| Heritage Manor | |
| 3804 North Barr Ave, Oklahoma City, Oklahoma 73122 | |
| (405) 789-7103 | |
| Name | Heritage Manor |
|---|---|
| Location | 3804 North Barr Ave, Oklahoma City, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 55 |
| Occupancy Rate | 88.55% |
| Medicare ID (CCN) | 375502 |
| Legal Business Name | Heritage Manor Management LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1679328728 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Heritage Manor Management, LLC |
| Address | 3804 N Barr Ave, Oklahoma City, OK 73122 |
| Phone Number | 405-789-7103 |
| 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 | 2.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.82 | 0.86 |
| Nurse aide hours per resident per day | 1.76 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.41 | 3.42 |
| RN hours per resident per day on the weekend | 0.23 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 72.7% | 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 | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $30,133 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 22, 2026 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2026 |
| Nov 21, 2025 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2025 |
| Nov 21, 2025 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. F0848, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 10, 2025 |
| Nov 21, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 24, 2025 |
| Nov 21, 2025 | 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, pattern | Corrected by Nov 24, 2025 |
| Nov 21, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 24, 2025 |
| Nov 21, 2025 | 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, isolated | Corrected by Nov 24, 2025 |
| Mar 24, 2025 | 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 | Immediate jeopardy, isolated | Corrected by Apr 4, 2025 |
| Oct 24, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 18, 2024 |
| Oct 24, 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 Nov 18, 2024 |
| Oct 24, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Nov 18, 2024 |
| May 23, 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, Standard inspection | Actual harm, isolated | Corrected by Jul 1, 2024 |
| May 23, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jul 1, 2024 |
| May 23, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | 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, Complaint inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 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, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 1, 2024 |
| May 23, 2024 | 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 1, 2024 |
| May 23, 2024 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 1, 2024 |
| Feb 8, 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 Mar 5, 2024 |
| Apr 10, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 15, 2023 |
| Apr 10, 2023 | 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, pattern | Corrected by Jun 15, 2023 |
| Apr 10, 2023 | 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 Jun 15, 2023 |
| Apr 10, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jun 15, 2023 |
| Apr 10, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Jun 15, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.42 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.03 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.24 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.4 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.66 | 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 | 5.45 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.36 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.31 | 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 | 11.71 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.83 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.34 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.01 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.06 | 15.38 |
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