18 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Jones, OK
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $148,035 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1100 West Georgia, Jones, OK
(405) 400-2295
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-02-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.26
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.00
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
4.55
CMS adjusted total nurse staffing hours
Case-mix index
1.03
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
10,505
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.68
Baseline 19.45% · Performance 19.26% · Measure score 4.68 · Achievement 4.68 · Improvement 0.29
Healthcare-associated infections
1.78
Baseline 6.37% · Performance 7.30% · Measure score 1.78 · Achievement 1.78 · Improvement 0
Total nurse turnover
0
Performance 88.43% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.60
Baseline 4.47 hours · Performance 3.53 hours · Measure score 1.60 · Achievement 1.60 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.78% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 10.13% · Lower 95% interval 7.06% |
| Discharge to community | 37.57% |
50.57%
13 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 20.59% · Lower 95% interval 25.32% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.01% |
95.27%
1.7 pts better
|
Numerator 65 · Denominator 67 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 67 |
| Discharge self-care score | 42.5% |
53.69%
11.2 pts worse
|
Numerator 17 · Denominator 40 |
| Discharge mobility score | 42.5% |
50.94%
8.4 pts worse
|
Numerator 17 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 5.97% |
2.29%
3.7 pts worse
|
Numerator 4 · Denominator 67 · Adjusted rate 5.87% |
| Healthcare-associated infections requiring hospitalization | 7.3% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 7.55% · Lower 95% interval 4.17% |
| Staff COVID-19 vaccination coverage | 4.63% |
8.2%
3.6 pts worse
|
Numerator 5 · Denominator 108 |
| Staff flu vaccination coverage | 9.26% |
42%
32.7 pts worse
|
Numerator 10 · Denominator 108 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 20 · Denominator 40 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 9.09% |
25.2%
16.1 pts worse
|
Numerator 3 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.3
About the same
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.9
1.1 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
90.3%
1.8 pts worse
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 90.0% · Q3 88.1% · Q4 84.5% · 4Q avg 88.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.6%
2 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
4.5%
2.2 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.8% · Q3 1.8% · Q4 1.8% · 4Q avg 2.3% · 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 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
3.6%
4.8 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 8.2% · Q3 7.5% · Q4 5.6% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.1% |
25.3%
16.8 pts worse
|
19.6%
22.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.0% · Q2 45.6% · Q3 42.1% · Q4 39.4% · 4Q avg 42.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 57.3% |
18.6%
38.7 pts worse
|
16.7%
40.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.1% · Q2 54.8% · Q3 56.5% · Q4 55.9% · 4Q avg 57.3% · 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 | 19.9% |
15.5%
4.4 pts worse
|
16.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.5% · Q3 16.1% · Q4 31.5% · 4Q avg 19.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
14.1%
4.6 pts worse
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 15.3% · Q3 12.2% · Q4 25.6% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
2.1%
0.5 pts better
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.0% · Q3 2.0% · Q4 0.7% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.8%
2.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.9% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
17.8%
7.9 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 26.9% · Q3 20.9% · Q4 31.6% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
5.1%
0.7 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 6.7% · Q3 5.7% · Q4 8.2% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% |
75.0%
3.3 pts worse
|
81.7%
10 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.5% · Q2 60.6% · Q3 80.0% · Q4 77.8% · 4Q avg 71.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
17.1%
5 pts better
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 14.8% · Expected 13.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 12.5% |
1.9%
10.6 pts worse
|
1.6%
10.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.8% |
74.0%
21.2 pts worse
|
79.7%
26.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
27.0%
2.8 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 27.8% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-02-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-14
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-02-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-14
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-04-17
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-04-17
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 2024-04-17
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-18
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-17
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-04-17
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-04-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
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 2022-10-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-04
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-10-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-04
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-14
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-14
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 2025-02-14
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 2025-03-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-14
Health
Implement a program that monitors antibiotic use.
Corrected 2025-02-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-31
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 2024-12-31
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 2024-11-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-04
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-11-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-04
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-04-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-05
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 2024-03-05
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-02-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-02
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-12-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-18
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-12-18
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 2023-12-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-02
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-04
Penalties and ownership
Fine · fine $17,220
Fine
Fine · fine $14,015
Fine
Fine · fine $116,800
Fine
Payment Denial · denial start 2025-02-15 · 20 days
20 day denial
Payment Denial · denial start 2024-02-06 · 62 days
62 day denial
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
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