Deficiency Index

Grand Lake Villa

Grove, Oklahoma · CCN 375116

29 surveys since 2010, 13 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
166
Surveys
29
Harm or worse
13
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file25/29

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
For profit - Limited Liability company
Chain
MARSH POINTE MANAGEMENT
County
Delaware · rural
Medicare-certified since
1992

CMS ratings

Overall
2
Health inspection
1
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Apr 29, 2026

194 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.123.68
Registered-nurse hours per resident day0.66—
Annual nurse turnover40.6%54.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$32,576 across 1 penalty
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ320.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD853.3%E320.0%F16.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 166 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

In the surveyor’s words

From the most serious findings on record at Grand Lake Villa, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Apr 29, 2026

    Based on record review and interview, the facility failed to ensure a resident was not sexually abused for 1 (#48) of 2 sampled residents reviewed for sexual abuse.The DON identified 65 residents resided in the facility.On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility.On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the sexual assault of Res #48 by Res #17.On 04/23/26 at 4:33 p.m. the administrator and DON were notified of the IJ situation and provided with the IJ template.On 04/29/26 at 8:27 a.m., an acceptable plan of removal was approved by the OSDH. […]

  • Immediate jeopardy, isolatedF607Apr 29, 2026

    Based on record review and interview, the facility failed to ensure the facility's abuse policy had been implemented after an allegation of abuse for 1 (#48) of 2 sampled residents reviewed for abuse.The DON identified 65 residents resided in the facility.On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility.On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the facility not implementing their abuse policy related to sexual assault.On 04/23/26 at 4:33 p.m. […]

  • Immediate jeopardy, isolatedF610Apr 29, 2026

    Based on record review an interview, the facility failed to ensure a thorough investigation of an allegation of sexual abuse was conducted for 1 (#48) of 2 sampled residents reviewed for abuse.The DON identified 65 residents resided in the facility.On 04/23/26, an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Res #48 was not sexually assaulted by Res #17 on 03/11/26. This failure caused Res #48 to be fearful living at the facility.On 04/23/26 at 4:30 p.m., the OSDH was notified and verified the existence of the IJ related to the facility not thoroughly investigating and reporting the sexual assault of Res #48 by Res #17.On 04/23/26 at 4:33 p.m. […]

  • No harm, potential for more than minimal, widespreadF944Apr 29, 2026

    Based on record review and interview, the facility failed to ensure facility staff had been trained in the Quality Assurance and Performance Improvement program for 103 of 103 employees of the facility.The assistant director of nursing identified 103 employees worked in the facility.Findings:An undated Quality Assurance / Assessment and Performance Improvement Plan, read in part, All staff, including contracted staff, are educated on the principles of QAPI. QAPI is included in the orientation of new employees and in the annual education that all staff are required to attend.An undated Inservice Schedule, was reviewed. […]

  • No harm, potential for more than minimal, patternF847Apr 29, 2026

    Based on record review and interview, the facility failed to ensure residents understood binding arbitration agreements before signing them for 2 (#55 and #56) of 2 sampled residents reviewed for binding arbitration agreements.The DON identified 65 residents resided in the facility.Findings:1. An Arbitration of Disputes document in the assessment agreement, dated 09/29/25, read in part, Any and all claims, controversies, disputes, disagreements or demands of any kind .arising out of or in any relating to the Agreement, including the interpretation of this Agreement, or the Residents stay at, or the care of services provided by, the Facility shall be resolved exclusively by binding arbitration. […]

Read 29 findings in full →The most serious and the most recent: 29 of 166 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 29, 2026Standard9 findings · 3 harm
  • Jun 13, 2025Complaint1 finding
  • Jul 8, 2024Complaint1 finding
  • May 5, 2023Standard and complaint4 findings
  • Jul 5, 2022Complaint2 findings
  • Oct 20, 2021Complaint2 findings
  • Oct 22, 2020Complaint3 findings
  • Jun 23, 2020Infection control1 finding
Show the 21 earlier surveys
  • Jul 30, 2019Complaint1 finding · 1 harm
  • Jul 3, 2019Complaint1 finding · 1 harm
  • May 30, 2019Standard10 findings
  • Feb 22, 2018Standard36 findings · 2 harm
  • Jun 14, 2017Complaint2 findings
  • Jun 1, 2017Complaint2 findings
  • Dec 15, 2016Standard11 findings · 1 harm
  • Aug 25, 2016Complaint1 finding
  • Nov 5, 2015Standard9 findings
  • Sep 25, 2014Standard6 findings
  • Jun 16, 2014Complaint5 findings · 1 harm
  • Dec 23, 2013—2 findings
  • Oct 24, 2013—9 findings
  • Aug 29, 2013—3 findings · 2 harm
  • Jan 17, 2013—7 findings · 1 harm
  • Nov 30, 2012—13 findings
  • May 16, 2012Complaint2 findings
  • May 15, 2012Complaint2 findings
  • Mar 15, 2012—7 findings
  • Oct 6, 2011—11 findings
  • Sep 2, 2010—3 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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