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Heritage Villa Care & Rehab Center

1244 Woodland Loop Drive, Bartlesville, OK 74006 · Washington County · (918) 335-3222

100 certified beds, about 87 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375109 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 14, 2025, inspectors cited 5 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 50 health citations since April 2021, 1 was 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 January 14, 2025.

Nurses and nurse aides worked 3.85 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.

55.3% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Mgm Healthcare, an affiliated group of 27 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.

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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
25D
20E
4F
Potential for minimal harm
0A
0B
0C
August 14, 2025Complaint inspection · 5 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents and their representatives were provided with a written notice of transfer prior to transferring to an acute care hospital for 3 (#1, 4, and #7) of 3 sampled residents reviewed for discharges. The DON identified 64 residents had been transferred from the facility to a hospital on and between 02/14/25 and 08/14/25.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · 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) August 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure staff announced their presence in a resident's room while the resident was using the bathroom for 1 (#2) of 3 sampled residents reviewed for dignity. The DON reported 77 residents resided at the facility.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a thorough investigation was completed following the discovery of an injury of unknown origin for 1 (#3) of 3 sampled residents reviewed for injuries of unknown origin. The administrator identified one resident with an injury of unknown in the past six months.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received a head-to-toe physical assessment after being found to have an injury of unknown origin for 1 (#3) of 3 sampled residents reviewed for injuries of unknown origin. The administrator identified one resident who was found to have an injury of unknown origin from 03/01/25 through 08/13/25.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received medications as prescribed by a nurse practitioner for 1 (#1) of 3 sampled residents reviewed for unnecessary medications. The DON identified 77 residents were prescribed and administered medications in the facility.
January 14, 2025Standard inspection · 5 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a certified nurse aide did not attempt to transfer a resident from a bed to a wheelchair by themselves for a resident that required a two person lift for one (#16) of three sampled residents reviewed for falls. The DON stated there were 19 residents at the facility that required two staff members for transfers.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge MDS assessment was transmitted in the required time frame for one (#76) of 27 sampled residents reviewed for MDS assessments. The administrator stated 82 residents resided at the facility at the time of entry.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure physician orders were followed for insulin administration for one (#31) of one sampled resident reviewed for insulin administration. The DON reported 19 residents received insulin.
  4. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was provided education on the use of bed rails and given the option to consent or decline the use of bed rails prior to their attachment to the bed for one (#72) four sampled residents reviewed for accident hazards. The DON identified 16 residents had bed rails attached to their assigned beds.
  5. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure involuntary movement assessments were completed for a resident receiving an antipsychotic medication for one (#31) of five sampled residents reviewed for unnecessary medications. The DON reported eight residents received antipsychotic medications.
September 22, 2023Standard inspection, Complaint inspection · 14 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain comfortable air temperatures in resident rooms for two (#3 and #8) of 24 sampled residents reviewed for air temperatures. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility.
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to: a. monitor the amount of meals a resident who experienced weight loss consumed for one (#43); and b. provide a physician ordered health shake with breakfast for one (#43) of one sampled resident reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure an accurate account of controlled medications was maintained for three (#62, 175, and #176) of three sampled residents reviewed for medication storage. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility.
  4. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to: a. ensure a physician provided a reason for disagreeing with a pharmacy GDR for one (#28); b. ensure a resident who received psychotropic medications received a gradual dose reduction in a timely manner for one (#15); and c. a prn psychotropic medication was limited to 14 days and had an end date for one (#3) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 51 residents received psychoactive medications.
  5. 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) November 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide hot and palatable meals for six (#10, 19, 20, 31, 62, and #65) of six sampled residents reviewed for hot and palatable meals. The Administrator identified 70 residents who received their meals from the kitchen.
  6. 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) November 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to: a. ensure food was prepared and served in a sanitary manner for one of one meal service observed; and b. failed to prevent bare hand contact with resident food for one (#43) of four sampled residents reviewed for ADLs. The Administrator identified 70 residents who received their meals from the kitchen.
  7. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) November 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility to ensure residents were assisted with dining in a dignified manner for one (#43) of four sampled residents reviewed for ADLs. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 23 residents were independent, 46 residents required the assistance of one or two staff members, and four residents were dependent on staff for the task of eating.
  8. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure privacy was provided while performing a finger stick for blood sugar reading and while administering insulin to one (#50) of three sampled residents observed for insulin administration. The Resident Roster Matrix report, undated, documented 15 residents received insulin.
  9. D
    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.
    F622 · 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) November 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was not involuntarily discharged while an appeal order was pending for one (#219) of one sampled residents reviewed for involuntary discharge. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility. The Administrator identified one resident who had been given a 30-day discharge notice from the facility in the past 12 months.
  10. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary was completed after a discharge for one (#169) of three sampled resident reviewed for discharge. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure: a. residents were provided assistance with eating in a timely manner for one (#43); and b. residents were provided assistance with hygiene, eating, and bathing for one (#169) of four sampled residents reviewed for ADLs. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility. It documented 23 residents were independent, 46 residents required the assistance of one or two staff members, and four residents were dependent on staff for the task of eating.
  12. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident did not experience a significant medication error when a long acting insulin was administered instead of the short acting insulin ordered for one (#50) of three sampled residents observed for insulin administration. The Resident Roster Matrix, undated, documented 15 residents who received insulin resided in the faciilty.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure resident records were accurate for one (#43) of one sampled resident reviewed for nutrition. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 73 residents resided in the facility.
