7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Durant, OK
2-star overall rating with 3-star inspections with $14,069 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1100 Oak Ridge Drive, Durant, OK
(580) 634-4710
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
104
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Elmbrook Management Company
Operator or chain grouping
Approved since
1999-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 4 health / 3 staffing / 2 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
0.37
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.13
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
0.00
Reported PT staffing
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
13,171
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.50% · Performance 24.66% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.01% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 73.44% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.10
Baseline 4 hours · Performance 3.96 hours · Measure score 3.10 · Achievement 3.10 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.34% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 93 · Observed rate 20.43% · Lower 95% interval 9.14% |
| Discharge to community | 40.72% |
50.57%
9.9 pts worse
|
Worse than the National Rate · Eligible stays 81 · Observed rate 33.33% · Lower 95% interval 31.62% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.25% |
95.27%
1 pts better
|
Numerator 77 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 23.81% |
53.69%
29.9 pts worse
|
Numerator 10 · Denominator 42 |
| Discharge mobility score | 14.29% |
50.94%
36.6 pts worse
|
Numerator 6 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 3.75% |
2.29%
1.5 pts worse
|
Numerator 3 · Denominator 80 · Adjusted rate 3.88% |
| Healthcare-associated infections requiring hospitalization | 8.17% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 11.67% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 82 |
| Staff flu vaccination coverage | 5.47% |
42%
36.5 pts worse
|
Numerator 7 · Denominator 128 |
| Discharge function score | 35.71% |
56.45%
20.7 pts worse
|
Numerator 15 · Denominator 42 |
| Transfer of health information to provider | 95% |
95.95%
1 pts worse
|
Numerator 19 · Denominator 20 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 37 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 9 · Denominator 45 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.3
0.4 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 4.1 · Expected 2.8 · 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 2.3 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
90.3%
8.8 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| 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 | 8.9% |
4.5%
4.4 pts worse
|
3.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 10.5% · Q3 8.8% · Q4 9.8% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
3.3%
2.1 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.7% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
3.6%
0.1 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 8.7% · Q4 2.5% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
25.3%
4.6 pts better
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 20.8% · Q3 20.8% · Q4 21.4% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
18.6%
0.2 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.1% · Q3 28.1% · Q4 17.6% · 4Q avg 18.8% · 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 | 4.3% |
15.5%
11.2 pts better
|
16.3%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 15.6% · Q3 0.0% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.8% |
14.1%
11.3 pts better
|
14.9%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.1% · Q4 7.1% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
2.1%
0.1 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 0.0% · Q3 1.4% · Q4 1.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.8%
0.6 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.8% · Q3 1.8% · Q4 8.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.9% |
17.8%
10.9 pts better
|
19.8%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 9.0% · Q3 10.8% · Q4 0.0% · 4Q avg 6.9% |
| 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 8.7% · Q2 6.4% · Q3 3.8% · Q4 7.2% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
75.0%
15.3 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 93.0% · Q3 87.2% · Q4 84.4% · 4Q avg 90.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.3% |
17.1%
4.2 pts worse
|
12.0%
9.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 22.7% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.2% |
1.9%
3.3 pts worse
|
1.6%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.7% · Q3 8.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.5% |
74.0%
15.5 pts better
|
79.7%
9.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.5% |
27.0%
1.5 pts better
|
23.9%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 24.2% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-10
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-03-10
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 2025-03-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-07-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-22
Inspection history
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.
Not marked corrected
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-03-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-12-15
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-12-15
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 2023-12-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-12-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-15
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 2023-03-27
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 2022-07-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-22
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 2022-07-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-07-22
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 2022-07-22
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-07-22
Penalties and ownership
Fine · fine $14,069
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Durant, OK
2-star overall rating with 3-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Durant, OK
4-star overall rating with 3-star inspections with $15,249 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Calera, OK
1-star overall rating with 2-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out