Blanchard, OK

Senior Village Healthcare

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1104 North Madison, Blanchard, OK

(405) 485-3315

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

45

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bridges Health

Operator or chain grouping

Approved since

2019-11-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 4 overall / 4 health / 3 staffing / 3 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

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.35

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.53

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

3.40

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

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

4.50

CMS adjusted total nurse staffing hours

Case-mix index

1.07

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,175

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

Performance score

21.24

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.63% · Performance 24.09% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 5.68% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.92

Baseline 60.98% · Performance 43.59% · Measure score 4.92 · Achievement 4.92 · Improvement 4.31

Adjusted total nurse staffing

3.58

Baseline 3.63 hours · Performance 4.10 hours · Measure score 3.58 · Achievement 3.58 · Improvement 1.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.9%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 11.63% · Lower 95% interval 7.48%
Discharge to community	44.72%	50.57% 5.9 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 37.5% · Lower 95% interval 32.89%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 2.86%
Healthcare-associated infections requiring hospitalization	7.93%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 4.04%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 48
Staff flu vaccination coverage	11.88%	42% 30.1 pts worse	Numerator 19 · Denominator 160
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	2.3 1.4 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.7	2.9 0.8 pts worse	1.8 1.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	90.3% 9.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.3%	94.6% 0.7 pts better	95.5% 0.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	4.5% 2.6 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.4% · Q3 0.0% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	3.3% 2.7 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	0.0%	3.6% 3.6 pts better	5.4% 5.4 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 received an antianxiety or hypnotic medication	31.5%	25.3% 6.2 pts worse	19.6% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 31.2% · Q3 33.3% · Q4 33.3% · 4Q avg 31.5%
Percentage of long-stay residents who received an antipsychotic medication	12.3%	18.6% 6.3 pts better	16.7% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 14.3% · Q3 14.8% · Q4 10.3% · 4Q avg 12.3% · 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	21.8%	15.5% 6.3 pts worse	16.3% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.5%	14.1% 0.6 pts better	14.9% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 16.1% · Q3 6.7% · Q4 9.1% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.1%	2.1% About the same	1.0% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	2.8% 0.9 pts better	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.0%	17.8% 3.2 pts worse	19.8% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 28.5% · Q3 14.8% · Q4 17.1% · 4Q avg 21.0%
Percentage of long-stay residents with pressure ulcers	3.7%	5.1% 1.4 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.1% · Q3 5.1% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	75.0% 23.8 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.1% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.0%	17.1% 2.1 pts better	12.0% 3 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 13.3% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.9% 0.1 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.7%	74.0% 11.7 pts better	79.7% 6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.9%	27.0% 3.9 pts worse	23.9% 7 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 26.7% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-01 · Fire 2024-08-01

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-07-10 · Fire 2023-07-10

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-04-26 · Fire 2022-04-26

11 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-08-20

F · Potential for more than minimal harm 2022-04-26

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-04-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-04-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-04-26

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2022-06-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-08-01

F726 · Nursing and Physician Services Deficiencies

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 2024-08-20

E · Potential for more than minimal harm 2024-08-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-08-01

F758 · Pharmacy Service Deficiencies

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 2024-08-20

D · Potential for more than minimal harm 2024-08-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-20

E · Potential for more than minimal harm 2022-04-26

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-04-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-04-26

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-04-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-17