HERITAGE VILLA CARE & REHAB CENTER

CCN 375109 · HERITAGE VILLA HEALTHCARE LLC · For profit - Limited Liability company · MGM HEALTHCARE chain · 100 certified beds · Washington · OK


HERITAGE VILLA CARE & REHAB CENTER is a 100-bed nursing home in BARTLESVILLE, Oklahoma. CMS has certified it for Medicare and Medicaid since 1991-04-01. It averages 87.4 residents a day.

What harm was found in the violations cited at HERITAGE VILLA CARE & REHAB CENTER?

CMS lists 50 health-inspection deficiencies for HERITAGE VILLA CARE & REHAB CENTER since 2021-04-28, 24 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-08-14.

Survey dateTagDeficiencySeverity
2025-08-14F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E
2025-08-14F0550, F0610, F0684, F0757Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-01-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-01-14F0640, F0684, F0700, F0758Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
2023-09-22F0584, F0692, F0755, F0758, F0804, F0812Honor 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. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-09-22F0557, F0583, F0622, F0661, F0677, F0760, F0842, F0880Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Keep residents' personal and medical records private and confidential. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2021-04-28F0812, F0865, F0883, F0886Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Perform COVID19 testing on residents and staff.F
2021-04-28F0577, F0582, F0636, F0638, F0656, F0680, F0688, F0698, F0727, F0730, F0842, F0867, F0880Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure the activities program is directed by a qualified professional. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Observe each nurse aide's job performance and give regular training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.E
2021-04-28F0641, F0655, F0657, F0679, F0690, F0756, F0757, F0758, F0776Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D

Why was HERITAGE VILLA CARE & REHAB CENTER fined?

DateTypeAmount
2025-01-14Fine$8,278

How is HERITAGE VILLA CARE & REHAB CENTER staffed?

MeasureThis facilityOK average
Total nurse staffing hours per resident per day3.848803.78776
Total nursing staff turnover (%)55.355.5
Average number of residents per day87.461.2

Who owns HERITAGE VILLA CARE & REHAB CENTER, and what chain is it in?

HERITAGE VILLA CARE & REHAB CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name HERITAGE VILLA HEALTHCARE LLC and belongs to the MGM HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTOK SNF HOLDINGS, LLC, OK SNF INVESTMENTS, LLCsince 12/18/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTJFB OK TRUST, SOUTHEAST VENTURES TRUSTsince 12/18/2023
W-2 MANAGING EMPLOYEEROVENSTINE, PEGGYsince 12/18/2023
CORPORATE OFFICERFRIEDMAN, NAFTALIsince 12/18/2023

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