Blue River Healthcare, Inc
1105 East Main, Tishomingo, OK 73460 · Johnston County · (580) 371-2636
70 certified beds, about 37 residents a day · For profit - Individual · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375302 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 29, 2024, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 7 health citations since March 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
66.0% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Elmbrook Management Company, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
September 26, 2024Complaint inspection · 2 citations
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure air vents were clean and in good repair for three (#1, 2, and #3) of three sampled residents reviewed for a clean and homelike environment. The administrator identified 45 residents resided in the facility.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent an inappropriate relationship between a staff member and resident, and ensure a resident was free from abuse for one (#1) of one sampled resident reviewed for abuse. The administrator identified 45 residents resided in the facility. They stated there was one allegation of abuse in the past 30 days.
August 29, 2024Standard inspection, Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide showers as scheduled for one (#29) of three residents reviewed for assistance with activities of daily living. The administrator reported a facility census of 48 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to administer medications per physician orders for two (#11 and #41) of five residents reviewed for following physician orders. The facility reported two medication errors in the last 90 days.
July 27, 2023Standard inspection · 1 citation
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide food preferences, snacks, and alternate food choices, to residents who requested a different meal choice, for two (#1 and #26) of two residents sampled for food choices. The Resident Census and Conditions of Residents form, dated 07/25/23, documented 42 residents received meals from the kitchen.
March 10, 2022Standard inspection · 2 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, observation, and interview, the facility failed to assess and monitor edema for one (#1) of one resident reviewed for edema. The administrator reported 42 residents resided in the facility.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary was completed for one (#42) of three residents reviewed. The administrator reported 42 residents resided in the facility.
Fire safety inspections
9 fire safety citations on file: 2 on August 29, 2024, 3 on July 27, 2023, 4 on March 10, 2022.
Every fire safety citation9 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- D Have power receptacles that are properly grounded.
- E Have exits that are accessible at all times.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.79 | 3.86 |
| Registered nurses | 0.84 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.44 | 3.42 |
| Nurse aides | 2.40 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 66.0% | 55.5% | 45.8% |
| Registered nurse turnover | 33.3% | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.82 on weekdays and 3.09 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.84 | 3.82 | 3.09 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.74 | 1.07 | 3.99 | 3.13 | 1.5% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.60 | 0.59 | 3.91 | 2.80 | 0.5% | 0 of 92 | 37 |
| Apr to Jun 2025 | 3.75 | 0.60 | 4.01 | 3.09 | 0.0% | 0 of 91 | 40 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.4 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.1 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.8 | 17.5 | 15.4 |
Owners and operators
Legal business name: BLUE RIVER HEALTHCARE INC.. CMS links this home to Elmbrook Management Company, a group of 11 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Blue River Healthcare Inc. | Direct ownership interest | Organization | 11/21/2022 | |
| Coble, Tom | Indirect ownership interest | Individual | 12/23/2020 | |
| Coble, Tom | Corporate officer | Individual | 12/23/2020 | |
| Lodes, Jason | Corporate officer | Individual | 03/06/2023 | |
| Blue River Healthcare Inc. | Operational/managerial control | Organization | 11/21/2022 | |
| Coble, Tom | Operational/managerial control | Individual | 12/23/2020 | |
| Dixson, James | Operational/managerial control | Individual | 07/01/2022 | |
| Lodes, Jason | Operational/managerial control | Individual | 03/06/2023 | |
| McGlamery, Dena | Operational/managerial control | Individual | 09/06/2025 | |
| Blue River Healthcare Inc. | Adp of the SNF | Organization | 11/21/2025 | |
| Coble, Tom | Adp of the SNF | Individual | 12/23/2020 | |
| Dixson, James | Adp of the SNF | Individual | 07/01/2022 | |
| Lodes, Jason | Adp of the SNF | Individual | 03/06/2023 | |
| McGlamery, Dena | Adp of the SNF | Individual | 09/06/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 29, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 26, 2024: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 26, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 29, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- Brookside Nursing Center Madill, 12.1 mi · 2 of 5 stars · 7 citations
- Family Care Center of Kingston Kingston, 16.4 mi · 3 of 5 stars · 12 citations
- The King's Daughters & Sons Nursing Home Durant, 20.3 mi · 4 of 5 stars · 18 citations
- Four Seasons Rehabilitation & Care Durant, 22 mi · 1 of 5 stars · 25 citations
- Oakridge Nursing Center Durant, 22.2 mi · 2 of 5 stars · 20 citations
- Calera Manor Calera, 23.5 mi · 2 of 5 stars · 24 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Blue River Healthcare, Inc's Medicare star rating?
- CMS rates Blue River Healthcare, Inc 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Blue River Healthcare, Inc get at its last inspection?
- 2 health deficiencies at the standard inspection on August 29, 2024. The Oklahoma average is 6.4.
- Has Blue River Healthcare, Inc been fined?
- CMS lists no fines in the last three years.
- Does Blue River Healthcare, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Blue River Healthcare, Inc?
- CMS lists 14 owners and managers, and links the home to Elmbrook Management Company. Legal business name: BLUE RIVER HEALTHCARE INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.