| Leisure Village Health Care Center | |
| 2154 South 85th East Avenue, Tulsa, Oklahoma 74129 | |
| (918) 622-4747 | |
| Name | Leisure Village Health Care Center |
|---|---|
| Location | 2154 South 85th East Avenue, Tulsa, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 117 |
| Occupancy Rate | 70.51% |
| Medicare ID (CCN) | 375230 |
| Legal Business Name | Leisure Village Health Care |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Mgm Healthcare (27 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1083028856 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Leisure Village Health Care |
| Doing Business As | Leisure Village Health Care Center |
| Address | 2154 S 85th East Ave, Tulsa, OK 74129 |
| Phone Number | 918-622-4747 |
| NPI Number | 1760480768 |
| Match | Possible same name, address or phone number |
| Organization Name | Leisure Village Operating LLC |
| Doing Business As | Leisure Village Health Care |
| Address | 2154 S 85th East Ave, Tulsa, OK 74129 |
| Phone Number | 918-622-4747 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.76 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.16 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.66 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.27 | 3.42 |
| RN hours per resident per day on the weekend | 0.14 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 58.6% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 12, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | 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. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | 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. F0887, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jun 12, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2026 |
| Jan 28, 2026 | 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. F0584, Resident Rights, Complaint inspection | Potential for harm, widespread | Corrected by Mar 5, 2026 |
| Jan 28, 2026 | 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. F0801, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Mar 5, 2026 |
| Jan 28, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Mar 5, 2026 |
| Sep 9, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Oct 10, 2025 |
| Apr 24, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 11, 2025 |
| Sep 23, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Aug 23, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Aug 23, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 26, 2024 |
| Jul 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jul 3, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 3, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 19, 2024 |
| Jun 19, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jun 19, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jun 19, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.66 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.48 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.49 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.96 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 59.62 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 18.88 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.13 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.79 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.59 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.21 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.15 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.23 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.04 | 15.38 |
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