HERITAGE MANOR
3804 NORTH BARR AVE, OKLAHOMA CITY, OK 73122 · CCN 375502
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 55
- Avg residents/day
- 46.7
- Phone
- 4057897103
Inspection history vs Oklahoma & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oklahoma avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-21 | 7 | 7.2 | 9.5 | -0.2 better |
| 2 | 2024-05-23 | 16 | 8.0 | 9.8 | +8.0 worse |
| 3 | 2023-04-10 | 6 | 7.9 | 9.3 | -1.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.32 | 61.4% |
| RN staffing (reported) | 0.21 | 80.0% |
| Total nurse staffing (adjusted) | 4.18 | — |
Fines & penalties
- Total fines
- $30,133
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (29)1 immediate jeopardy1 actual harm
- EF0578Honor 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.2025-11-21 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-11-21 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-21 · Health · corrected 2025-11-24
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-21 · Health · corrected 2025-11-24
Potential for more than minimal harm
- FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-11-21 · Health · corrected 2025-12-10
Potential for more than minimal harm
- FF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-11-21 · Health · corrected 2025-12-10
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-24 · Health · corrected 2025-04-04
Immediate jeopardy
- DF0583Keep residents' personal and medical records private and confidential.2024-10-24 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-24 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-18
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0584Honor 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.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-23 · Health · corrected 2024-07-01
Actual harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- EF0887Educate 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.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-08 · Health · corrected 2024-03-05
Potential for more than minimal harm
- DF0584Honor 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.2023-04-10 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-10 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0727Have 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.2023-04-10 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-10 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-04-10 · Health · corrected 2023-06-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HOLLAWAY, CHRISTIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | 2024-04-01 |
| UNDERWOOD, ADAMSON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2024-04-01 |
| EMPIRE CAPITAL INVESTMENT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2024-04-01 |
| HOLLAWAY, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-19 |
| JOHN, TENEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-12 |
| MARCUM, NEDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-14 |
| UNDERWOOD, ADAMSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-14 |
| HOLLAWAY, CHRISTIAN | Individual | CORPORATE OFFICER | — | 2024-04-01 |
| UNDERWOOD, ADAMSON | Individual | CORPORATE OFFICER | — | 2024-04-01 |
| HOLLAWAY, CHRISTIAN | Individual | LIMITED PARTNERSHIP INTEREST | — | 2024-04-01 |
| VOYAGE MANAGEMENT OF OK, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-19 |
Other facilities in OKLAHOMA CITY
| Name | Overall | Beds |
|---|---|---|
| THE HEALTH CENTER AT CONCORDIA | ★★★★★ | 30 |
| CAPITOL HILL SKILLED NURSING AND THERAPY | ★★★★☆ | 120 |
| KINGWOOD SKILLED NURSING AND THERAPY | ★★★★☆ | 105 |
| THE WILSHIRE SKILLED NURSING AND THERAPY | ★★★★☆ | 56 |
| ST. ANN'S SKILLED NURSING AND THERAPY | ★★★★☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.