Oklahoma City, OK

The Lodge At Brookline

1-star overall rating with 1-star inspections with $37,980 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5301 North Brookline, Oklahoma City, OK

(405) 251-2847

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 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

132

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Diakonos Group

Operator or chain grouping

Approved since

2018-06-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

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

0.69

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.41

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.76

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

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.71

CMS adjusted RN staffing hours

Adjusted total hours

4.51

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

10,854

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

Performance score

18.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.08

Baseline 19.35% · Performance 20.93% · Measure score 1.08 · Achievement 1.08 · Improvement 0

Healthcare-associated infections

0.44

Baseline 9.11% · Performance 8.72% · Measure score 0.44 · Achievement 0 · Improvement 0.44

Total nurse turnover

Baseline 34.21% · Performance 79.27% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

6.04

Baseline 4.95 hours · Performance 4.79 hours · Measure score 6.04 · Achievement 6.04 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.55%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 66 · Observed rate 19.7% · Lower 95% interval 8.72%
Discharge to community	47.94%	50.57% 2.6 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 27.78% · Lower 95% interval 29.17%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 38 · Denominator 38
Falls with major injury	2.63%	0.77% 1.9 pts worse	Numerator 1 · Denominator 38
Discharge self-care score	55%	53.69% 1.3 pts better	Numerator 11 · Denominator 20
Discharge mobility score	45%	50.94% 5.9 pts worse	Numerator 9 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 38 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.72%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 20% · Lower 95% interval 5.32%
Staff COVID-19 vaccination coverage	1.23%	8.2% 7 pts worse	Numerator 1 · Denominator 81
Staff flu vaccination coverage	1.72%	42% 40.3 pts worse	Numerator 2 · Denominator 116
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 10 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	52.38%	25.2% 27.2 pts better	Numerator 11 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.3 0.2 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.7 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	2.9 1.3 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.1 · 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	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	3.4%	4.5% 1.1 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.5% · Q3 2.0% · Q4 4.3% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	3.3% 3.3 pts better	11.4% 11.4 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 lose too much weight	0.6%	3.6% 3 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.8%	25.3% 7.5 pts better	19.6% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 17.5% · Q3 14.9% · Q4 25.6% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication	7.4%	18.6% 11.2 pts better	16.7% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.1% · Q3 7.9% · Q4 6.2% · 4Q avg 7.4% · 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	20.8%	15.5% 5.3 pts worse	16.3% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 40.3% · 4Q avg 20.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.5%	14.1% 4.4 pts worse	14.9% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 30.6% · Q3 11.4% · Q4 14.6% · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	2.1% 1 pts better	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.8% 2.2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.7%	17.8% 3.1 pts better	19.8% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 10.8% · Q3 8.6% · Q4 29.8% · 4Q avg 14.7%
Percentage of long-stay residents with pressure ulcers	7.8%	5.1% 2.7 pts worse	5.1% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 10.6% · Q3 8.9% · Q4 4.1% · 4Q avg 7.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	75.0% 24.3 pts better	81.7% 17.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	17.1% 10.7 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 9.4% · Expected 16.4% · 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 · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.5%	74.0% 21.5 pts better	79.7% 15.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.6%	27.0% 2.6 pts worse	23.9% 5.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 46.9% · Expected 37.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-06 · Fire 2024-09-06

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-08-03 · Fire 2023-08-03

16 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-03-10 · Fire 2022-03-10

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-09-06

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 2024-10-15

E · Potential for more than minimal harm 2024-09-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-09-06

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-09-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-15

E · Potential for more than minimal harm 2023-08-03

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 2024-01-05

E · Potential for more than minimal harm 2023-08-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-08-03

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-09

F · Potential for more than minimal harm 2022-03-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-04-15

E · Potential for more than minimal harm 2022-03-10

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 2022-04-15

E · Potential for more than minimal harm 2022-03-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-04-15

E · Potential for more than minimal harm 2022-03-10

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-04-15

C · Minimal harm 2022-03-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-15

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-10

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-09-03

E · Potential for more than minimal harm 2025-07-10

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 2025-09-08

E · Potential for more than minimal harm 2025-07-10

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-09-03

E · Potential for more than minimal harm 2025-07-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-10

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-10

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 2025-09-03

D · Potential for more than minimal harm 2024-12-02

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-12-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-12-02

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 2024-12-09

D · Potential for more than minimal harm 2024-12-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-12-02

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-12-09

E · Potential for more than minimal harm 2024-09-06

F761 · Pharmacy Service Deficiencies

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 2024-10-14

E · Potential for more than minimal harm 2024-09-06

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 2024-10-14

E · Potential for more than minimal harm 2024-09-06