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University Village Retirement Community

8555 South Lewis Avenue, Tulsa, OK 74137 · Tulsa County · (918) 299-2661

80 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375531 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 5, 2024, inspectors cited 8 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 15 health citations since October 2021 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 4.36 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.

48.1% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
6E
0F
Potential for minimal harm
0A
0B
0C
December 5, 2024Standard inspection · 8 citations
  1. 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 · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were palatable for three (#22, 47 and #54) of three residents who were reviewed for food palatability. The staff engagement coordinator identified 71 residents who received nourishment from the kitchen.
  2. 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) December 27, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure foods were served in a sanitary manner in two of two dining areas. The staff engagement coordinator identified 65 resident who ate food in the dining rooms.
  3. E
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    F848 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure arbitration agreements contained language which indicated a neutral arbitrator would be utilized and the arbitration would take place at a venue convenient to both parties for three (#20, 38, and #120) of three sampled residents who were reviewed for arbitration agreements. The administrator identified 56 residents who had signed an arbitration agreement.
  4. 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) December 27, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure privacy was provided during urinary catheter care for one (#2) of two sampled residents who were reviewed for urinary catheters. The staff engagement coordinator identified six residents who had urinary catheters.
  5. 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) December 27, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were secured in locked medication carts for two (#1 and #2) of seven medication carts observed. The administrator identified 72 residents resided in the facility.
  6. 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) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure records were accurate for one (#21) of five sampled residents who were reviewed for unnecessary medications. The administrator identified 74 residents who resided in the facility.
  7. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure arbitration agreements contained language residents and/or resident representatives could rescind the agreement within 30 days of signing and signing the agreement was not a condition of admission for three (#20, 38, and #120) of three sampled residents who were reviewed for arbitration agreements. The administrator identified 56 residents who had signed an arbitration agreement.
  8. 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) December 27, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure catheter tubing was maintained to prevent infection for two (#2 and #27) of two residents who were reviewed for catheter infection prevention. The staff engagement coordinator identified six residents who had catheters.
October 31, 2024Complaint inspection · 1 citation
  1. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to inspect a hospice supplied bed for safety prior to use by a resident for one (#1) of three sampled residents reviewed for bed safety. The administrator identified 68 residents resided at the facility.
September 26, 2023Standard inspection · 5 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to administer oxygen according to physician orders for one (#213) of four sampled residents reviewed for respiratory care. The Resident Census and Conditions of Residents form, dated 09/22/23, documented 11 residents received respiratory treatments.
  2. 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 · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure blood pressure medications were administered as ordered for one (#12) of five sampled residents reviewed for medications. The DON identified 31 residents who had blood pressure medications with parameters.
  3. 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) October 31, 2023
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure: a. staff were COVID tested during outbreak status per policy and procedure; b. staff wore appropriate PPE for COVID posted isolation precaution rooms per policy and procedure; and c. staff washed their hands with glove changes during wound care per policy and procedure. The DON identified six resident who were on isolation precautions for COVID-19 and two residents who were receiving wound care.
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on observation, record review, and interview. the facility failed to ensure a resident had a physician order to self-administer a nebulizer treatment for one (#16) of one sample resident reviewed for self-administration of medications. The Resident Census and Conditions of Residents report, dated 09/22/23, documented 11 residents who received respiratory treatments.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to notify the physician of a surgical wound change for one (#212) of one sampled residents reviewed for surgical wounds. The DON identified three residents who had surgical wounds.
October 8, 2021Standard inspection · 1 citation
  1. 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 1, 2021
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to implement correct hand hygiene infection control for one (#35) of five sampled residents reviewed for wound care. The facility facility wound flow sheet documented 14 residents had wounds.

Fire safety inspections

6 fire safety citations on file: 6 on October 8, 2021.

Every fire safety citation6 citations
  1. F
    Have properly located and lighted "Exit" signs.
    K 293 · October 8, 2021 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 8, 2021 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 8, 2021 · Corrected (the home has a date of correction)
  4. 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 · October 8, 2021 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 8, 2021 · Corrected (the home has a date of correction)
  6. E
    Have proper medical gas storage and administration areas.
    K 923 · October 8, 2021 · 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)4.363.793.86
Registered nurses0.940.340.69
All nursing staff on weekends3.943.443.42
Nurse aides2.75
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)48.1%55.5%45.8%
Registered nurse turnover30.8%53.6%42.9%
Administrators who left1

CMS expects 3.55 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 4.53 on weekdays and 3.94 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.76 in April to June 2025 to 4.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.360.944.533.94 2.3%0 of 9069
Oct to Dec 20254.510.954.664.13 1.4%0 of 9268
Jul to Sep 20254.470.844.644.05 5.5%0 of 9268
Apr to Jun 20254.760.955.054.03 8.6%0 of 9167
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 University Village Retirement Community. 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
4.013.613.9
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
0.52.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.44.73.2
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
22.713.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.617.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.927.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.616.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.73.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for University Village Retirement Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (36.2% 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

36.2% this home

Worse than 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. 170 eligible stays.

Potentially preventable readmissions

9.5% 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. 159 eligible stays.

Infections that led to a hospital stay

6.5% 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. 84 eligible stays.

Self-care and mobility at discharge

71.7% 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. 92 residents counted.

Falls with major injury

1.8% 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. 109 residents counted.

New or worsened pressure ulcers

4.2% 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. 109 residents counted.

Medication list given at discharge

100.0% this home

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. 66 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: UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC.

NameRoleTypeShareSince
Fail, Blake5% or greater direct ownership interestIndividual38%07/29/2011
Gawey, Matthew5% or greater direct ownership interestIndividual38%07/29/2011
Roberts, Keith5% or greater direct ownership interestIndividual24%07/29/2011
Fail, BlakeCorporate officerIndividual07/29/2011
Gawey, MatthewCorporate officerIndividual07/29/2011
Roberts, KeithCorporate officerIndividual07/29/2011
Triad Aspen Partners, LLCOperational/managerial controlOrganization08/01/2011
Brown, TammyOperational/managerial controlIndividual01/12/2025
Luiskutty, ThomasOperational/managerial controlIndividual10/03/2022
Neal, VanessaOperational/managerial controlIndividual07/29/2011
Triad Aspen Partners, LLCAdp of the SNFOrganization05/15/2025
Brown, TammyAdp of the SNFIndividual01/12/2025
Luiskutty, ThomasAdp of the SNFIndividual10/03/2022
Neal, VanessaAdp of the SNFIndividual07/29/2011

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 5, 2024: "Keep residents' personal and medical records private and confidential."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 5, 2024: "Provide and implement an infection prevention and control program."
  3. 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 5, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on December 5, 2024: "Provide a neutral and fair arbitration process and agree to arbitrator and venue."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 University Village Retirement Community's Medicare star rating?
CMS rates University Village Retirement Community 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did University Village Retirement Community get at its last inspection?
8 health deficiencies at the standard inspection on December 5, 2024. The Oklahoma average is 6.4.
Has University Village Retirement Community been fined?
CMS lists no fines in the last three years.
Does University Village Retirement Community 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 University Village Retirement Community?
CMS lists 14 owners and managers. Legal business name: UNIVERSITY VILLAGE RETIREMENT COMMUNITY, LLC.

Sources

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