ElderGrade
A

92/100

Excellent

River Valley Skilled Nursing And Therapy

2400 West Modelle, Clinton, OK 73601

CMS 5/5 stars #1 of 3 in Custer County (580) 323-1110
Certified beds
100
Occupancy
53%
Ownership
For-profit
Accepts
Medicare + Medicaid

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.

  • 4.66 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

15/15

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

  • 30% of nursing staff left in the last year

Resident outcomes

15/15

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

  • 5 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 3.54 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.34 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 30.00%
National average 45.80% Better than average

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

Recent inspection findings

Last standard health inspection: March 19, 2026 (5 months ago).

D Mar 19, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Mar 19, 2026 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

D Mar 19, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Dec 19, 2024 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

D Dec 19, 2024 F0803

Nutrition and Dietary Deficiencies

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.

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 River Valley Skilled Nursing And Therapy

What is the ElderGrade for River Valley Skilled Nursing And Therapy? +

River Valley Skilled Nursing And Therapy holds an ElderGrade of A (92 out of 100), which we describe as "excellent". 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 River Valley Skilled Nursing And Therapy? +

Residents receive an average of 3.54 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

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

No. None of the 5 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does River Valley Skilled Nursing And Therapy accept Medicaid? +

Yes, River Valley 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.