Heritage Skilled Nursing and Therapy
201 West Walnut, Tecumseh, OK 74873 · Pottawatomie County · (405) 598-2167
100 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375446 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 27, 2025, inspectors cited 6 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 27 health citations since November 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 3.57 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
60.0% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bridges Health, an affiliated group of 33 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.
1111/22
1011/23
603/25
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 27 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
8E
0F
Potential for minimal harm
0A
0B
0C
March 27, 2025Standard inspection · 6 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop comprehensive care plans for 2 (#24 and #38 ) of 19 resident care plans reviewed. The administrator identified 65 residents resided in the facility.
- E Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure bottles containing tube feeding were labeled and dated for 2 (#30 and #215 ) of 2 sampled residents observed for tube feeding. The administrator identified three residents required tube feedings. 1. On 03/26/25 at 7:48 a.m., the tube feeding for Resident #30 was observed running at 60 ml/hr. The bottle was not labeled with the date or time opened, or who hung the bottle. A Tube Feeding policy, dated 06/24/10, read in part, Change and label (name of resident, date, and time) feeding set (tubing and appropriate syringe) every 24 hours. Resident #30 admitted to the facility with diagnoses which included dysphagia, diabetes mellitus, major depressive disorder, chronic pain, and cerebral infarction. [...]
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure protected health information was secure for 1 (#66) of 65 residents receiving care in the facility. The administrator identified 65 residents resided in the facility.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to monitor and intervene for a PICC line that required care for 1 (#215 ) of 2 sampled residents with PICC lines. The administrator identified 65 residents resided in the facility and two residents had PICC lines.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to post nurse staffing in a prominent place accessible to residents and visitors. The administrator identified 65 residents who resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control practices were followed for glove usage. The administrator identified 65 residents resided at the facility.
November 16, 2023Standard inspection, Complaint inspection · 10 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 ensure the kitchen and dining area were kept clean and maintained in good repair. The DM identified 67 residents received services from the kitchen. Two residents received nutrition and hydration solely through a feeding tube.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure the resident or their legal representative received education regarding the benefits and potential side effects of the influenza immunization and obtain consents before administering the immunization for three (#46, 49, and #55) of five sampled residents reviewed for immunizations. The DON identified 69 residents resided in the facility.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased record review and interview, the facility failed to ensure quarterly financial statements were provided in writing to the resident and/or their representative for one (#61) of one sampled resident reviewed for personal funds. The BOM identified 34 residents who had trust accounts.
- D 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, record review, and interview, the facility failed to ensure resident care equipment was maintained in good repair for one (#61) of one sampled resident observed for resident care equipment. The DON identified 69 residents resided in the facility.
- 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 assistance with eating for a dependent resident for one (#30) of five sampled residents who were reviewed for activities of daily living care. The DON identified four residents who required assistance with eating.
- D 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents with limited range of motion received restorative services and/or assistance to prevent further decrease in range of motion for two (#30 and #220) of two sampled residents reviewed for mobility. The DON identified 6 residents with impaired range of motion.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to perform ongoing assessments and oversight of the resident prior to and after dialysis treatments for one (#56) of one sampled resident who received dialysis. The DON identified 69 residents resided in the facility.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for one (#15) of five sampled residents reviewed for medications. The DON identified 69 residents resided in the facility.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on record review and interview, the facility failed to ensure labs were not collected without a physician order for one (#55) of five sampled residents reviewed for lab services. The DON identified 69 residents resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure wrist blood pressure monitors were cleaned in between residents for two (#50 and #57) of two residents observed during medication administration. The DON identified 69 residents who resided in the facility. The facility's Infection Control policy, dated 06/23/17, read in parts, .Medical equipment and instruments/devices must be cleaned and maintained according to the manufactures' instructions to prevent patient-to-patient transmission of infectious agents . On 11/15/23 at 8:02 a.m., CMA #3 obtained Res #57's blood pressure with a wrist blood pressure monitor, after obtaining the blood pressure, CMA #3 removed the device from the resident's wrist and placed the wrist blood pressure monitor on their wrist without cleaning the blood pressure cuff. [...]
November 17, 2022Standard inspection · 11 citations
- E 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 observation, record review, and interview, the facility failed to: a. update the comprehensive care plan with an intervention following a fall for one (#35) of three residents reviewed for falls and b. invite the resident or resident's representative to participate in developing the care plan for one (#22) of 17 residents whose care plans were reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- E 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.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident with limited range of motion received services to increase, maintain, or prevent further decline in range of motion for two (#20 and #26) of two residents reviewed for limited range of motion. The Resident Census and Conditions of Residents documented 61 residents resided in the facility.
