6 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Owasso, OK
3-star overall rating with 3-star inspections with $12,735 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
10098 N 123 E Ave, Owasso, OK
(918) 928-4800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-02-21
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
RN hours / resident day
0.28
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
4.20
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.84
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Program rank
9,589
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.08% · Performance 21.47% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.89
Baseline 6.86% · Performance 7.27% · Measure score 1.89 · Achievement 1.89 · Improvement 0
Total nurse turnover
0.71
Baseline 70.71% · Performance 65.18% · Measure score 0.71 · Achievement 0 · Improvement 0.71
Adjusted total nurse staffing
6.69
Baseline 3.92 hours · Performance 4.98 hours · Measure score 6.69 · Achievement 6.69 · Improvement 5.20
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.38% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 14.75% · Lower 95% interval 8.82% |
| Discharge to community | 61.21% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 81 · Observed rate 56.79% · Lower 95% interval 51.59% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 80.26% |
95.27%
15 pts worse
|
Numerator 61 · Denominator 76 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 76 |
| Discharge self-care score | 36.11% |
53.69%
17.6 pts worse
|
Numerator 13 · Denominator 36 |
| Discharge mobility score | 22.22% |
50.94%
28.7 pts worse
|
Numerator 8 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 2 · Denominator 76 · Adjusted rate 3.28% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 9.38% · Lower 95% interval 4.29% |
| Staff COVID-19 vaccination coverage | 22.9% |
8.2%
14.7 pts better
|
Numerator 30 · Denominator 131 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 130 |
| Discharge function score | 30.56% |
56.45%
25.9 pts worse
|
Numerator 11 · Denominator 36 |
| Transfer of health information to provider | 78.13% |
95.95%
17.8 pts worse
|
Numerator 50 · Denominator 64 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 52.27% |
25.2%
27.1 pts better
|
Numerator 23 · Denominator 44 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.4 |
2.9
0.5 pts worse
|
1.8
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.2% |
90.3%
5.1 pts worse
|
93.4%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 80.3% · Q3 90.1% · Q4 95.8% · 4Q avg 85.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
94.6%
3.1 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
4.5%
0.9 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.6% · Q3 3.7% · Q4 4.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
3.3%
1.8 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 0.4% |
3.6%
3.2 pts better
|
5.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
25.3%
2.4 pts better
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 18.2% · Q3 25.0% · Q4 28.3% · 4Q avg 22.9% |
| 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 9.8% · Q2 10.8% · Q3 10.5% · Q4 18.4% · 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 | 11.6% |
15.5%
3.9 pts better
|
16.3%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 8.0% · Q3 11.8% · Q4 6.8% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% |
14.1%
5.3 pts better
|
14.9%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 10.9% · Q3 15.0% · Q4 0.0% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
2.1%
1.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.8%
2.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% |
17.8%
2.8 pts better
|
19.8%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 12.8% · Q3 7.9% · Q4 7.9% · 4Q avg 15.0% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.1%
0.6 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.0% · Q3 7.2% · Q4 2.8% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.4% |
75.0%
3.4 pts better
|
81.7%
3.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 63.8% · Q3 81.8% · Q4 93.4% · 4Q avg 78.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
17.1%
4.9 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 13.5% · Expected 12.4% · 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 0.0% · Q2 0.9% · Q3 1.9% · Q4 2.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.9% |
74.0%
0.1 pts worse
|
79.7%
5.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.0% |
27.0%
6 pts worse
|
23.9%
9.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.0% · Observed 33.8% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Environmental (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Rights (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-07-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-07-30
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 2025-07-30
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 2024-02-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-10
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 2023-04-10
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-04-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-10
Inspection history
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 2025-05-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
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 2025-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-27
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-21
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-08
Health
Keep all essential equipment working safely.
Corrected 2024-02-23
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 2023-05-25
Health
Put firmly secured handrails on each side of hallways.
Corrected 2023-05-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-30
Penalties and ownership
Fine · fine $12,735
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
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