15 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Norman, OK
1-star overall rating with 1-star inspections with Special Focus status with $21,962 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
3110 Healthplex Drive, Norman, OK
(405) 321-2188
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
Beds
104
Certified beds
Average residents
94
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Stonegate Senior Living
Operator or chain grouping
Approved since
2012-06-01
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.29
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.67
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
6,376
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9875
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.76
Baseline 25.41% · Performance 20.16% · Measure score 5.76 · Achievement 2.74 · Improvement 5.76
Healthcare-associated infections
2.95
Baseline 6.61% · Performance 6.95% · Measure score 2.95 · Achievement 2.95 · Improvement 0
Total nurse turnover
3.22
Performance 50.52% · Measure score 3.22 · Achievement 3.22 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.31
Baseline 3.54 hours · Performance 3.45 hours · Measure score 1.31 · Achievement 1.31 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.32% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 391 · Observed rate 13.81% · Lower 95% interval 9.51% |
| Discharge to community | 61.07% |
50.57%
10.5 pts better
|
Better than the National Rate · Eligible stays 355 · Observed rate 54.93% · Lower 95% interval 56.09% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.71% |
95.27%
2.4 pts better
|
Numerator 256 · Denominator 262 |
| Falls with major injury | 0.76% |
0.77%
About the same
|
Numerator 2 · Denominator 262 |
| Discharge self-care score | 41.75% |
53.69%
11.9 pts worse
|
Numerator 81 · Denominator 194 |
| Discharge mobility score | 56.19% |
50.94%
5.2 pts better
|
Numerator 109 · Denominator 194 |
| Pressure ulcers or injuries, new or worsened | 1.91% |
2.29%
0.4 pts better
|
Numerator 5 · Denominator 262 · Adjusted rate 2.28% |
| Healthcare-associated infections requiring hospitalization | 6.95% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 257 · Observed rate 7% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 112 |
| Staff flu vaccination coverage | 9.7% |
42%
32.3 pts worse
|
Numerator 13 · Denominator 134 |
| Discharge function score | 47.94% |
56.45%
8.5 pts worse
|
Numerator 93 · Denominator 194 |
| Transfer of health information to provider | 75.13% |
95.95%
20.8 pts worse
|
Numerator 145 · Denominator 193 |
| Transfer of health information to patient | 73.33% |
96.28%
23 pts worse
|
Numerator 33 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 9.68% |
25.2%
15.5 pts worse
|
Numerator 12 · Denominator 124 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 2.1 · Expected 3.5 · 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 2.3 · Expected 2.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
90.3%
9.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.1% · 4Q avg 99.6% |
| 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 | 4.9% |
4.5%
0.4 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.8% · Q3 6.1% · Q4 9.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
3.3%
3.3 pts better
|
11.4%
11.4 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 who lose too much weight | 6.4% |
3.6%
2.8 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 6.2% · Q3 0.0% · Q4 0.0% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
25.3%
5.5 pts better
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 16.7% · Q3 20.0% · Q4 17.4% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.6% |
18.6%
12 pts better
|
16.7%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.6% · Q3 10.0% · Q4 6.1% · 4Q avg 6.6% · 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 | 14.0% |
15.5%
1.5 pts better
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% |
14.1%
4.7 pts better
|
14.9%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 6.7% · Q3 4.7% · Q4 9.1% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
2.1%
0.8 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.5% · Q3 0.0% · Q4 3.1% · 4Q avg 2.9% · 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 1.6% · Q2 0.0% · Q3 0.0% · 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 | 9.9% |
17.8%
7.9 pts better
|
19.8%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 13.2% · Q3 4.1% · Q4 3.9% · 4Q avg 9.9% |
| Percentage of long-stay residents with pressure ulcers | 14.0% |
5.1%
8.9 pts worse
|
5.1%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.8% · Q3 8.3% · Q4 13.2% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.5% |
75.0%
9.5 pts better
|
81.7%
2.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 91.0% · Q3 75.7% · Q4 77.1% · 4Q avg 84.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
17.1%
3.2 pts better
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.7% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.4% · Q3 0.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.3% |
74.0%
16.3 pts better
|
79.7%
10.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
27.0%
0.8 pts better
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 25.0% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
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 2025-02-27
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-28
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-02-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-03-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-08
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-08
Inspection history
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-18
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-18
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-08-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-27
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 2025-02-27
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-02-27
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-02-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-02-27
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-02-27
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-27
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-27
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-02-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-15
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-15
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-01-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-06
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-12-06
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 2023-12-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-06
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-06
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 2023-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-06
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-12-06
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-12-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-06
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-06
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-12-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-09
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-07
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 2023-04-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-07
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-11-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-08
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 2022-11-08
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-11-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-11-08
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-11-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-17
Penalties and ownership
Fine · fine $21,962
Fine
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Nearby options
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