Collinsville, OK

North County Center For Nursing And Rehabilitation

2-star overall rating with 2-star inspections with $17,641 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2300 West Broadway, Collinsville, OK

(918) 371-2545

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Rivers Edge Operations

Operator or chain grouping

Approved since

2006-12-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

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

0.32

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

1.13

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.85

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.69

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.49

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

0.37

CMS adjusted RN staffing hours

Adjusted total hours

4.53

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,040

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

Performance score

27.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9848

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.23% · Performance 24.19% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.94

Baseline 8.23% · Performance 6.14% · Measure score 5.94 · Achievement 5.65 · Improvement 5.94

Total nurse turnover

Baseline 62.50% · Performance 70.15% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

5.25

Baseline 5.39 hours · Performance 4.57 hours · Measure score 5.25 · Achievement 5.25 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.46%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 10.87% · Lower 95% interval 6.98%
Discharge to community	58.82%	50.57% 8.2 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 52.38% · Lower 95% interval 44.76%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.03%	2.29% 0.7 pts worse	Numerator 1 · Denominator 33 · Adjusted rate 2.63%
Healthcare-associated infections requiring hospitalization	6.15%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 3.13%
Staff COVID-19 vaccination coverage	1.14%	8.2% 7.1 pts worse	Numerator 1 · Denominator 88
Staff flu vaccination coverage	11.54%	42% 30.5 pts worse	Numerator 9 · Denominator 78
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	19.23%	25.2% 6 pts worse	Numerator 5 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.3 0.4 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.6 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.9 1.2 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.0 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	90.3% 7 pts better	93.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 94.9% · Q3 100.0% · Q4 100.0% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.0%	94.6% 0.4 pts better	95.5% 0.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	4.5% 4.5 pts better	3.3% 3.3 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 who have depressive symptoms	8.1%	3.3% 4.8 pts worse	11.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 18.2% · Q4 8.8% · 4Q avg 8.1%
Percentage of long-stay residents who lose too much weight	2.6%	3.6% 1 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.1%	25.3% 5.8 pts worse	19.6% 11.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 23.3% · Q3 31.0% · Q4 38.2% · 4Q avg 31.1%
Percentage of long-stay residents who received an antipsychotic medication	17.2%	18.6% 1.4 pts better	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 20.0% · Q3 14.3% · Q4 20.8% · 4Q avg 17.2% · 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	29.6%	15.5% 14.1 pts worse	16.3% 13.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.4%	14.1% 3.3 pts worse	14.9% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 17.9% · Q3 26.9% · Q4 25.0% · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	2.1% 0.6 pts better	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 2.5% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	2.8% 0.7 pts better	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 2.9% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.3%	17.8% 8.5 pts worse	19.8% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 45.1% · Q3 20.0% · Q4 18.3% · 4Q avg 26.3%
Percentage of long-stay residents with pressure ulcers	6.4%	5.1% 1.3 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.2% · Q3 4.9% · Q4 3.1% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.5%	75.0% 13.5 pts better	81.7% 6.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 85.2% · Q3 93.2% · Q4 97.3% · 4Q avg 88.5%
Percentage of short-stay residents who had an outpatient emergency department visit	20.7%	17.1% 3.6 pts worse	12.0% 8.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 20.7% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.9% 0.8 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	67.3%	74.0% 6.7 pts worse	79.7% 12.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 67.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.3%	27.0% 2.3 pts worse	23.9% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 31.0% · Expected 25.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-06 · Fire 2024-04-04

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-04-04 · Fire 2023-02-24

16 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

12 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2023-02-24 · Fire 2020-02-20

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-02

F · Potential for more than minimal harm 2024-04-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-02

F · Potential for more than minimal harm 2023-02-24

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-02-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-02-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-02-24

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-02-24

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-05-22

E · Potential for more than minimal harm 2023-02-24

K222 · Egress Deficiencies

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 2023-05-22

E · Potential for more than minimal harm 2023-02-24

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-05-22

E · Potential for more than minimal harm 2023-02-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-22

E · Potential for more than minimal harm 2023-02-24

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-05-22

E · Potential for more than minimal harm 2023-02-24

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 2023-05-22

E · Potential for more than minimal harm 2023-02-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-22

C · Minimal harm 2023-02-24

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-22

E · Potential for more than minimal harm 2020-02-20

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2020-03-06

E · Potential for more than minimal harm 2020-02-20

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 2020-03-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-06

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-06

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-09-30

J · Immediate jeopardy 2025-03-17

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-04-13

E · Potential for more than minimal harm 2024-07-26

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-08-16

E · Potential for more than minimal harm 2024-04-04

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-04-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-04-04

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-04-04

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-04-04