Cycle 1
Health 2024-08-28 · Fire 2024-08-28
8 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Stillwater, OK
Westhaven Nursing Home
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1215 South Western, Stillwater, OK
(405) 743-1140
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
125
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-08-16
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
0.54
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
4.14
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,186
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 24.40% · Performance 24.54% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.34
Baseline 13.43% · Performance 11.88% · Measure score 1.34 · Achievement 0 · Improvement 1.34
Total nurse turnover
1.95
Baseline 59.38% · Performance 55.70% · Measure score 1.95 · Achievement 1.95 · Improvement 0.57
Adjusted total nurse staffing
3.80
Baseline 4.37 hours · Performance 4.16 hours · Measure score 3.80 · Achievement 3.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.79% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 215 · Observed rate 14.42% · Lower 95% interval 9.25% |
| Discharge to community | 42.71% |
50.57%
7.9 pts worse
|
Worse than the National Rate · Eligible stays 164 · Observed rate 36.59% · Lower 95% interval 36.38% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.24% |
95.27%
About the same
|
Numerator 120 · Denominator 126 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 1 · Denominator 126 |
| Discharge self-care score | 44.12% |
53.69%
9.6 pts worse
|
Numerator 30 · Denominator 68 |
| Discharge mobility score | 60.29% |
50.94%
9.4 pts better
|
Numerator 41 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 0.79% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 126 · Adjusted rate 0.7% |
| Healthcare-associated infections requiring hospitalization | 11.88% |
7.12%
4.8 pts worse
|
Worse than the National Rate · Eligible stays 127 · Observed rate 15.75% · Lower 95% interval 8.25% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 60 |
| Staff flu vaccination coverage | 26.8% |
42%
15.2 pts worse
|
Numerator 26 · Denominator 97 |
| Discharge function score | 66.18% |
56.45%
9.7 pts better
|
Numerator 45 · Denominator 68 |
| Transfer of health information to provider | 97.62% |
95.95%
1.7 pts better
|
Numerator 82 · Denominator 84 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 4.76% |
25.2%
20.4 pts worse
|
Numerator 3 · Denominator 63 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.3
0.7 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 4.5 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.9
0.8 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.4 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
90.3%
6.8 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
94.6%
0.1 pts better
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
4.5%
2.1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.3% |
3.3%
3 pts worse
|
11.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.1% · Q3 7.7% · Q4 4.5% · 4Q avg 6.3% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
3.6%
0.1 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.3% · Q3 2.8% · Q4 3.2% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
25.3%
5.7 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.4% · Q3 21.1% · Q4 14.3% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.7% |
18.6%
10.9 pts better
|
16.7%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.4% · Q3 3.4% · Q4 7.7% · 4Q avg 7.7% · 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 | 21.9% |
15.5%
6.4 pts worse
|
16.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · 4Q avg 21.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.0% |
14.1%
9.9 pts worse
|
14.9%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 34.2% · Q3 25.0% · Q4 21.9% · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.0% |
2.1%
4.9 pts worse
|
1.0%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.9% · Q3 4.3% · Q4 4.7% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.7% |
2.8%
5.9 pts worse
|
1.7%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 22.0% · Q3 6.4% · Q4 6.5% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
17.8%
10.8 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 37.3% · Q3 26.0% · Q4 28.3% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.1%
0.3 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.1% · Q3 5.1% · Q4 4.9% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
75.0%
18.3 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 93.8% · Q3 90.0% · Q4 94.2% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.5% |
17.1%
0.4 pts worse
|
12.0%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 17.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
74.0%
9.3 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 39.0% |
27.0%
12 pts worse
|
23.9%
15.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 39.0% · Observed 40.0% · Expected 24.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-26 · Fire 2023-07-26
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-03-09 · Fire 2020-03-09
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-25
E · Potential for more than minimal harm
2024-08-28
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-25
E · Potential for more than minimal harm
2024-08-28
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-25
E · Potential for more than minimal harm
2023-07-26
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 2024-01-10
E · Potential for more than minimal harm
2023-07-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-10
E · Potential for more than minimal harm
2023-07-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-10
E · Potential for more than minimal harm
2020-03-09
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 2020-03-06
E · Potential for more than minimal harm
2020-03-09
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 2020-03-20
E · Potential for more than minimal harm
2020-03-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-12
E · Potential for more than minimal harm
2024-08-28
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 2024-10-25
E · Potential for more than minimal harm
2024-08-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-25
E · Potential for more than minimal harm
2024-08-28
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 2024-10-25
E · Potential for more than minimal harm
2024-08-28
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 2024-10-25
D · Potential for more than minimal harm
2024-08-28
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-08-28
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 2024-10-25
D · Potential for more than minimal harm
2024-08-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
D · Potential for more than minimal harm
2023-07-26
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 2023-09-13
D · Potential for more than minimal harm
2023-07-26
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 2023-09-13
E · Potential for more than minimal harm
2023-05-17
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-05-17
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-24
E · Potential for more than minimal harm
2020-03-09
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 2020-04-27
D · Potential for more than minimal harm
2020-03-09
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2020-04-27
D · Potential for more than minimal harm
2020-03-09
F584 · Resident Rights Deficiencies
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 2020-04-27
D · Potential for more than minimal harm
2020-03-09
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2020-04-27
D · Potential for more than minimal harm
2020-03-09
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2020-04-27
Penalties and ownership
What sits behind the stars
Ownership
Trumbo, Jay
5% Or Greater Direct Ownership Interest · Individual
Vinson, John
5% Or Greater Direct Ownership Interest · Individual
Criner, Rebecca
W-2 Managing Employee · Individual
Health Systems Of Oklahoma, LLC
Operational/Managerial Control · Organization
Mcgrew, Jennifer
W-2 Managing Employee · Individual
Vinson, John
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Stillwater Creek Skilled Nursing And Therapy
Stillwater, OK
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Perry Green Valley Nursing Center, LLC
Perry, OK
3-star overall rating with 3-star inspections with $8,278 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Linwood Village Nursing & Retirement Apts
Cushing, OK
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out