ElderGrade
C

69/100

Average

Blue River Healthcare, Inc

1105 East Main, Tishomingo, OK 73460

CMS 5/5 stars (580) 371-2636
Certified beds
70
Occupancy
52%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 66%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.07 total nurse hours per resident per day (national median 3.77)
  • 0.84 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 66% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.61 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.84 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.09 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 66.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: August 29, 2024 (1 year ago).

E Sep 26, 2024 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Sep 26, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Aug 29, 2024 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Aug 29, 2024 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Aug 11, 2023 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jul 27, 2023 F0806

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

E Mar 10, 2022 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Mar 10, 2022 F0661

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ELMBROOK MANAGEMENT COMPANY, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BLUE RIVER HEALTHCARE INC. Organization DIRECT OWNERSHIP INTEREST
COBLE, TOM Individual INDIRECT OWNERSHIP INTEREST
COBLE, TOM Individual CORPORATE OFFICER
LODES, JASON Individual CORPORATE OFFICER
BLUE RIVER HEALTHCARE INC. Organization OPERATIONAL/MANAGERIAL CONTROL
COBLE, TOM Individual OPERATIONAL/MANAGERIAL CONTROL
DIXSON, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL
LODES, JASON Individual OPERATIONAL/MANAGERIAL CONTROL
MCGLAMERY, DENA Individual OPERATIONAL/MANAGERIAL CONTROL
BLUE RIVER HEALTHCARE INC. Organization ADP OF THE SNF
COBLE, TOM Individual ADP OF THE SNF
DIXSON, JAMES Individual ADP OF THE SNF

What families say

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Common questions about Blue River Healthcare, Inc

What is the ElderGrade for Blue River Healthcare, Inc? +

Blue River Healthcare, Inc holds an ElderGrade of C (69 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Blue River Healthcare, Inc? +

Residents receive an average of 3.61 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Blue River Healthcare, Inc been cited for harming residents? +

No. None of the 8 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Blue River Healthcare, Inc accept Medicaid? +

Yes, Blue River Healthcare, Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.