Cycle 1
Health 2025-04-09 · Fire 2025-04-09
4 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Stilwell, OK
Stilwell Nursing And Rehab
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
509 W Locust St, Stilwell, OK
(918) 696-7715
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-02-01
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
Hours and turnover
RN hours / resident day
0.24
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
0.93
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
4.80
CMS adjusted total nurse staffing hours
Case-mix index
0.97
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,885
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.53
Baseline 19.43% · Performance 20.26% · Measure score 2.53 · Achievement 2.53 · Improvement 0
Healthcare-associated infections
0
Baseline 7.08% · Performance 8.04% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 62.61% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.40
Baseline 4.25 hours · Performance 3.48 hours · Measure score 1.40 · Achievement 1.40 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.7% |
10.72%
4 pts worse
|
Worse than the National Rate · Eligible stays 104 · Observed rate 23.08% · Lower 95% interval 11.01% |
| Discharge to community | 42.83% |
50.57%
7.7 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 29.31% · Lower 95% interval 30.49% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.63% |
95.27%
3.4 pts better
|
Numerator 72 · Denominator 73 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 22 · Denominator 44 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 24 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 2.82% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 71 · Adjusted rate 3.86% |
| Healthcare-associated infections requiring hospitalization | 8.04% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 56 · Observed rate 10.71% · Lower 95% interval 4.36% |
| Staff COVID-19 vaccination coverage | 1.1% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 91 |
| Staff flu vaccination coverage | 24.26% |
42%
17.7 pts worse
|
Numerator 41 · Denominator 169 |
| Discharge function score | 65.91% |
56.45%
9.5 pts better
|
Numerator 29 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| 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 | 3.03% |
25.2%
22.2 pts worse
|
Numerator 1 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.8 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.9
0.5 pts better
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 1.9 · 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 | 98.6% |
94.6%
4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% |
4.5%
3.7 pts worse
|
3.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.8% · Q3 11.0% · Q4 10.5% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
3.3%
0.7 pts worse
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.9% · Q3 1.6% · Q4 5.9% · 4Q avg 4.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
3.6%
0.6 pts worse
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.6% · Q3 3.8% · Q4 3.4% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
25.3%
3.4 pts better
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 23.6% · Q3 20.3% · Q4 19.7% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.2% |
18.6%
4.4 pts better
|
16.7%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 14.7% · Q3 15.0% · Q4 13.5% · 4Q avg 14.2% · 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 | 14.9% |
15.5%
0.6 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 29.6% · Q3 3.0% · Q4 7.2% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
14.1%
5.5 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 25.9% · Q3 18.6% · Q4 11.7% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
2.1%
0.9 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q3 0.0% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.8%
0.5 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.1% |
17.8%
1.3 pts worse
|
19.8%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 20.5% · Q3 13.5% · Q4 15.2% · 4Q avg 19.1% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
5.1%
1.7 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 8.9% · Q3 7.6% · Q4 4.4% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
75.0%
20.7 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 95.5% · Q3 95.3% · Q4 100.0% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
17.1%
2.3 pts better
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 18.2% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.9%
0.8 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.3% |
74.0%
19.3 pts better
|
79.7%
13.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.1% |
27.0%
12.9 pts better
|
23.9%
9.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 16.4% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-14 · Fire 2023-12-14
11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-04 · Fire 2022-08-04
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-04-09
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 2025-05-09
E · Potential for more than minimal harm
2025-04-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-09
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-09
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
E · Potential for more than minimal harm
2023-12-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-30
E · Potential for more than minimal harm
2023-12-14
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-30
E · Potential for more than minimal harm
2023-12-14
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-30
E · Potential for more than minimal harm
2023-12-14
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 2024-01-30
D · Potential for more than minimal harm
2023-12-14
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 2024-01-30
D · Potential for more than minimal harm
2023-12-14
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 2024-01-30
D · Potential for more than minimal harm
2023-12-14
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-01-30
D · Potential for more than minimal harm
2023-12-14
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-01-30
D · Potential for more than minimal harm
2023-12-14
F690 · Quality of Life and Care Deficiencies
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 2024-01-30
D · Potential for more than minimal harm
2023-12-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-01-30
D · Potential for more than minimal harm
2023-12-14
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 2024-01-30
F · Potential for more than minimal harm
2022-08-04
F803 · Nutrition and Dietary Deficiencies
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 2022-09-06
E · Potential for more than minimal harm
2022-08-04
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-09-06
E · Potential for more than minimal harm
2022-08-04
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 2022-09-06
E · Potential for more than minimal harm
2022-08-04
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-04
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-04
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-04
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-04
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-06
Penalties and ownership
What sits behind the stars
Ownership
Bedlam Properties Ho LLC
Operational/Managerial Control · Organization
Byers, Jack
5% Or Greater Direct Ownership Interest · Individual
Gilbert, Paul
Operational/Managerial Control · Individual
Grant Rhodes Revocable Trust Dated January 30, 2018
5% Or Greater Direct Ownership Interest · Organization
Jack L Byers Revocable Trust Dated January 26, 2017
5% Or Greater Direct Ownership Interest · Organization
Jeffrey W Young Revocable Trust Dated July 27, 2017
5% Or Greater Direct Ownership Interest · Organization
Matrix Provider Solutions LLC
Operational/Managerial Control · Organization
Rhodes, Jonathan
5% Or Greater Direct Ownership Interest · Individual
Snow Family Trust Dated June 29, 2012
5% Or Greater Direct Ownership Interest · Organization
Snow, Audrey
5% Or Greater Direct Ownership Interest · Individual
Snow, Larry
5% Or Greater Direct Ownership Interest · Individual
Snow, Larry
Corporate Officer · Individual
Young, Bridgette
5% Or Greater Direct Ownership Interest · Individual
Young, Jeffrey
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Sequoyah Pointe Skilled Nursing And Therapy
Tahlequah, OK
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Cherokee County Nursing Center
Tahlequah, OK
3-star overall rating with 3-star inspections with 6 recent health deficiencies
#3
University Park Skilled Nursing And Therapy Memory
Tahlequah, OK
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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