 67.52% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.24

Baseline 3.87 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.42%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 118 · Observed rate 7.63% · Lower 95% interval 6.66%
Discharge to community	55.87%	50.57% 5.3 pts better	No Different than the National Rate · Eligible stays 85 · Observed rate 52.94% · Lower 95% interval 46.99%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	96.15%	95.27% 0.9 pts better	Numerator 50 · Denominator 52
Falls with major injury	1.92%	0.77% 1.1 pts worse	Numerator 1 · Denominator 52
Discharge self-care score	31.03%	53.69% 22.7 pts worse	Numerator 9 · Denominator 29
Discharge mobility score	31.03%	50.94% 19.9 pts worse	Numerator 9 · Denominator 29
Pressure ulcers or injuries, new or worsened	1.92%	2.29% 0.4 pts better	Numerator 1 · Denominator 52 · Adjusted rate 1.82%
Healthcare-associated infections requiring hospitalization	7.1%	7.12% About the same	No Different than the National Rate · Eligible stays 44 · Observed rate 6.82% · Lower 95% interval 3.5%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 125
Staff flu vaccination coverage	11.03%	42% 31 pts worse	Numerator 15 · Denominator 136
Discharge function score	34.48%	56.45% 22 pts worse	Numerator 10 · Denominator 29
Transfer of health information to provider	82.61%	95.95% 13.3 pts worse	Numerator 19 · Denominator 23
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	10%	25.2% 15.2 pts worse	Numerator 2 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.3 0.2 pts better	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.5 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.9 0.8 pts better	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	90.3% 8 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 99.1% · Q3 100.0% · Q4 100.0% · 4Q avg 98.3%
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	1.2%	4.5% 3.3 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.9% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.0%	3.3% 1.3 pts better	11.4% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.0% · Q4 2.0% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight	0.9%	3.6% 2.7 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.6%	25.3% 9.7 pts better	19.6% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 13.8% · Q3 13.8% · Q4 14.3% · 4Q avg 15.6%
Percentage of long-stay residents who received an antipsychotic medication	11.3%	18.6% 7.3 pts better	16.7% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 12.5% · Q3 12.1% · Q4 12.3% · 4Q avg 11.3% · 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	7.5%	15.5% 8 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 4.5% · Q4 6.6% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.3%	14.1% 11.8 pts better	14.9% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.3% · Q3 1.3% · Q4 2.5% · 4Q avg 2.3% · 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 0.7% · Q2 2.4% · Q3 2.1% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	2.8% 2.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.5%	17.8% 12.3 pts better	19.8% 14.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.6% · Q3 1.9% · Q4 3.7% · 4Q avg 5.5%
Percentage of long-stay residents with pressure ulcers	5.2%	5.1% 0.1 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 6.7% · Q3 4.9% · Q4 1.9% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	68.3%	75.0% 6.7 pts worse	81.7% 13.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 55.6% · Q3 83.1% · Q4 90.2% · 4Q avg 68.3%
Percentage of short-stay residents who had an outpatient emergency department visit	23.9%	17.1% 6.8 pts worse	12.0% 11.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 25.7% · Expected 12.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.3%	74.0% 0.7 pts worse	79.7% 6.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.2%	27.0% 4.2 pts worse	23.9% 7.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.2% · Observed 31.4% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-06 · Fire 2025-01-06

10 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

6 health deficiencies

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

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-12-13 · Fire 2022-12-13

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

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 2023-11-30

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-04-15

F · Potential for more than minimal harm 2023-11-30

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-15

F · Potential for more than minimal harm 2023-11-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-15

F · Potential for more than minimal harm 2023-11-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-15

E · Potential for more than minimal harm 2023-11-30

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-15

E · Potential for more than minimal harm 2023-11-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-12

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 2025-04-07

E · Potential for more than minimal harm 2025-03-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-07

J · Immediate jeopardy 2025-01-06

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 2025-02-05

E · Potential for more than minimal harm 2025-01-06

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 2025-02-05

E · Potential for more than minimal harm 2025-01-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-05

D · Potential for more than minimal harm 2025-01-06

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 2025-02-05

D · Potential for more than minimal harm 2025-01-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-05

D · Potential for more than minimal harm 2025-01-06

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 2025-02-05

D · Potential for more than minimal harm 2025-01-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-05

D · Potential for more than minimal harm 2025-01-06

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 2025-02-05

D · Potential for more than minimal harm 2025-01-06

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-02-16

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-03-21

E · Potential for more than minimal harm 2024-02-16

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-03-21

E · Potential for more than minimal harm 2024-02-16

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 2024-03-21

E · Potential for more than minimal harm 2024-02-16

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-02-16

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-02-16

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-03-21

E · Potential for more than minimal harm 2023-11-30

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 2023-12-29

E · Potential for more than minimal harm 2023-11-30

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 2023-12-29

D · Potential for more than minimal harm 2023-11-30

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-11-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-11-30

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-12-29

K · Immediate jeopardy 2023-09-15

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 2023-10-12

J · Immediate jeopardy 2023-04-28

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 2023-05-24

J · Immediate jeopardy 2023-04-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-24

J · Immediate jeopardy 2023-04-28

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 2023-05-24

E · Potential for more than minimal harm 2023-04-28

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-04-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-24

E · Potential for more than minimal harm 2022-12-13

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 2023-01-13

E · Potential for more than minimal harm 2022-12-13

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-12-13