C79

UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY

Grade C 79/100 composite score

For profit - Partnership

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

139

Ownership

For profit - Partnership

Total Fines

None

Last Survey

N/A

1201 NORTH VINITA AVENUE, TAHLEQUAH, OK 74464
9184566181

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.48h
LPN
1.38h
CNA
3.34h
Total
5.20h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BRIDGES ESOP, INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2020

100%

BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2020

100%

BRIDGES ESOP, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2020

COBLE, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2020

COBLE, WILLIAM

IndividualCORPORATE OFFICERSince Apr 2020

DEROIN, KRISTY

IndividualCONTRACTED MANAGING EMPLOYEESince Apr 2020

CRANE, JOANNA

IndividualW-2 MANAGING EMPLOYEESince Dec 2013

DEROIN, KRISTY

IndividualW-2 MANAGING EMPLOYEESince Apr 2020

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

March 10, 2025Health5 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 25, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 25, 2025
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 25, 2025
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Mar 25, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 25, 2025
January 27, 2025Health3 deficiencies
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Feb 11, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 11, 2025
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Feb 11, 2025
November 30, 2023Health5 deficiencies
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Dec 27, 2023
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Dec 27, 2023
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Dec 27, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Dec 27, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 27, 2023
October 11, 2022Health15 deficiencies
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Nov 10, 2022
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Nov 10, 2022
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 10, 2022
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 10, 2022
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Nov 10, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 10, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 10, 2022
0686EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Nov 10, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 10, 2022
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Nov 10, 2022
0801EMinimal harm, Pattern

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2022
0803EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2022
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2022
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 10, 2022
0919DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Nov 10, 2022

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Frequently Asked Questions

What is the CareGrader rating for UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY?

UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY in TAHLEQUAH, Oklahoma has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY?

UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY have?

UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY have?

UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY has 139 certified beds with approximately 48 current residents (35% occupancy). The facility is located at 1201 NORTH VINITA AVENUE, TAHLEQUAH, Oklahoma 74464. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.