Grand Lake Villa
103 Har-Ber Road, Grove, OK 74344 · Delaware County · (918) 786-2276
100 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375116 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 29, 2026, inspectors cited 9 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 15 health citations since May 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $32,576 in the last three years; the largest was $32,576, and the latest is dated April 29, 2026.
Nurses and nurse aides worked 4.12 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
40.6% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Marsh Pointe Management, an affiliated group of 6 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.
405/23
006/24
107/24
106/25
904/26
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
1F
Potential for minimal harm
0A
0B
0C
April 29, 2026Standard inspection · 9 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not sexually abused for 1 (#48) of 2 sampled residents reviewed for sexual abuse. The DON identified 65 residents resided in the facility. On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility. On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the sexual assault of Res #48 by Res #17. On 04/23/26 at 4:33 p.m. the administrator and DON were notified of the IJ situation and provided with the IJ template. On 04/29/26 at 8:27 a.m., an acceptable plan of removal was approved by the OSDH. [...]
- J Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility failed to ensure the facility's abuse policy had been implemented after an allegation of abuse for 1 (#48) of 2 sampled residents reviewed for abuse. The DON identified 65 residents resided in the facility. On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility. On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the facility not implementing their abuse policy related to sexual assault. On 04/23/26 at 4:33 p.m. the administrator and DON were notified of the IJ situation and provided the IJ template. On 04/29/26 at 8:27 a.m., an acceptable plan of removal was approved by the OSDH. [...]
- J Respond appropriately to all alleged violations.
Inspectors wroteBased on record review an interview, the facility failed to ensure a thorough investigation of an allegation of sexual abuse was conducted for 1 (#48) of 2 sampled residents reviewed for abuse. The DON identified 65 residents resided in the facility. On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility. On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the facility not thoroughly investigating and reporting the sexual assault of Res #48 by Res #17. On 04/23/26 at 4:33 p.m. the administrator and DON were notified of the IJ situation and provided the IJ template. On 04/29/26 at 8:27 a.m., the plan of removal was approved by the OSDH. [...]
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on record review and interview, the facility failed to ensure facility staff had been trained in the Quality Assurance and Performance Improvement program for 103 of 103 employees of the facility. The assistant director of nursing identified 103 employees worked in the facility.
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents understood binding arbitration agreements before signing them for 2 (#55 and #56) of 2 sampled residents reviewed for binding arbitration agreements. The DON identified 65 residents resided in the facility.
- E Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on record review and interview, the facility failed to ensure binding arbitration agreements did not pre-determine the arbitrator for arbitration proceedings for 2 (#55 and #56) of 2 sampled residents binding arbitration agreements reviewed for binding arbitration agreements. The DON identified 65 residents resided in the facility.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to include the estimated cost of services on a SNF ABN form CMS-10055 for 1 (#69) of 3 sampled residents reviewed for beneficiary notices. The DON identified 29 residents had been discharged from skilled services within the last six months.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an alleged incident of sexual abuse to the OSDH within the required two-hour time frame for 1 (#48) of 1 sampled resident reviewed for abuse. The DON identified 65 residents resided in the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a quarterly assessment accurately reflected a resident's fall history for 1 (#2) of 17 sampled residents reviewed for MDS assessment accuracy. The DON identified 65 residents resided in the facility.
June 13, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure APS was notified of an allegation of abuse for 1 (#3) of 3 sampled residents reviewed for abuse. The DON reported the facility census was 59.
July 8, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure an alleged incident of physical and verbal abuse was reported to the facility administrator and Oklahoma State Department of Health within two hours of the allegation for one (#1) of four sampled resident reviewed for abuse. A facility census report, dated 07/08/24, documented 56 residents resided in the facility.
June 12, 2024Standard inspection · 0 citations
May 5, 2023Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to maintain the ice machine in a sanitary manner for one of one ice machines observed. The DON identified 63 residents who received nourishment from the kitchen.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure assessments were accurate for one (#2) of one resident who was reviewed for hospice services. The Resident Census and Conditions of Residents report, dated 05/02/23, documented 12 residents received hospice services.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plans were reviewed and revised for one (#36) of 15 residents reviewed for care plans. The Resident Census and Conditions of Residents report, dated 05/02/23, documented 60 residents resided at the facility.
- D 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure as needed psychotropic medications were not ordered past 14 days without a documented physician's clinical rationale for two (#24 and #36) of five residents reviewed for unnecessary medications. The DON identified 12 residents who received as needed psychotropic medications.
