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River Oaks Skilled Nursing and Therapy

1901 Parkview Drive, El Reno, OK 73036 · Canadian County · (405) 262-2833

120 certified beds, about 78 residents a day · For profit - Partnership · Medicare and Medicaid since 1991

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375113 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 18, 2025, inspectors cited 1 health deficiency (the Oklahoma average is 6.4, the national average 9.2).

None of its 4 health citations since December 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 3.48 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.

35.9% 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.

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
0C
April 18, 2025Standard inspection · 1 citation
  1. D
    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, isolated · Corrected (the home has a date of correction) May 27, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were secured/locked when not attended to for 1 (hall 200) of 2 medication/treatment carts observed for medication storage. The administrator identified 69 residents resided in the facility.
December 15, 2023Standard inspection · 0 citations
December 8, 2022Standard inspection · 3 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 · Corrected (the home has a date of correction) January 18, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to provide maintenance services necessary to ensure the following: a. a sanitary and comfortable interior for one (#20) of 24 sampled residents reviewed for homelike environment, and b. odors did not linger on one unit (Route 66- Hall 300) of three units observed for odors. The Resident Census and Conditions of Residents report, dated 12/06/22, documented there were 74 residents residing in the facility. There were 27 residents residing on Route 66 - Hall 300.
  2. D
    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, isolated · Corrected (the home has a date of correction) January 18, 2023
    Inspectors wroteBased on observation and interview the facility failed to ensure clean plates and bowls were stored inverted or covered to prevent exposure to contamination. The Resident Census and Conditions of Residents report, dated 12/06/22, documented 74 residents resided in the facility and two residents received tube feedings.
  3. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the laundry room was maintained in safe operating conditions by not cleaning out the lint traps for two of two dryers observed. The Resident Census and Conditions of Residents report, dated 12/06/22, documented 74 residents resided in the facility.

Fire safety inspections

14 fire safety citations on file: 6 on April 18, 2025, 1 on December 15, 2023, 7 on December 8, 2022.

Every fire safety citation14 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 18, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 18, 2025 · Corrected (the home has a date of correction)
  3. 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 · April 18, 2025 · Corrected (the home has a date of correction)
  4. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 18, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · April 18, 2025 · Corrected (the home has a date of correction)
  6. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 18, 2025 · Corrected (the home has a date of correction)
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 15, 2023 · Corrected (the home has a date of correction)
  8. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 8, 2022 · Corrected (the home has a date of correction)
  9. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 8, 2022 · Corrected (the home has a date of correction)
  10. 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 · December 8, 2022 · Corrected (the home has a date of correction)
  11. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · December 8, 2022 · Corrected (the home has a date of correction)
  12. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 8, 2022 · Corrected (the home has a date of correction)
  13. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · December 8, 2022 · Corrected (the home has a date of correction)
  14. C
    Have simulated fire drills held at unexpected times.
    K 712 · December 8, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.483.793.86
Registered nurses0.220.340.69
All nursing staff on weekends3.143.443.42
Nurse aides2.12
Licensed practical nurses1.14
Nursing staff turnover (share who left in a year)35.9%55.5%45.8%
Registered nurse turnover20.0%53.6%42.9%
Administrators who left0

CMS expects 2.74 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 3.62 on weekdays and 3.14 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.48 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.480.223.623.14 0.1%1 of 9078
Oct to Dec 20253.470.233.623.11 0.1%2 of 9278
Jul to Sep 20253.540.263.683.20 0.0%0 of 9271
Apr to Jun 20253.510.223.633.21 0.0%3 of 9170
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Oklahoma

JobMedianMiddle halfEmployed
Oklahoma, all employers
CNAs (nursing assistants)$17.27$15.82 to $18.3919,410
LPNs and LVNs$28.04$24.06 to $29.8411,540
Registered nurses$39.87$37.19 to $47.5538,270
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For River Oaks Skilled Nursing and Therapy. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
4.313.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.31.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.82.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.54.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.313.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
14.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.617.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.827.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.116.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.83.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for River Oaks Skilled Nursing and Therapy's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

51.2% this home

No different from the national rate

US median of homes 51.5% · Oklahoma: 24 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 90 eligible stays.

Potentially preventable readmissions

11.8% this home

No different from the national rate

US median of homes 10.7% · Oklahoma: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 121 eligible stays.

Infections that led to a hospital stay

8.4% this home

No different from the national rate

US median of homes 7.1% · Oklahoma: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 73 eligible stays.

Self-care and mobility at discharge

48.8% this home

Median of homes: Oklahoma54.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 41 residents counted.

Falls with major injury

7.3% this home

Median of homes: Oklahoma0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 68 residents counted.

New or worsened pressure ulcers

6.1% this home

Median of homes: Oklahoma2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 68 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Oklahoma100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: EL RENO NURSING CENTER LLC. CMS links this home to Bridges Health, a group of 33 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Bridges Employee Stock Ownership Trust5% or greater indirect ownership interestOrganization100%12/31/2020
Deroin, KristyContracted managing employeeIndividual01/01/2000
Deroin, KristyCorporate directorIndividual01/01/2000
Coble, WilliamCorporate officerIndividual12/31/2020
Bridges Esop, IncOperational/managerial controlOrganization12/31/2020
Coble, WilliamOperational/managerial controlIndividual12/31/2020

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 18, 2025: "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."
  2. 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 December 8, 2022: "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."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 8, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 8, 2022: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 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 River Oaks Skilled Nursing and Therapy's Medicare star rating?
CMS rates River Oaks Skilled Nursing and Therapy 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River Oaks Skilled Nursing and Therapy get at its last inspection?
1 health deficiency at the standard inspection on April 18, 2025. The Oklahoma average is 6.4.
Has River Oaks Skilled Nursing and Therapy been fined?
CMS lists no fines in the last three years.
Does River Oaks 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 River Oaks Skilled Nursing and Therapy?
CMS lists 6 owners and managers, and links the home to Bridges Health. Legal business name: EL RENO NURSING CENTER LLC.

Sources

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