Starfile / Oklahoma

Leisure Village Health Care Center

2154 South 85th East Avenue, Tulsa, OK 74129 · CCN 375230

Inspection history vs Oklahoma & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

1

Payment denials

1

Chain

Chain

MGM HEALTHCARE

Facilities in chain

30

Chain avg overall

2.20 / 5

Inspection citations (42)

1. FF0584Honor 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.2026-01-28 · Health · corrected 2026-03-05

   Potential for more than minimal harm

2. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2026-01-28 · Health · corrected 2026-03-05

   Potential for more than minimal harm

3. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-28 · Health · corrected 2026-03-05

   Potential for more than minimal harm

4. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-09 · Health · corrected 2025-10-10

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-06-11

   Potential for more than minimal harm

6. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-23 · Health · corrected 2024-09-05

   Potential for more than minimal harm

7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-23 · Health · corrected 2024-09-26

   Potential for more than minimal harm

8. DF0688Provide 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.2024-08-23 · Health · corrected 2024-09-26

   Potential for more than minimal harm

9. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-23 · Health · corrected 2024-09-26

   Potential for more than minimal harm

10. EF0759Ensure medication error rates are not 5 percent or greater.2024-08-23 · Health · corrected 2024-09-26

    Potential for more than minimal harm

11. EF0761Ensure 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.2024-08-23 · Health · corrected 2024-09-26

    Potential for more than minimal harm

12. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-23 · Health · corrected 2024-09-26

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2024-08-23 · Health · corrected 2024-09-26

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-15 · Health · corrected 2024-07-06

    Potential for more than minimal harm

15. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-07-03 · Health · corrected 2024-08-14

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-03 · Health · corrected 2024-09-19

    Potential for more than minimal harm

17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-19 · Health · corrected 2024-08-14

    Potential for more than minimal harm

18. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-06-19 · Health · corrected 2024-08-14

    Potential for more than minimal harm

19. DF0880Provide and implement an infection prevention and control program.2024-06-19 · Health · corrected 2024-08-14

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2023-12-13 · Health · corrected 2024-01-10

    Potential for more than minimal harm

21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-13 · Health · corrected 2024-01-10

    Potential for more than minimal harm

22. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

23. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

24. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

25. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

26. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

27. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

28. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

29. EF0759Ensure medication error rates are not 5 percent or greater.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

30. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-07-20 · Health · corrected 2023-09-06

    Potential for more than minimal harm

31. EF0558Reasonably accommodate the needs and preferences of each resident.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

33. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

34. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

35. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

36. EF0692Provide enough food/fluids to maintain a resident's health.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

37. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

38. EF0758Implement 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.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

39. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

40. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

42. EF0880Provide and implement an infection prevention and control program.2020-03-05 · Health · corrected 2020-04-08

    Potential for more than minimal harm

Ownership

Other facilities in Tulsa

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.