Fire safety inspections
6 fire safety citations on file: 1 on April 29, 2026, 5 on May 5, 2023.
Every fire safety citation6 citations
- F Meet requirements for the installation and maintenance of electrical systems.
- 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.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 29, 2026 | Fine | $32,576 |
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.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.12 | 3.79 | 3.86 |
| Registered nurses | 0.66 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.80 | 3.44 | 3.42 |
| Nurse aides | 3.06 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 40.6% | 55.5% | 45.8% |
| Registered nurse turnover | 30.8% | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 2.93 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 4.25 on weekdays and 3.80 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 4.12 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 | 4.12 | 0.66 | 4.25 | 3.80 | 0.9% | 0 of 90 | 66 |
| Oct to Dec 2025 | 4.02 | 0.72 | 4.20 | 3.58 | 1.1% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.90 | 0.76 | 4.04 | 3.56 | 1.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.91 | 0.78 | 4.04 | 3.58 | 0.1% | 0 of 91 | 62 |
| 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 | 16.8 | 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 | 1.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.5 | 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 | 8.6 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.5 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.2 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 3.0 | 1.8 |
Owners and operators
Legal business name: OAK LAKE, LLC. CMS links this home to Marsh Pointe Management, a group of 6 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Oklahoma Financial LLC | 5% or greater direct ownership interest | Organization | 35% | 07/30/2020 |
| Oklahoma Operating LLC | 5% or greater direct ownership interest | Organization | 65% | 07/30/2020 |
| Brogdon, Connie | 5% or greater indirect ownership interest | Individual | 65% | 07/30/2020 |
| Brogdon, Christopher | Managing control - governing body | Individual | 07/29/2011 | |
| Brogdon, Christopher | Corporate officer | Individual | 07/29/2011 | |
| Nichols, Cheryl | Corporate officer | Individual | 04/06/2016 | |
| Marsh Pointe Management LLC | Operational/managerial control | Organization | 03/01/2014 | |
| Brogdon, Christopher | Operational/managerial control | Individual | 07/29/2011 | |
| Nichols, Cheryl | Operational/managerial control | Individual | 03/20/2024 | |
| Tidwell, Richard | Operational/managerial control | Individual | 08/09/2018 | |
| Marsh Pointe Management LLC | Adp of the SNF | Organization | 05/20/2025 | |
| Oklahoma Financial LLC | Adp of the SNF | Organization | 07/30/2020 | |
| Oklahoma Operating LLC | Adp of the SNF | Organization | 07/30/2020 | |
| Brogdon, Christopher | Adp of the SNF | Individual | 07/29/2011 | |
| Brogdon, Connie | Adp of the SNF | Individual | 07/30/2020 | |
| Nichols, Cheryl | Adp of the SNF | Individual | 04/06/2016 | |
| Tidwell, Richard | Adp of the SNF | Individual | 08/09/2018 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on April 29, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on April 29, 2026: "Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 29, 2026: "Ensure each resident receives an accurate assessment."
- 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 April 29, 2026: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Betty Ann Nursing Center Grove, 0.1 mi · 1 of 5 stars · 32 citations
- Grove Nursing Center Grove, 0.9 mi · 3 of 5 stars · 17 citations
- Monroe Manor Jay, 10.6 mi · 2 of 5 stars · 19 citations
- Maple Healthcare and Rehab Fairland, 12.4 mi · 2 of 5 stars · 50 citations
- McDonald County Living Center Anderson, 19 mi · 4 of 5 stars · 15 citations
- Seneca Nursing Seneca, 20 mi · 1 of 5 stars · 35 citations
- Miami Nursing Center, LLC Miami, 20.3 mi · 1 of 5 stars · 42 citations
- Heartsworth Center for Nursing & Rehabilitation Vinita, 22.5 mi · 1 of 5 stars · 36 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 Grand Lake Villa's Medicare star rating?
- CMS rates Grand Lake Villa 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grand Lake Villa get at its last inspection?
- 9 health deficiencies at the standard inspection on April 29, 2026. The Oklahoma average is 6.4.
- Has Grand Lake Villa been fined?
- Yes. CMS lists 1 fine totaling $32,576 in the last three years.
- Does Grand Lake 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 Grand Lake Villa?
- CMS lists 17 owners and managers, and links the home to Marsh Pointe Management. Legal business name: OAK LAKE, LLC.
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.