River Valley Skilled Nursing and Therapy
2400 West Modelle, Clinton, OK 73601 · Custer County · (580) 323-1110
100 certified beds, about 53 residents a day · For profit - Partnership · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375141 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 5 health citations since January 2024 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 3.54 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
30.0% 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.
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 5 health citations on file.
March 19, 2026Standard inspection, Complaint inspection · 3 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the physician of severe weight loss defined as greater than 5% in 30 days, greater than 7.5% in 90 days, and greater than 10% in 180 days for 1 (#7) of 2 sampled residents reviewed for significant weight loss. The administrator identified two residents had significant weight loss within 90 days.
- D 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 ensure a comprehensive care plan was developed to address reoccurring pneumonia for 1 (#4) of 14 sampled resident's reviewed for care plans. The administrator identified 55 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 infection control precautions were used during indwelling catheter care for 1 (#1) of 3 sampled residents reviewed for infection control practicesThe administrator identified eight residents had indwelling catheters requiring infection control precautions during care.
December 19, 2024Standard inspection · 2 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 utensils were not used from raw, uncooked food to ready to eat food. The CDM identified 49 residents received services from the kitchen.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure menus were followed for pureed diets for one of one meal service observed. Cook #1 identified three residents who had diet orders for pureed meals.
January 5, 2024Standard inspection · 0 citations
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) | 3.54 | 3.79 | 3.86 |
| Registered nurses | 0.37 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.34 | 3.44 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.91 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 3.34 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.54 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 | 3.54 | 0.37 | 3.62 | 3.34 | 2.0% | 0 of 90 | 53 |
| Oct to Dec 2025 | 3.80 | 0.40 | 3.87 | 3.61 | 3.9% | 1 of 92 | 49 |
| Jul to Sep 2025 | 3.47 | 0.36 | 3.52 | 3.34 | 2.3% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.52 | 0.37 | 3.56 | 3.41 | 0.7% | 0 of 91 | 54 |
| 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 | 4.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.9 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.3 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 3.0 | 1.8 |
Owners and operators
Legal business name: CLINTON NURSING CENTER 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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 19, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 19, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "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 3.34 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- Clinton Therapy & Living Center Clinton, 0.9 mi · 2 of 5 stars · 56 citations
- Cordell Nursing and Rehabilitation Cordell, 14.1 mi · 3 of 5 stars · 19 citations
- Corn Heritage Village and Rehab Corn, 14.7 mi · 1 of 5 stars · 12 citations
- Corn Heritage Village and Rehab of Weatherford Weatherford, 16.7 mi · 2 of 5 stars · 17 citations
- Maple Lawn Nursing and Rehabilitation Hydro, 23.3 mi · 4 of 5 stars · 8 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 River Valley Skilled Nursing and Therapy's Medicare star rating?
- CMS rates River Valley Skilled Nursing and Therapy 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did River Valley Skilled Nursing and Therapy get at its last inspection?
- 3 health deficiencies at the standard inspection on March 19, 2026. The Oklahoma average is 6.4.
- Has River Valley Skilled Nursing and Therapy been fined?
- CMS lists no fines in the last three years.
- Does River Valley 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 Valley Skilled Nursing and Therapy?
- CMS lists 5 owners and managers, and links the home to Bridges Health. Legal business name: CLINTON NURSING CENTER 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.