D

Leisure Village Health Care Center

2154 South 85th East Avenue, Tulsa, OK 74129
Score: 45 / 100

CMS data shows Leisure Village Health Care Center earning a D grade with a score of 45/100, placing it below most facilities in Oklahoma. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Leisure Village Health Care Center is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 42 deficiencies at Leisure Village Health Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.79 3.8 Average
Registered Nurses (RN) 0.14 0.7 Below Average
Licensed Practical Nurses (LPN) 1.00 0.7 Above Average
Certified Nursing Assistants (CNA) 2.65 2.4 Above Average
Weekend Total Nursing 3.40 3.8 Below Average
Weekend RN Hours 0.15 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Jan 27, 2026
Most Recent Inspection
🟠 42 Moderate
View recent deficiencies (5 shown)
  • Tag 0584 Severity F
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jan 27, 2026 · Resident Rights Deficiencies
  • Tag 0801 Severity E
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qu
    Jan 27, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 27, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0580 Severity E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Sep 8, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Apr 23, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.5% 4.5% Better
Falls with major injury 1.6% 3.0% Better
On antipsychotic medication 7.9% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 5.6% 14.0% Better
Excessive weight loss 1.1% 7.5% Better
New/worsened incontinence 25.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
117
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 22, 2024
Deficiencies (Cycle 1)
12