Leisure Village Health Care Center
2154 South 85th East Avenue · Tulsa, OK · 74129 · 9186224747
117 certified beds For profit - Limited Liability company Chain: Mgm Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · F January 28, 2026 · found via complaint
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.
Corrected March 5, 2026 · Resident Rights
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Potential for harm · E January 28, 2026 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · E January 28, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · E September 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 10, 2025 · Resident Rights
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Potential for harm · D April 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D August 23, 2024
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.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E August 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
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.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · D August 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2024 · Nutrition and Dietary
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Potential for harm · D August 23, 2024
Provide and implement an infection prevention and control program.
Corrected September 26, 2024 · Infection Control
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Potential for harm · D July 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · D July 3, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected August 14, 2024 · Resident Rights
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Potential for harm · D July 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · D June 19, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 14, 2024 · Quality of Life and Care
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Potential for harm · D June 19, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 14, 2024 · Nursing and Physician Services
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Potential for harm · D June 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 14, 2024 · Infection Control
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Potential for harm · D December 13, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 6, 2023 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 6, 2023 · Nursing and Physician Services
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Potential for harm · E July 20, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 6, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 19, 2024 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375230 · certified since July 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.