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review, observation, and interview, the facility failed to perform monitoring for anticoagulant medications for two (#9 and #42) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- E 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, observation, and interview, the facility failed to ensure residents did not receive an as needed antianxiety medication without justification for administration for one (#39) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 14 residents received antianxiety medications.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to send notice of transfer or discharge to a representative of the Office of the State Long-Term Care Ombudsman for two (#22 and #161) of two residents reviewed for discharge to the hospital. The DON documented four residents had discharged to the hospital in the last 30 days.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure MDS assessments accurately reflected the resident's status for two (#22 and #43) of 17 residents whose MDS's were reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a new diagnosis of serious mental disorder for a level II PASARR for one (#48) of one resident reviewed for PASARR level II. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- D 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 ensure the resident's treatment and care was in accordance with the person centered care plan and in accordance with professional standards for one (#29) of one resident reviewed. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, and interview, the facility failed to develop and implement interventions following a fall for one (#35) of three residents reviewed for accident hazards. The Resident Census and Conditions of Residents form documented 61 residents resided in the facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation and interview, it was determined the facility failed to provide sufficient fluid intake to maintain proper hydration status for one (#8) of one residents reviewed. The Census and Conditions of Residents form documented 61 residents resided in the facility.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to obtain a physician ordered CBC lab for one (#13) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents documented 61 residents resided in the facility.
Fire safety inspections
16 fire safety citations on file: 6 on March 27, 2025, 4 on November 16, 2023, 6 on November 17, 2022.
Every fire safety citation16 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D 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.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 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) | 3.57 | 3.79 | 3.86 |
| Registered nurses | 0.28 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.44 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 60.0% | 55.5% | 45.8% |
| Registered nurse turnover | 60.0% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.11 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 3.68 on weekdays and 3.28 on weekends, 11% 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 3.43 in April to June 2025 to 3.57 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 | 3.57 | 0.28 | 3.68 | 3.28 | 0.0% | 1 of 90 | 64 |
| Oct to Dec 2025 | 3.80 | 0.33 | 3.94 | 3.45 | 0.0% | 2 of 92 | 59 |
| Jul to Sep 2025 | 3.53 | 0.30 | 3.66 | 3.19 | 0.2% | 1 of 92 | 63 |
| Apr to Jun 2025 | 3.43 | 0.35 | 3.51 | 3.21 | 0.0% | 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 | 6.8 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.0 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 3.0 | 1.8 |
Owners and operators
Legal business name: TECUMSEH OPERATIONS, LLC. CMS links this home to Bridges Health, a group of 33 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bridges Employee Stock Ownership Trust | 5% or greater indirect ownership interest | Organization | 100% | 12/31/2020 |
| Deroin, Kristy | W-2 managing employee | Individual | 06/30/2019 | |
| Coble, William | Corporate officer | Individual | 12/31/2020 | |
| Bridges Esop, Inc | Operational/managerial control | Organization | 12/31/2020 | |
| Coble, William | Operational/managerial control | Individual | 12/31/2020 |
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 9 problems in this area, most recently on March 27, 2025: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 27, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 27, 2025: "Keep residents' personal and medical records private and confidential."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on March 27, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.28 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- The Golden Rule Home Shawnee, 3.5 mi · 2 of 5 stars · 24 citations
- The Regency Skilled Nursing and Therapy Shawnee, 6.5 mi · 5 of 5 stars · 13 citations
- Shawnee Colonial Estates Nursing Home Shawnee, 6.5 mi · 1 of 5 stars · 19 citations
- Shawnee Care Center Shawnee, 7.1 mi · 1 of 5 stars · 54 citations
- Seminole Pioneer Nursing Home Seminole, 13.9 mi · 1 of 5 stars · 33 citations
- Seminole Care and Rehabilitation Center Seminole, 14.4 mi · 4 of 5 stars · 22 citations
- McLoud Nursing Center McLoud, 14.5 mi · 1 of 5 stars · 28 citations
- Meeker Nursing Center Meeker, 17.2 mi · 3 of 5 stars · 15 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 Heritage Skilled Nursing and Therapy's Medicare star rating?
- CMS rates Heritage Skilled Nursing and Therapy 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Skilled Nursing and Therapy get at its last inspection?
- 6 health deficiencies at the standard inspection on March 27, 2025. The Oklahoma average is 6.4.
- Has Heritage Skilled Nursing and Therapy been fined?
- CMS lists no fines in the last three years.
- Does Heritage Skilled Nursing and Therapy 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 Heritage Skilled Nursing and Therapy?
- CMS lists 5 owners and managers, and links the home to Bridges Health. Legal business name: TECUMSEH OPERATIONS, 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.