15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Noble, OK
1-star overall rating with 1-star inspections with abuse icon flag with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1501 North 8th Street, Noble, OK
(405) 872-7102
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
75
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Stonegate Senior Living
Operator or chain grouping
Approved since
1995-11-01
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
0.22
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
2.22
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.40
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.19
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
0.25
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
8,903
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.12
Baseline 21.25% · Performance 20.91% · Measure score 1.12 · Achievement 1.12 · Improvement 0.31
Healthcare-associated infections
5.07
Baseline 7.72% · Performance 6.32% · Measure score 5.07 · Achievement 5.07 · Improvement 4.64
Total nurse turnover
1.76
Baseline 78.90% · Performance 66.67% · Measure score 1.76 · Achievement 0 · Improvement 1.76
Adjusted total nurse staffing
2.19
Baseline 3.42 hours · Performance 3.7 hours · Measure score 2.19 · Achievement 2.19 · Improvement 0.67
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 10.77% · Lower 95% interval 6.75% |
| Discharge to community | 41.19% |
50.57%
9.4 pts worse
|
No Different than the National Rate · Eligible stays 42 · Observed rate 30.95% · Lower 95% interval 28.4% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.73% |
95.27%
2.5 pts better
|
Numerator 43 · Denominator 44 |
| Falls with major injury | 4.55% |
0.77%
3.8 pts worse
|
Numerator 2 · Denominator 44 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 15 · Denominator 30 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 18 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 44 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.32% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 74 |
| Staff flu vaccination coverage | 4.9% |
42%
37.1 pts worse
|
Numerator 7 · Denominator 143 |
| Discharge function score | 53.33% |
56.45%
3.1 pts worse
|
Numerator 16 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 25 |
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 1.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.9
0.3 pts better
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
90.3%
4.9 pts better
|
93.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 95.4% · Q3 95.6% · Q4 97.2% · 4Q avg 95.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.6%
2.5 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
4.5%
3 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 0.0% · Q4 2.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
3.3%
2.5 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
3.6%
3.1 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
25.3%
1 pts better
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 20.4% · Q3 12.5% · Q4 44.6% · 4Q avg 24.3% |
| 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 12.1% · Q2 9.4% · Q3 12.8% · Q4 10.8% · 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 | 9.6% |
15.5%
5.9 pts better
|
16.3%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 10.7% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
14.1%
7.5 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.4% · Q3 9.4% · Q4 1.9% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
2.1%
1.7 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.8%
2.8 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 10.3% |
17.8%
7.5 pts better
|
19.8%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 12.3% · Q3 13.1% · Q4 9.2% · 4Q avg 10.3% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
5.1%
2.3 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 10.4% · Q3 7.8% · Q4 5.8% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.4% |
75.0%
7.4 pts better
|
81.7%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.1% · Q2 69.1% · Q3 81.6% · Q4 90.6% · 4Q avg 82.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.1% |
17.1%
7 pts worse
|
12.0%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 26.3% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.9%
0.6 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 4.2% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.5% |
74.0%
0.5 pts worse
|
79.7%
6.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.9% |
27.0%
4.9 pts worse
|
23.9%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 31.6% · Expected 23.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Rights (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-10-02
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-10-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-02
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-09-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-07
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 2022-02-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-07
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 2022-02-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-07
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-02-07
Inspection history
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-11
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-05
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 2025-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-01
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-01
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 2024-10-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-01
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 2024-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-01
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 2024-10-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-01
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 2023-09-01
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-01
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 2023-09-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
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 2023-09-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-06-20
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-20
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-02-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-02-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-02-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-02-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-07
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-02-07
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 2022-02-07
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-02-07
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-02-07
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 2022-02-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-02-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-02-07
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
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