  14. 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) November 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure used linens were not placed on the floor during incontinent care for one (#12) of three sampled residents observed for incontinent care. The Resident Census and Conditions of Residents report, dated 09/18/23, documented 40 residents were occasionally or frequently incontinent of bladder, and 31 residents were occasionally or frequently incontinent of bowel.
April 28, 2021Standard inspection · 26 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure the ice machine and scoop bucket were maintained in a sanitary manner. The dietary manager identified 65 residents who received ice from the machine.
  2. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure the QAPI program made good faith attempts to identify and correct quality deficiencies. The facility identified 65 residents who resided at the facility.
  3. F
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to have complete documentation of the seasonal influenza vaccine and the pneumococcal vaccine, for three (#11, #1, and #59) of five residents sampled for immunizations. The facility identified 65 residents resided at the facility.
  4. F
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to: ~ ensure all staff were routinely tested for COVID-19; and ~ ensure outbreak testing was conducted until 14 days of no new positive COVID-19 cases had been achieved. This had the potential to affect all 65 residents who resided in the facility.
  5. E
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure survey results were accessible to residents/visitors. This had the potential to affect all 65 residents who resided in the facility.
  6. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to provide facility failed to provide liability and appeals notices as required for three (#25, #29, and #64) of three sampled residents for liability and appeals notices. The BOM identified 23 residents had been discharged from skilled services in the last six months.
  7. E
    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, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wrote2. Resident #33 had diagnoses which included rheumatoid arthritis and spondylitis. The resident's clinical record contained a quarterly assessment, dated 12/20/20. The resident's next assessment to be completed, an annual assessment, dated 03/12/21, documented a status of pending. Based on interview and record review, it was determined the facility failed to ensure comprehensive assessments were conducted in a timely manner for two (#23 and #33) of 24 sampled residents whose assessments were reviewed. This had the potential to affect all 65 residents who resided in the facility.
  8. E
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure quarterly assessments were completed every three months for four (#11, #20, #29, and #35) of 24 sampled residents whose assessments were reviewed. The facility identified 65 residents resided in the facility.
  9. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to develop comprehensive care plans to meet the needs of residents for four (#20, #23, #29, and #52) of 22 sampled residents whose comprehensive care plans were reviewed. The facility identified 65 residents who resided at the facility.
  10. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to have a qualified activities director. This had the potential to affect all 65 residents who resided in the facility.
  11. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure residents with limited ROM received treatment and services to prevent further decrease or maintain ROM for three (#20, #23, and #52) for three sampled residents reviewed for ROM/restorative services. The facility identified three residents with contractures.
  12. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure pre and post dialysis assessments and physician's orders for dialysis were completed for one (#16) of one sampled resident who was reviewed for dialysis. The facility identified three residents who received dialysis.
  13. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure the DON did not work as a charge nurse when the resident census was 60 or greater. This had the potential to affect all 65 residents who resided in the facility.
  14. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNAs had received performance/competency reviews yearly for five (CNA #2, #3, #4, #6, and CNA #7) of five employee files reviewed for NA competency reviews. This had the potential to affect all 65 residents who resided in the facility.
  15. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure resident medical records were complete and accurate for five (#1, #10, #52, #57, and #60) of 24 sampled resident whose records were reviewed. The DON identified 65 residents in the facility with medical records.
  16. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure the QAA committee developed and implemented appropriate plans of action to correct quality deficiencies. The facility identified 65 residents who resided at the facility.
  17. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to implement an effective infection control program to prevent potential infections for four (#1, #11, #29, and #55) of 21 sampled residents reviewed for infection control. The facility failed to: a. ensure catheter care was provided in a manner to prevent UTIs for resident #11, b. ensure indwelling urinary catheter bags(privacy bags) and tubing did not touch the floor for residents #1, #29, and #55, and c. ensure tracking and trending of infections were monitored and analyzed with steps taken to prevent further infections on a monthly basis. This had the potential to affect the 65 residents who resided at the facility. The facility identified 65 residents who resided at the facility.
  18. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to accurately complete an annual assessment for one (#57) of 24 sampled residents whose assessments were reviewed for accuracy.
  19. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to address a resident's elopement risk in the baseline care plan for one (#114) of one newly admitted resident who was at risk for elopement whose baseline was reviewed. The facility identified two residents who were at risk for elopement.
  20. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to review/revise resident care plans for two (#11 and #29) of 22 sampled residents whose care plans were reviewed. The facility identified 65 residents who resided at the facility.
  21. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure an activity program that met residents preferences and/or needs for two (#20, and #29) of five sampled residents reviewed for activities. The facility identified 65 residents resided at the facility.
  22. 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) July 7, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure a resident with an indwelling urinary catheter received appropriate care and services for one (#11) of seven sampled residents whose indwelling urinary catheters were reviewed. The facility identified seven residents with indwelling urinary catheters.
  23. D
    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, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure pharmacy consultations/recommendations were addressed by the physician for one (#1) of five sampled residents who were reviewed for unnecessary medications. This had the potential to affect all 65 residents who resided in the facility.
  24. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure laboratory monitoring for a medication was completed for one (#1) of five sampled residents who were reviewed for unnecessary medications. The facility identified all 65 residents received medications.
  25. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure antianxiety medications were not ordered for more than 14 days for one (#1) of five sampled residents who were reviewed for unnecessary medications. The facility identified ten residents who received antianxiety medications.
  26. D
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2021
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure a resident was provided radiology services as ordered by the physician for one (#11) of three sampled residents who were reviewed who had radiology services. The facility identified 65 residents resided at the facility.

