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Franciscan Villa

17110 East 51st Street, Broken Arrow, OK 74012 · Tulsa County · (918) 355-1596

110 certified beds, about 96 residents a day · For profit - Individual · Medicare and Medicaid since 2008

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375525 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 23, 2024, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 12 health citations since July 2022, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated March 11, 2026.

Nurses and nurse aides worked 3.70 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.13 of those hours.

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
4D
6E
0F
Potential for minimal harm
0A
0B
0C
June 30, 2026Complaint inspection · 2 citations
  1. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on record review and interview, the facility failed report no later than two hours to the OSDH and other official agencies after an allegation of abuse was made for 1 (#3) of 5 sampled residents reviewed for abuse. The DON identified 101 residents resided in the facility.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on record review and interview, the facility failed to thoroughly investigate an allegation of abuse for 2 (#1 and #3) of 5 sampled residents reviewed for abuse. The DON identified 101 residents resided in the facility.
March 11, 2026Complaint inspection · 2 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident's behavior was monitored and documented according to the physician's order for 1 (#1) of 1 sampled resident reviewed for behavior monitoring. The administrator identified 86 residents resided in the facility. An undated Suicide Threats, policy, read in part, If the resident remains in the facility, staff will monitor the resident's mood and behavior and update care plans accordingly, until a physician has determined that a risk of suicide does not appear to be present. Staff shall document details of the situation objectively in the resident's medical record. An admission assessment for Resident #1, dated 01/11/26, showed the resident had a depression score of 8 which indicated mild depression and intact cognition. [...]
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the interdisciplinary team determined a resident could safely self-administer a topical medication for 1 (#2) of 6 sampled residents reviewed for medication administration. The administrator identified 86 residents resided in the facility. On 03/09/26 at 1:06 p.m., Resident #2 was observed to have antifungal cream on their bedside table. An undated Resident Self-Administration of Medication policy read in part, A resident may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered. The results of the interdisciplinary team assessment are recorded on the Medication Self-Administration Assessment Form, which is placed in the resident's medical record. [...]
December 23, 2024Standard inspection, Complaint inspection · 2 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observation and interview, the facility failed to store medications within locked compartments of a medication cart on one of three halls observed for medication storage. The Director of Nursing identified three medication carts and three treatment carts which stored medications.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 20, 2025
    Inspectors wroteBased on observation and interview, the facility failed to provide palatable meals for three (#37, #23, and #4) of three residents interviewed regarding food palatability. The dietary manager identified 88 residents who ate meals prepared in the kitchen.
September 21, 2023Standard inspection · 0 citations
July 20, 2022Standard inspection · 6 citations
  1. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 17, 2022
    Inspectors wroteBased on record review, observation, and interview, the facility failed to implement dietary recommendations for interventions in weight loss for one (#62) of four residents reviewed for significant weight loss. Resident #62 experienced 20% weight loss from 03/31/22 to 07/09/22. The director of nursing identified four residents with significant weight loss. Resident #62 was not listed among those identified with significant weight loss.
  2. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 17, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure a clinical rationale when a pharmacy recommendation was declined had been provided for two (#8 and #25) of five residents who were reviewed for unnecessary medications. The DON identified 89 residents who received medications.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 17, 2022
    Inspectors wroteBased on observation and interview, the kitchen failed to maintain sanitary conditions in the main kitchen, including the ice machine, the microwave in the long term care satellite kitchen, and the microwave in the resident dining room. The director of nursing identified all residents ate meals prepared in the kitchen.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2022
    Inspectors wroteBased on record review and interview, the facility failed to identify significant weight loss for one (#62) of 18 residents whose comprehensive assessments were reviewed. The director of nursing identified four resident with significant weight loss.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2022
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure catheter care was documented, order was obtained, and a diagnoses was documented for the use of an indwelling urinary catheter for one (#30) of four sampled residents who were reviewed for indwelling urinary catheter use. The Resident Census and Conditions of Residents form documented five residents who had an indwelling urinary catheter.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2022
    Inspectors wroteBased on observation and interview, the facility failed to ensure infection control was maintained during wound care for one (#57) of two sampled residents who were observed during wound care. The Resident Census and Conditions of Residents form identified ten residents who had pressure ulcers.

