Franciscan Villa
17110 East 51st Street, Broken Arrow, OK 74012 · Tulsa County · 110 certified beds · avg 96 residents/day · certified since Jul 1, 2008
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 11, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 12, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 20, 2022 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 17, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Jun 30, 2026 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 30, 2026 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 11, 2026 | ▲ G · Actual 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 |
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint |
| Dec 23, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 23, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jul 20, 2022 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 20, 2022 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jul 20, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 20, 2022 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jul 20, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 20, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 1 | G ▲ |
| 2024 | 2 | 0 | E |
| 2026 | 4 | 1 | G ▲ |
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)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2026 | Fine | $8,278 |
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) | 4.23 | 4.58 | 3.95 | bottom 32% in Oklahoma; top 31% in the U.S. |
| Registered Nurse hours | 0.15 | 0.41 | 0.69 | bottom 3% in Oklahoma; bottom 1% in the U.S. |
| Weekend total nurse staffing | 3.86 | 4.16 | 3.50 | bottom 33% in Oklahoma; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.28 | 0.48 | bottom 10% in Oklahoma; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.5 | 45.8 | — |
| RN turnover (%) | 0.0 | 53.6 | 42.9 | — |
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 3.70, RN 0.13, weekend 3.38. Staffing rating: 1/5.
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: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hanover, Yaacov | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Kravetz, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Operations III LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Partners II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Bearer, Ruben | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Bearer, Ruben | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Franciscan Villa SNF Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2025 |
| Franciscan Villa SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Moore, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Property Holdings III LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "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 |
|---|---|---|---|---|---|
| Broken Arrow Nursing Home, INC | 2.4 mi | Broken Arrow, OK | ★★★★☆ | 4/5 | |
| Cedarcrest Care Center | 2.8 mi | Broken Arrow, OK | ★★☆☆☆ | 2/5 | |
| Aspen Health and Rehab | 3.1 mi | Broken Arrow, OK | ★★★☆☆ | 3/5 | |
| Village Health Care Center | 3.7 mi | Broken Arrow, OK | ★☆☆☆☆ | 1/5 | |
| Forest Hills Care and Rehabilitation Center | 4.0 mi | Broken Arrow, OK | ★★★☆☆ | 3/5 | |
| Senior Suites Healthcare | 4.5 mi | Broken Arrow, OK | ★★☆☆☆ | 2/5 | |
| Leisure Village Health Care Center | 4.5 mi | Tulsa, OK | ★☆☆☆☆ | 1/5 | |
| Tulsa Nursing Center | 4.9 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Ignite Medical Resort Tulsa, LLC | 5.6 mi | Tulsa, OK | ★★★★★ | 4/5 | |
| The Cottage Extended Care | 5.7 mi | Tulsa, OK | ★★★☆☆ | 4/5 | |
| Emerald Care Center Tulsa | 5.8 mi | Tulsa, OK | ★☆☆☆☆ | 1/5 | |
| Tulsa Center for Rehabilitation and Healthcare | 6.3 mi | Tulsa, OK | ★★☆☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375525.