Fire safety inspections

3 fire safety citations on file: 2 on January 14, 2025, 1 on September 22, 2023.

Every fire safety citation3 citations
  1. 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 · January 14, 2025 · Corrected (the home has a date of correction)
  2. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 14, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 22, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 14, 2025Fine $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)3.853.793.86
Registered nurses0.210.340.69
All nursing staff on weekends3.343.443.42
Nurse aides2.81
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)55.3%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left0

CMS expects 3.46 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 4.06 on weekdays and 3.34 on weekends, 18% 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 3.78 in April to June 2025 to 3.85 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.850.214.063.34 0.0%0 of 9087
Oct to Dec 20253.710.213.863.33 0.0%0 of 9283
Jul to Sep 20253.790.233.963.35 0.0%0 of 9279
Apr to Jun 20253.780.243.973.32 0.0%0 of 9180
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
6.013.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.44.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.013.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
1.617.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.627.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
28.616.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.23.01.8

Owners and operators

Legal business name: HERITAGE VILLA HEALTHCARE LLC. CMS links this home to Mgm Healthcare, a group of 27 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Ok SNF Holdings, LLC5% or greater direct ownership interestOrganization50%12/18/2023
Ok SNF Investments, LLC5% or greater direct ownership interestOrganization50%12/18/2023
Jfb Ok Trust5% or greater indirect ownership interestOrganization50%12/18/2023
Southeast Ventures Trust5% or greater indirect ownership interestOrganization48%12/18/2023
Rovenstine, PeggyW-2 managing employeeIndividual12/18/2023
Friedman, NaftaliCorporate officerIndividual12/18/2023

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 11 problems in this area, most recently on August 14, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on January 14, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on August 14, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on August 14, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Oklahoma average of 3.44.

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 Heritage Villa Care & Rehab Center's Medicare star rating?
CMS rates Heritage Villa Care & Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Villa Care & Rehab Center get at its last inspection?
5 health deficiencies at the standard inspection on January 14, 2025. The Oklahoma average is 6.4.
Has Heritage Villa Care & Rehab Center been fined?
Yes. CMS lists 1 fine totaling $8,278 in the last three years.
Does Heritage Villa Care & Rehab Center 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 Villa Care & Rehab Center?
CMS lists 6 owners and managers, and links the home to Mgm Healthcare. Legal business name: HERITAGE VILLA HEALTHCARE LLC.

Sources

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