Federal inspection record · CMS data as of October 1, 2026
University Village Retirement Community
8555 South Lewis Avenue, Tulsa, OK · (918) 299-2661
- Certified beds
- 80
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 5, 2009
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
University Village Retirement Community carries 42 inspection points. That is fewer than 57% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Keep residents' personal and medical records private and confidential.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2E
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Pharmacy Service2E
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental1D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Quality of Life and Care1E
- E
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2024-12-05
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2023-09-26
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2021-10-08
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 24 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
4 h 24 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.6 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better | 1.2 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 100.0% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.9% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 0.0% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 1.5% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better | 22.1% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.4 pts better | 5.4% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.8 pts worse | 25.8% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts better | 4.5% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 11.9% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 4.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.1 pts better | 98.6% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.9 pts better | 7.8% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.7 pts better | 98.3% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better | 24.7% | 26.8% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fail, Blake | 5% Or Greater Direct Ownership Interest · Individual | 38% | 1 facilities |
| Gawey, Matthew | 5% Or Greater Direct Ownership Interest · Individual | 38% | 1 facilities |
| Roberts, Keith | 5% Or Greater Direct Ownership Interest · Individual | 24% | 1 facilities |
| Brown, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brown, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fail, Blake | Corporate Officer · Individual | 0% | 1 facilities |
| Gawey, Matthew | Corporate Officer · Individual | 0% | 1 facilities |
| Luiskutty, Thomas | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Luiskutty, Thomas | Adp Of The SNF · Individual | 0% | 4 facilities |
| Neal, Vanessa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neal, Vanessa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Roberts, Keith | Corporate Officer · Individual | 0% | 1 facilities |
| Triad Aspen Partners, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Triad Aspen Partners, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Have properly located and lighted "Exit" signs.
- E
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.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
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Grace Skilled Nursing and Therapy Jenks
Jenks, OK · Bridges Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $15,646
-
Zarrow Pointe
Tulsa, OK
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 6 h 22 min
- Fines
- $8,278
-
Ambassador Manor Nursing Center
Tulsa, OK · Bridges Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 21 min
- Fines
- $9,077