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The Regency Skilled Nursing and Therapy

1610 North Bryan Avenue, Shawnee, OK 74804 · Pottawatomie County · (405) 275-9004

110 certified beds, about 91 residents a day · For profit - Partnership · Medicare and Medicaid since 2007

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375508 · See it on Medicare.gov · Compare with other homes

The record in brief

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

None of its 13 health citations since February 2023 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 3.85 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

43.2% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
May 1, 2025Standard inspection, Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure infection control program guidelines were implemented for 2 (#79 and #108) of 19 residents sampled for infection control. The regional nurse consultant reported five residents in the facility had C. diff.
January 5, 2024Standard inspection · 2 citations
  1. 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) January 31, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident assessment was accurate for one (#58) of 24 sampled residents whose assessments were reviewed for accuracy. The DON reported 94 residents resided in the facility.
  2. D
    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, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered by the physician for one (#46) of five sampled residents reviewed for medications. The DON identified 94 residents resided in the facility.
February 8, 2023Standard inspection · 10 citations
  1. 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) March 22, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained, clean, and in good repair. The Resident Census and Condition of Residents reported 84 residents resided in the facility.
  2. 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) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to properly wear personal protective equipment to prevent the spread of infection. The Resident Census and Conditions of Residents documented 86 residents resided in the facility.
  3. 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 · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to dress residents in their personal clothes per their wishes for one (#8) of one resident reviewed for dignity. The Resident Census and Conditions of Residents documented 86 residents resided in the facility.
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a current copy of a resident's Do-Not-Resuscitate (DNR) consent was in the resident's medical record for one (#39) of three residents sampled for advance directives. The DON reported 26 residents, who resided in the facility, have DNR consents.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on observation and interview, the facility failed to provide a clean environment for one (#17) of three residents observed for environment. The Resident Census and Conditions of Residents form documented 84 residents resided in the facility.
  6. 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) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure resident care plans were reviewed and revised after falls for one (#23) of two residents reviewed for falls. The DON identified 103 resident falls during the previous six months.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure resident care plans were reviewed and revised after falls for one (#23) of two residents reviewed for falls. The DON identified 103 resident falls during the previous six months.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to change nebulizer tubing as ordered by the physician for one (#17) of one resident sampled for respiratory therapy. The Resident Census and Conditions of Residents documented 19 residents required respiratory therapy.
  9. D
    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, isolated · Corrected (the home has a date of correction) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to provide medications to residents per physician order for one (#17) of six residents whose medications were reviewed. The Resident Census and Conditions of Residents form documented 84 residents resided in the facility.
  10. 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) March 22, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to monitor for side effects and behaviors of psychotropic medications for one (#23) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents documented 51 residents received psychotropic medications.

Fire safety inspections

12 fire safety citations on file: 2 on May 1, 2025, 5 on January 5, 2024, 5 on February 8, 2023.

Every fire safety citation12 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 · May 1, 2025 · Corrected (the home has a date of correction)
  2. E
    Have proper medical gas storage and administration areas.
    K 923 · May 1, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 5, 2024 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 5, 2024 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 5, 2024 · Corrected (the home has a date of correction)
  6. 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 5, 2024 · Corrected (the home has a date of correction)
  7. E
    Have proper medical gas storage and administration areas.
    K 923 · January 5, 2024 · Corrected (the home has a date of correction)
  8. 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 · February 8, 2023 · Corrected (the home has a date of correction)
  9. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 8, 2023 · Corrected (the home has a date of correction)
  10. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 8, 2023 · Corrected (the home has a date of correction)
  11. C
    Provide properly protected cooking facilities.
    K 324 · February 8, 2023 · Corrected (the home has a date of correction)
  12. C
    Have simulated fire drills held at unexpected times.
    K 712 · February 8, 2023 · 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)3.853.793.86
Registered nurses0.340.340.69
All nursing staff on weekends3.323.443.42
Nurse aides2.55
Licensed practical nurses0.96
Nursing staff turnover (share who left in a year)43.2%55.5%45.8%
Registered nurse turnover0.0%53.6%42.9%
Administrators who left0

CMS expects 3.35 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 3.32 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 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 20263.850.344.063.32 0.6%0 of 9091
Oct to Dec 20253.660.283.783.36 0.6%0 of 9295
Jul to Sep 20253.760.283.923.36 0.5%0 of 9289
Apr to Jun 20253.810.254.073.14 0.0%0 of 9192
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
7.213.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.41.90.8
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
3.94.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.013.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.24.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.417.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
30.927.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.916.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.83.01.8

Owners and operators

Legal business name: OPSHAW 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, KristyW-2 managing employeeIndividual06/01/2013
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 3 problems in this area, most recently on January 5, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 8, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 5, 2024: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 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 The Regency Skilled Nursing and Therapy's Medicare star rating?
CMS rates The Regency Skilled Nursing and Therapy 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Regency Skilled Nursing and Therapy get at its last inspection?
1 health deficiency at the standard inspection on May 1, 2025. The Oklahoma average is 6.4.
Has The Regency Skilled Nursing and Therapy been fined?
CMS lists no fines in the last three years.
Does The Regency 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 The Regency Skilled Nursing and Therapy?
CMS lists 5 owners and managers, and links the home to Bridges Health. Legal business name: OPSHAW LLC.

Sources

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