| The Springs Skilled Nursing and Therapy | |
| 5800 West Okmulgee, Muskogee, Oklahoma 74401 | |
| (918) 683-2914 | |
| Name | The Springs Skilled Nursing and Therapy |
|---|---|
| Location | 5800 West Okmulgee, Muskogee, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 105 |
| Occupancy Rate | 86.67% |
| Medicare ID (CCN) | 375159 |
| Legal Business Name | Azalea Park Manor LLC |
| Ownership Type | For Profit - Partnership |
| Chain | Bridges Health (33 nursing homes) |
| Chain Average Overall Rating | 3.6 out of 5 |
| NPI Number | 1699870329 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Azalea Park Manor LLC |
| Doing Business As | Grace Living Center - Muskogee |
| Address | 4717 W Okmulgee St, Muskogee, OK 74401 |
| Phone Number | 918-683-2914 |
| 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 | 4.14 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.23 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.27 | 0.86 |
| Nurse aide hours per resident per day | 2.64 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.03 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 57.1% | 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 | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 20, 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, pattern | Corrected by Dec 2, 2025 |
| Nov 20, 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, Complaint inspection | Potential for harm, pattern | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | 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, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 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, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | 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 Dec 2, 2025 |
| Nov 20, 2025 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| Nov 20, 2025 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2025 |
| May 31, 2024 | Ensure a qualified health professional conducts resident assessments. F0642, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 9, 2024 |
| May 31, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 9, 2024 |
| May 31, 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 9, 2024 |
| May 31, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 9, 2024 |
| Aug 24, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Complaint inspection | Potential for harm, widespread | Corrected by Sep 12, 2023 |
| Aug 24, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Sep 12, 2023 |
| Apr 18, 2023 | 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 May 17, 2023 |
| Apr 18, 2023 | 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 May 17, 2023 |
| Apr 18, 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 May 17, 2023 |
| Apr 18, 2023 | 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 | Potential for harm, pattern | Corrected by May 17, 2023 |
| Apr 18, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2023 |
| Apr 18, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2023 |
| Apr 18, 2023 | 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, isolated | Corrected by May 17, 2023 |
| Apr 18, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2023 |
| Apr 18, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2023 |
| Apr 18, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2023 |
| Apr 18, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2023 |
| Apr 18, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.29 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.29 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.4 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.44 | 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 | 10.03 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.55 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.88 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.08 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.07 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.05 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.19 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.07 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.06 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.18 | 15.38 |
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