Fire safety inspections

9 fire safety citations on file: 1 on December 23, 2024, 8 on July 20, 2022.

Every fire safety citation9 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · December 23, 2024 · Corrected (the home has a date of correction)
  2. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · July 20, 2022 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 20, 2022 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 20, 2022 · Corrected (the home has a date of correction)
  5. 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.
    K 222 · July 20, 2022 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 20, 2022 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 20, 2022 · Corrected (the home has a date of correction)
  8. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 20, 2022 · Corrected (the home has a date of correction)
  9. C
    Have simulated fire drills held at unexpected times.
    K 712 · July 20, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 11, 2026Fine $8,278

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.703.793.86
Registered nurses0.130.340.69
All nursing staff on weekends3.383.443.42
Nurse aides2.23
Licensed practical nurses1.34
Nursing staff turnover (share who left in a year)not reported55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left2

CMS expects 3.35 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 3.83 on weekdays and 3.38 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.27 in April to June 2025 to 3.70 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.700.133.833.38 1.5%0 of 9096
Oct to Dec 20253.880.104.063.43 5.3%0 of 9293
Jul to Sep 20253.000.123.062.84 10.9%0 of 9283
Apr to Jun 20254.270.214.523.62 3.1%1 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%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.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.813.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.91.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.54.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.613.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.917.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.527.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.516.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.73.01.8

Owners and operators

Legal business name: FRANCISCAN VILLA SNF OPERATIONS LLC.

NameRoleTypeShareSince
Rivers Edge Operations III LLCDirect ownership interestOrganization06/01/2025
Rivers Edge Partners II LLCIndirect ownership interestOrganization06/01/2025
Hanover, YaacovIndirect ownership interestIndividual06/01/2025
Kravetz, AvrohomIndirect ownership interestIndividual06/01/2025
Franciscan Villa SNF Realty LLC5% or greater mortgage interestOrganization06/01/2025
Ganz, DavidManaging control - governing bodyIndividual06/01/2025
Retter, S. AryehManaging control - governing bodyIndividual06/01/2025
Skyblue Healthcare Management LLCOperational/managerial controlOrganization06/01/2025
Bearer, RubenOperational/managerial controlIndividual06/01/2025
Ganz, DavidOperational/managerial controlIndividual06/01/2025
Moore, JosephOperational/managerial controlIndividual06/01/2025
Retter, S. AryehOperational/managerial controlIndividual06/01/2025
Franciscan Villa SNF Realty LLCAdp of the SNFOrganization06/01/2025
Rivers Edge Property Holdings III LLCAdp of the SNFOrganization06/01/2025
Skyblue Healthcare Management LLCAdp of the SNFOrganization01/26/2026
Bearer, RubenAdp of the SNFIndividual06/01/2025
Ganz, DavidAdp of the SNFIndividual06/01/2025
Hanover, YaacovAdp of the SNFIndividual06/01/2025
Moore, JosephAdp of the SNFIndividual06/01/2025
Retter, S. AryehAdp of the SNFIndividual06/01/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 11, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 30, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 23, 2024: "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."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 23, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Oklahoma average of 3.44.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Franciscan Villa's Medicare star rating?
CMS rates Franciscan Villa 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Franciscan Villa get at its last inspection?
2 health deficiencies at the standard inspection on December 23, 2024. The Oklahoma average is 6.4.
Has Franciscan Villa been fined?
Yes. CMS lists 1 fine totaling $8,278 in the last three years.
Does Franciscan Villa 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 Franciscan Villa?
CMS lists 20 owners and managers. Legal business name: FRANCISCAN VILLA SNF OPERATIONS LLC.

Sources

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