ElderGrade
B

75/100

Above average

Heritage Skilled Nursing And Therapy

201 West Walnut, Tecumseh, OK 74873

CMS 4/5 stars #3 of 6 in Pottawatomie County (405) 598-2167
Certified beds
100
Occupancy
64%
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 60%

    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

18/30

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

  • 4.4 total nurse hours per resident per day (national median 3.77)
  • 0.28 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

5/15

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

  • 60% of nursing staff left in the last year

Resident outcomes

12/15

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

  • 4 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 3.57 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.28 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.28 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 60.00%
National average 45.80% Below average

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

Recent inspection findings

All 27 citations

Last standard health inspection: March 27, 2025 (1 year ago).

E Mar 27, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Mar 27, 2025 F0693

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 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 27, 2025 F0732

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Nov 16, 2023 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Nov 16, 2023 F0883

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of BRIDGES HEALTH, which operates 34 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DEROIN, KRISTY Individual W-2 MANAGING EMPLOYEE
COBLE, WILLIAM Individual CORPORATE OFFICER
BRIDGES ESOP, INC Organization OPERATIONAL/MANAGERIAL CONTROL
COBLE, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Heritage Skilled Nursing And Therapy

What is the ElderGrade for Heritage Skilled Nursing And Therapy? +

Heritage Skilled Nursing And Therapy holds an ElderGrade of B (75 out of 100), which we describe as "above 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 Heritage Skilled Nursing And Therapy? +

Residents receive an average of 3.57 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Heritage Skilled Nursing And Therapy been cited for harming residents? +

No. None of the 27 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Heritage Skilled Nursing And Therapy accept Medicaid? +

Yes, Heritage Skilled Nursing And Therapy 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.