Leisure Village Health Care CenterCMS ratings, inspections and fines
- Address
- 2154 South 85th East Avenue, Tulsa, OK 74129
- CCN
- 375230
- Ownership type
- For-profit, limited liability company
- Certified beds
- 117
- Chain
- MGM Healthcare
- Residents per day
- 83
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Leisure Village Health Care Center an overall rating of 1 of 5 stars. The last standard survey was on 12 Jun 2026. The latest survey cycle has 15 health citations. The median for nursing homes in Oklahoma is 6. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Tulsa County median | Oklahoma median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 33 homes in the county, 283 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Oklahoma median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Jun 2026 | 15 | 6 |
| Cycle 2 | 23 Aug 2024 | 9 | 7 |
| Cycle 3 | No date | 17 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0584 | 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. | D | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 10 Jul 2026 |
| 12 Jun 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 10 Jul 2026 |
| 28 Jan 2026 | F0584 | 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. | F | Complaint investigation | 5 Mar 2026 |
| 28 Jan 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Complaint investigation | 5 Mar 2026 |
| 28 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 Mar 2026 |
| 9 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 10 Oct 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Jun 2025 |
| 23 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Sep 2024 |
| 23 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0761 | 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. | E | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 26 Sep 2024 |
| 23 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Sep 2024 |
Survey cycle 3: 17 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jul 2024 |
| 3 Jul 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 14 Aug 2024 |
| 3 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Sep 2024 |
| 19 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Aug 2024 |
| 19 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 14 Aug 2024 |
| 19 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Aug 2024 |
| 13 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Jan 2024 |
| 13 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 10 Jan 2024 |
| 20 Jul 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 6 Sep 2023 |
| 20 Jul 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 6 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Jun 2024 | Payment denial | 7 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Oklahoma median | Oklahoma average (CMS) |
|---|---|---|---|
| All nurse staff | 3.76 | 3.70 | 3.79 |
| Registered nurses (RN) | 0.16 | 0.30 | 0.34 |
| Licensed practical nurses (LPN) | 0.94 | 0.92 | |
| Nurse aides | 2.66 | 2.53 | |
| All nurse staff, weekends | 3.27 | 3.30 | 3.44 |
- Nurse staff turnover in a year
- 58.6%
- Nurse staff turnover, Oklahoma median
- 55.3%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Oklahoma median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.7% | 12.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 4.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.1% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Leisure Village Health Care
- Chain
- MGM Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| MLS Acquisition LLC | 5% or greater direct ownership interest | 5% | 1 Jul 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Tulsa County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Tulsa Nursing Center | Tulsa | 4 of 5 | 10 | $0 | 12 Mar 2025 | |
| Emerald Care Center Tulsa | Tulsa | 1 of 5 | 4 | $68,847 | 25 Nov 2025 | |
| Gracewood Health & Rehab | Tulsa | 2 of 5 | 7 | $0 | 6 Apr 2026 | |
| Trinity Woods, Inc. | Tulsa | 5 of 5 | 0 | $0 | 3 Jul 2024 | |
| Tulsa Center for Rehabilitation and Healthcare | Tulsa | 2 of 5 | 8 | $0 | 25 Aug 2025 | |
| Oklahoma Memory Care Institute | Tulsa | 2 of 5 | 11 | $8,653 | 31 Oct 2024 | |
| Southern Hills Rehabilitation Center | Tulsa | 3 of 5 | 2 | $15,766 | 26 Nov 2024 | |
| Franciscan Villa | Broken Arrow | 2 of 5 | 6 | $8,278 | 23 Dec 2024 | |
| Montereau, Inc. | Tulsa | 3 of 5 | 7 | $14,901 | 7 Apr 2026 | |
| The Cottage Extended Care | Tulsa | 3 of 5 | 4 | $0 | 9 Jan 2025 | |
| Forest Hills Care and Rehabilitation Center | Broken Arrow | 3 of 5 | 9 | $0 | 7 May 2025 | |
| Broken Arrow Nursing Home, Inc | Broken Arrow | 4 of 5 | 2 | $0 | 1 Nov 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Oklahoma State Department of Health: complaints and enforcement divisionThe complaint page of the State Survey Agency for Oklahoma, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Leisure Village Health Care Center (CCN 375230). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/leisure-village-health-care-center-tulsa-ok-375230/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Leisure Village Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 Jun 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 23 Aug 2024.
- Who operates Leisure Village Health Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain MGM Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Leisure Village Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Oklahoma as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.