Elder Care Record

Oklahoma › Johnston County › Tishomingo

Blue River Healthcare, Inc

1105 East Main, Tishomingo, OK 73460

CCN 375302 · For-profit, individual · 70 certified beds · chain Elmbrook Management Company

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 70 beds, Blue River Healthcare, Inc serves Tishomingo in Johnston County, Oklahoma and has taken Medicare and Medicaid residents since 1997.

CMS gives it 5 of 5 stars overall, above the Oklahoma median of 2; the health inspection rating is 5, staffing 4 and quality measures 2.

Inspectors recorded 8 health deficiencies across the three most recent survey cycles (2, 3, 3 by cycle, most recent first), none at the actual-harm level. That is 11.4 per 100 beds, fewer than the state median of 21.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Oklahoma median of 3.7; nursing staff turnover is 66.0%.

8health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.7
52%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityJohnston Co. medianOklahoma medianUS average
Overall star rating5523.0
Health citations, 3 cycles882028.7
Citations per 100 beds11.411.421.226.8
Total nurse hours per resident day3.63.63.73.9
RN hours per resident day0.80.80.30.7
Nursing staff turnover66.0%66.0%55.3%45.8%
Fines listed$0$0$4,017—

County and state figures are medians across facilities (1 in the county, 283 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 23
Cycle 33

Dark bar: this facility. Grey bar: Oklahoma average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Aug 2024, 27 Jul 2023.

Severity mix: D ×5 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Sep 2024F0584Honor 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.EComplaint investigation1 Nov 2024
26 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation1 Nov 2024
29 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation1 Oct 2024
29 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Oct 2024
11 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation31 Aug 2023
27 Jul 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey31 Aug 2023
10 Mar 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey29 Mar 2022
10 Mar 2022F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey29 Mar 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.61 h
Nurse aides2.4 h
LPN0.37 h
RN0.84 h
Weekend total3.09 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oklahoma average. Turnover: nursing staff 66.0%, RNs 33.3%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOklahoma medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.4%12.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%1.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.9%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%4.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.1%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.0%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.8%14.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual. Chain: Elmbrook Management Company (11 facilities).

OrganisationRole in the CMS recordInterestSince
Blue River Healthcare Inc.Direct ownership interestNOT APPLICABLE11/21/2022
Blue River Healthcare Inc.Operational/managerial controlNOT APPLICABLE11/21/2022
Blue River Healthcare Inc.Adp of the snfNOT APPLICABLE11/21/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Blue River Healthcare, Inc been cited for?

8 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Oklahoma median is 20 per facility.

Has Blue River Healthcare, Inc been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Blue River Healthcare, Inc compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Oklahoma median of 3.7 and a national average of 3.9.

Who operates Blue River Healthcare, Inc?

It is part of the Elmbrook Management Company chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Blue River Healthcare Inc. and Blue River Healthcare Inc.. Individual owners and managers are not listed on this site.

When was Blue River Healthcare, Inc last inspected?

The most recent survey or investigation in the CMS record is dated 26 Sep 2024; the most recent standard health survey was 29 Aug 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.