Blue River Healthcare, INC

Name: Blue River Healthcare, INC
Address: 1105 EAST MAIN, Tishomingo, OK, 73460, US
Telephone: 5803712636

1105 East Main, Tishomingo, OK 73460 · Johnston County · 70 certified beds · avg 37 residents/day · certified since May 1, 1997

Part of chain: ELMBROOK MANAGEMENT COMPANY (11 facilities, chain avg rating 3.4★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 26, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Sep 26, 2024	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 29, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 29, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Aug 11, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 27, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 10, 2022	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 10, 2022	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 2).

Year	Citations	Worst severity that year
2022	2	E
2023	2	D
2024	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oklahoma avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.07	4.58	3.95	bottom 21% in Oklahoma; top 37% in the U.S.
Registered Nurse hours	0.95	0.41	0.69	top 2% in Oklahoma; top 18% in the U.S.
Weekend total nurse staffing	3.48	4.16	3.50	bottom 15% in Oklahoma; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.79	0.28	0.48	top 1% in Oklahoma; top 11% in the U.S.
Total nursing staff turnover (%)	66.0	55.5	45.8	bottom 24% in Oklahoma; bottom 9% in the U.S.
RN turnover (%)	33.3	53.6	42.9	top 20% in Oklahoma; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.61, RN 0.84, weekend 3.09. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Blue River Healthcare INC.	Organization	Direct Ownership Interest	NOT APPLICABLE	11/21/2022
Coble, Tom	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/23/2020
Blue River Healthcare INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	11/21/2022
Blue River Healthcare INC.	Organization	ADP of the SNF	NOT APPLICABLE	11/21/2025
Coble, Tom	Individual	Corporate Officer	NOT APPLICABLE	12/23/2020
Coble, Tom	Individual	Operational/Managerial Control	NOT APPLICABLE	12/23/2020
Coble, Tom	Individual	ADP of the SNF	NOT APPLICABLE	12/23/2020
Dixson, James	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Dixson, James	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Lodes, Jason	Individual	Corporate Officer	NOT APPLICABLE	03/06/2023
Lodes, Jason	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2023
Lodes, Jason	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2023
McGlamery, Dena	Individual	Operational/Managerial Control	NOT APPLICABLE	09/06/2025
McGlamery, Dena	Individual	ADP of the SNF	NOT APPLICABLE	09/06/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Brookside Nursing Center	12.1 mi	Madill, OK	★★☆☆☆	3/5
Family Care Center of Kingston	16.4 mi	Kingston, OK	★★★☆☆	4/5

Compare this facility with the 2 closest →

All facilities in Tishomingo →

Facility data as of CMS processing date 2026-08-01. CCN 375302.

The Care File

Visit checklist — Blue River Healthcare, INC

1105 East Main, Tishomingo, OK 73460 · 5803712636

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 375302 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)