Deficiency Index

The Regency Skilled Nursing and Therapy

Shawnee, Oklahoma · CCN 375508

28 surveys since 2011, 12 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
172
Surveys
28
Harm or worse
12
Immediate jeopardy
4
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file24/28

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

The facility

Certified beds
110
Ownership
For profit - Partnership
Chain
BRIDGES HEALTH
County
Pottawatomie · rural
Medicare-certified since
2007

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 94 for-profit facilities of 100–127 beds in Oklahoma.

Last survey on record

May 1, 2025

557 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 day3.853.68
Registered-nurse hours per resident day0.34—
Annual nurse turnover43.2%54.7%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1173.3%E426.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 172 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5781×

    Honor 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.

  • F5841×

    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.

In the surveyor’s words

From the most serious findings on record at The Regency Skilled Nursing and Therapy, in the surveyor’s own words.

  • Actual harm, patternF600Jun 28, 2022

    Based on record review and interview, the facility failed to prevent neglect for two (#1 and #2) of three residents sampled for neglect. a. Resident #1 was left on a bedpan in their bed for multiple hours resulting in the resident feeling neglected and embarrased. b. Resident #2 was left naked, cold, uncovered, and crying in their bed for multiple hours. The DON reported seven residents required assistance with activities of daily living. Findings: 1. Res #1 was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • No harm, potential for more than minimal, patternF880May 1, 2025

    Based on observation, record review, and interview, the facility failed to ensure infection control program guidelines were implemented for 2 (#79 and #108) of 19 residents sampled for infection control. The regional nurse consultant reported five residents in the facility had C. diff. Findings: 1. On 04/30/25 at 2:18 p.m., Res # 79's door was observed to have personal protective equipment and a contact precaution sign on the door . The resident was observed resting in bed with eyes closed. A biohazard trashcan and a biohazard bed linen container were observed placed by the door upon entry. On 05/01/25 at 11:20 a.m., Res #79 was observed resting in bed watching television. […]

  • No harm, potential for more than minimal, patternF804Aug 30, 2023

    Based on record review, observation, and interview, the facility failed to provide food that was palatable and at an appetizing temperature for the residents. The Resident Census and Conditions of Residents report, dated 08/28/23, documented 98 residents resided in the facility. Findings: The Resident Council Report, dated 08/17/23, documented the food was still cold when served on the resident halls. The Daily Hot Food Table Temperature Chart, dated 08/30/23, did not document food temperatures obtained for the lunch meal prior to serving. On 08/30/23 at 12:20 p.m., the dietary manager stated there was not enough hot plates to serve all the residents who ate in their rooms. […]

  • No harm, potential for more than minimal, patternF812Feb 8, 2023

    Based on observation and interview, the facility failed to ensure the kitchen was maintained, clean, and in good repair. The Resident Census and Condition of Residents reported 84 residents resided in the facility. Findings: On 02/01/23 at 925 a.m., during a tour of the kitchen the following observations were made: a. Ceiling lights were burned out and/or not working, b. An accumulation of lint on the ceiling around heat/air vents, c. An accumulation of white and black residue inside of the ice machine, d. Caulking was missing with gaps between the wall and the hand sinks, e. A wooden rolling pin stored on a shelf in the dish wash area had splits in the wood, f. Water leaking from the piping onto the floor below the two compartment sink, g. […]

  • No harm, potential for more than minimal, patternF880Feb 8, 2023

    Based on record review, observation, and interview, the facility failed to properly wear personal protective equipment to prevent the spread of infection. The Resident Census and Conditions of Residents documented 86 residents resided in the facility. Findings: A COVID-19 Guidelines for Employees, dated 10/02/22, documented signage will be placed at the entrances of facilities advising visitors and staff on COVID-19 precautions. On 02/06/23 at 10:28 a.m., a COVID-19 information sign was observed on the facility front entry door. […]

Read 31 findings in full →The most serious and the most recent: 31 of 172 on record.

Every survey on record

FindingsAt actual harm or above

  • May 1, 2025Standard1 finding
  • Jan 5, 2024Standard2 findings
  • Aug 30, 2023Complaint2 findings
  • Mar 16, 2023Complaint1 finding
  • Feb 8, 2023Standard10 findings
  • Jun 28, 2022Complaint1 finding · 1 harm
  • Apr 28, 2021Standard and complaint16 findings
  • Jan 17, 2019Standard3 findings
Show the 20 earlier surveys
  • Sep 11, 2018Complaint4 findings
  • Mar 12, 2018Standard and complaint42 findings
  • May 24, 2017Complaint2 findings
  • May 4, 2017Complaint1 finding
  • Apr 12, 2017Complaint4 findings
  • Mar 22, 2017Complaint1 finding
  • Mar 8, 2017Complaint2 findings
  • Oct 20, 2016Standard2 findings
  • Jul 5, 2016Complaint7 findings · 2 harm
  • Apr 6, 2016Complaint9 findings · 1 harm
  • Aug 4, 2015Standard11 findings · 6 harm
  • Mar 3, 2015Complaint4 findings
  • Aug 8, 2014Complaint3 findings
  • May 9, 2014Standard11 findings
  • Oct 30, 2013Complaint5 findings
  • Aug 22, 2013Complaint5 findings
  • Feb 27, 2013—4 findings
  • Oct 15, 2012—2 findings · 1 harm
  • Apr 19, 2012—1 finding
  • Dec 2, 2011—16 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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