Cycle 1
Health 2024-10-23 · Fire 2024-10-23
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Yukon, OK
Spanish Cove Housing Authority
5-star overall rating with 5-star inspections with $8,018 in total fines with 1 recent health deficiencies
11 Palm Street, Yukon, OK
(405) 354-1901
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
47
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-03-07
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
0.53
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.54
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
3.78
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
5.85
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
4.97
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
6.80
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
34%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,944
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.81
Composite VBP score used to determine payment impact.
Payment multiplier
1.0074
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.62
Baseline 20.86% · Performance 19.76% · Measure score 3.62 · Achievement 3.62 · Improvement 2.38
Healthcare-associated infections
2.77
Baseline 6.37% · Performance 7.01% · Measure score 2.77 · Achievement 2.77 · Improvement 0
Total nurse turnover
4.74
Baseline 36.36% · Performance 44.30% · Measure score 4.74 · Achievement 4.74 · Improvement 0
Adjusted total nurse staffing
10
Baseline 6.39 hours · Performance 6.64 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.27% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 9.74% · Lower 95% interval 8.19% |
| Discharge to community | 57.6% |
50.57%
7 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 57.24% · Lower 95% interval 49.07% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 93.07% |
95.27%
2.2 pts worse
|
Numerator 94 · Denominator 101 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 101 |
| Discharge self-care score | 64.71% |
53.69%
11 pts better
|
Numerator 55 · Denominator 85 |
| Discharge mobility score | 63.53% |
50.94%
12.6 pts better
|
Numerator 54 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 0.99% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 101 · Adjusted rate 1.49% |
| Healthcare-associated infections requiring hospitalization | 7.01% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 5.38% · Lower 95% interval 3.93% |
| Staff COVID-19 vaccination coverage | 3.26% |
8.2%
4.9 pts worse
|
Numerator 7 · Denominator 215 |
| Staff flu vaccination coverage | 99% |
42%
57 pts better
|
Numerator 199 · Denominator 201 |
| Discharge function score | 68.24% |
56.45%
11.8 pts better
|
Numerator 58 · Denominator 85 |
| Transfer of health information to provider | 78.85% |
95.95%
17.1 pts worse
|
Numerator 41 · Denominator 52 |
| Transfer of health information to patient | 82.14% |
96.28%
14.1 pts worse
|
Numerator 23 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 46.43% |
25.2%
21.2 pts better
|
Numerator 26 · Denominator 56 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.7 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.9
0.4 pts better
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
90.3%
5.6 pts better
|
93.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 91.7% · Q4 92.9% · 4Q avg 95.9% |
| 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 | 4.7% |
4.5%
0.2 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 5.6% · Q4 7.1% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
3.3%
0.5 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 2.9% · Q4 2.6% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 1.0% |
3.6%
2.6 pts better
|
5.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 1.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
25.3%
7.3 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.3% · Q3 16.0% · Q4 25.0% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.9% |
18.6%
12.7 pts better
|
16.7%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · Q3 0.0% · Q4 4.0% · 4Q avg 5.9% · 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 | 10.7% |
15.5%
4.8 pts better
|
16.3%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.3% |
14.1%
7.2 pts worse
|
14.9%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 20.0% · Q3 41.7% · Q4 10.0% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
2.1%
1.4 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.8%
About the same
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 6.1% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
17.8%
10 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.2% · Q2 25.9% · Q3 25.0% · Q4 27.3% · 4Q avg 27.8% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.1%
2.5 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.5% · Q3 0.0% · Q4 5.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.7% |
75.0%
18.7 pts better
|
81.7%
12 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 92.9% · Q3 94.8% · Q4 94.6% · 4Q avg 93.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
17.1%
4 pts better
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.9%
0.4 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.5% |
74.0%
22.5 pts better
|
79.7%
16.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
27.0%
8.7 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 15.5% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-31 · Fire 2023-07-31
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-03-29 · Fire 2022-03-29
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-03-29
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2022-05-10
F · Potential for more than minimal harm
2022-03-29
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-13
E · Potential for more than minimal harm
2022-03-29
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 2022-06-13
E · Potential for more than minimal harm
2022-03-29
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-13
E · Potential for more than minimal harm
2022-03-29
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-06-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-08
G · Actual harm
2024-09-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-18
D · Potential for more than minimal harm
2023-05-10
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 2023-06-02
Penalties and ownership
What sits behind the stars
$8,018
2024-09-26
Fine
Fine · fine $8,018
Fine
$0
2024-09-26
Payment Denial
Payment Denial · denial start 2024-10-18 · 21 days
21 day denial
Ownership
City Of Yukon, Oklahoma
5% Or Greater Indirect Ownership Interest · Organization
Spanish Cove Housing Authority
5% Or Greater Direct Ownership Interest · Organization
Blose, Donald
Corporate Officer · Individual
Dunlap, Jacklyn
Operational/Managerial Control · Individual
Krablin, James
Operational/Managerial Control · Individual
Oneil, Cheryl
Operational/Managerial Control · Individual
Oneil, Cheryl
Corporate Officer · Individual
Peter, Eric
Operational/Managerial Control · Individual
Prosperity Bank
Operational/Managerial Control · Organization
Ritter, Elizabeth
Operational/Managerial Control · Individual
Ritter, Elizabeth
Corporate Officer · Individual
Synergy Care, Inc
Operational/Managerial Control · Organization
Unruh, Rustin
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Gran Grans Place
Yukon, OK
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Ranchwood Nursing Center
Yukon, OK
1-star overall rating with 1-star inspections with $67,525 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Heritage Park
Bethany, OK
1-star overall rating with 2-star inspections with $7,834 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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