Cycle 1
Health 2024-09-12 · Fire 2024-09-12
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Pawnee, OK
Southern Oaks Care Center
4-star overall rating with 4-star inspections with $3,174 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1401 4th Street, Pawnee, OK
(918) 762-2515
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
82
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Phoenix Healthcare
Operator or chain grouping
Approved since
2000-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 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
0.47
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.52
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,370
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.52% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 5.71% · Performance 9.54% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.51
Baseline 48.84% · Performance 57.50% · Measure score 1.51 · Achievement 1.51 · Improvement 0
Adjusted total nurse staffing
5.29
Baseline 4.24 hours · Performance 4.58 hours · Measure score 5.29 · Achievement 5.29 · Improvement 1.73
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 10.39% · Lower 95% interval 6.53% |
| Discharge to community | 49.56% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 43.28% · Lower 95% interval 37.27% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.72% |
95.27%
3.5 pts better
|
Numerator 77 · Denominator 78 |
| Falls with major injury | 1.28% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 78 |
| Discharge self-care score | 66% |
53.69%
12.3 pts better
|
Numerator 33 · Denominator 50 |
| Discharge mobility score | 66% |
50.94%
15.1 pts better
|
Numerator 33 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 3.85% |
2.29%
1.6 pts worse
|
Numerator 3 · Denominator 78 · Adjusted rate 3.39% |
| Healthcare-associated infections requiring hospitalization | 9.54% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 13.43% · Lower 95% interval 5.41% |
| Staff COVID-19 vaccination coverage | 30.36% |
8.2%
22.2 pts better
|
Numerator 17 · Denominator 56 |
| Staff flu vaccination coverage | 20.65% |
42%
21.4 pts worse
|
Numerator 19 · Denominator 92 |
| Discharge function score | 62% |
56.45%
5.5 pts better
|
Numerator 31 · Denominator 50 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 14.63% |
25.2%
10.6 pts worse
|
Numerator 6 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.3
0.7 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
2.9
2.8 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.2% |
90.3%
9.1 pts worse
|
93.4%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 90.9% · Q3 71.4% · Q4 78.0% · 4Q avg 81.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.1% |
94.6%
2.5 pts worse
|
95.5%
3.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
4.5%
1.3 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.1% · Q3 2.4% · Q4 4.9% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
3.3%
0.3 pts worse
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 13.9% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
3.6%
0.3 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.7% · Q3 5.9% · Q4 0.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
25.3%
17.7 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.9% · Q3 11.4% · Q4 3.0% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.8% |
18.6%
14.8 pts better
|
16.7%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.2% · Q3 3.4% · Q4 0.0% · 4Q avg 3.8% · 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 | 22.4% |
15.5%
6.9 pts worse
|
16.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.9% |
14.1%
2.8 pts worse
|
14.9%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 24.1% · Q3 5.7% · Q4 27.3% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.1%
2.1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.5% |
2.8%
2.7 pts worse
|
1.7%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 16.1% · Q3 2.4% · Q4 0.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
17.8%
5.1 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 30.8% · Q3 24.7% · Q4 31.0% · 4Q avg 22.9% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.1%
0.1 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 3.9% · Q3 3.2% · Q4 6.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.0% |
75.0%
13 pts worse
|
81.7%
19.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.7% · Q2 70.0% · Q3 53.3% · Q4 64.9% · 4Q avg 62.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.6% |
17.1%
6.5 pts worse
|
12.0%
11.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 25.4% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
1.9%
1.7 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q4 4.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.5% |
74.0%
21.5 pts worse
|
79.7%
27.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.5% |
| 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 33.9% · Expected 26.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-18 · Fire 2023-07-18
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-02-02 · Fire 2022-02-02
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-15
C · Minimal harm
2024-09-12
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-15
F · Potential for more than minimal harm
2022-02-02
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-15
E · Potential for more than minimal harm
2022-02-02
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 2022-03-15
E · Potential for more than minimal harm
2022-02-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-15
C · Minimal harm
2022-02-02
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-03-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-09-12
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 2024-10-15
D · Potential for more than minimal harm
2024-09-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-15
D · Potential for more than minimal harm
2024-08-06
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-18
D · Potential for more than minimal harm
2024-08-06
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 2024-09-18
E · Potential for more than minimal harm
2023-07-18
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 2023-09-14
E · Potential for more than minimal harm
2023-07-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-16
D · Potential for more than minimal harm
2023-07-18
F578 · Resident Rights Deficiencies
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 2023-08-16
E · Potential for more than minimal harm
2022-02-02
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 2022-03-15
D · Potential for more than minimal harm
2022-02-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-15
Penalties and ownership
What sits behind the stars
$3,174
2023-07-17
Fine
Fine · fine $3,174
Fine
Ownership
Bambokile, Anderson
Operational/Managerial Control · Individual
Cain, Larry
5% Or Greater Direct Ownership Interest · Individual
Floyd, Shanna
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Lade, Arvid
Operational/Managerial Control · Individual
Phoenix Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Phoenix Healthcare LLC
Operational/Managerial Control · Organization
Phoenix Rehab LLC
Operational/Managerial Control · Organization
Thornton, Christina
Operational/Managerial Control · Individual
Young, Cathy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Fairfax Behavioral Health & Memory Care Community
Fairfax, OK
1-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Cleveland Care And Rehab Center
Cleveland, OK
3-star overall rating with 3-star inspections with $14,069 in total fines with 8 recent health deficiencies
#3
Stillwater Creek Skilled Nursing And Therapy
Stillwater, OK
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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