Heritage Skilled Nursing and Therapy

Name: Heritage Skilled Nursing and Therapy
Address: 201 WEST WALNUT, Tecumseh, OK, 74873, US
Telephone: 4055982167

201 West Walnut, Tecumseh, OK 74873 · Pottawatomie County · 100 certified beds · avg 64 residents/day · certified since Oct 9, 2003

Part of chain: BRIDGES HEALTH (33 facilities, chain avg rating 3.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.40

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (27)

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
Mar 27, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 27, 2025	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 27, 2025	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.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 27, 2025	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.
Nov 16, 2023	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.
Nov 16, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Nov 16, 2023	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.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint
Nov 16, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Nov 16, 2023	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.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Nov 16, 2023	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.
Nov 17, 2022	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 17, 2022	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 17, 2022	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 17, 2022	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 17, 2022	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.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 6).

Year	Citations	Worst severity that year
2022	11	E
2023	10	E
2025	6	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)	4.40	4.58	3.95	bottom 42% in Oklahoma; top 26% in the U.S.
Registered Nurse hours	0.34	0.41	0.69	bottom 41% in Oklahoma; bottom 14% in the U.S.
Weekend total nurse staffing	4.05	4.16	3.50	bottom 46% in Oklahoma; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.28	0.48	top 46% in Oklahoma; bottom 24% in the U.S.
Total nursing staff turnover (%)	60.0	55.5	45.8	bottom 35% in Oklahoma; bottom 17% in the U.S.
RN turnover (%)	60.0	53.6	42.9	bottom 43% in Oklahoma; bottom 22% 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 3.57, RN 0.28, weekend 3.28. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bridges Employee Stock Ownership Trust	Organization	5% or Greater Indirect Ownership Interest	100%	12/31/2020
Bridges Esop, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2020
Coble, William	Individual	Corporate Officer	NOT APPLICABLE	12/31/2020
Coble, William	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2020
Deroin, Kristy	Individual	W-2 Managing Employee	NOT APPLICABLE	06/30/2019

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 you show me an example care plan, and how are families included when it's created and updated?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"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
The Golden Rule Home	3.5 mi	Shawnee, OK	★★☆☆☆	2/5
The Regency Skilled Nursing and Therapy	6.5 mi	Shawnee, OK	★★★★★	5/5
Shawnee Colonial Estates Nursing Home	6.5 mi	Shawnee, OK	★☆☆☆☆	1/5
Shawnee Care Center	7.1 mi	Shawnee, OK	★☆☆☆☆	2/5
Seminole Pioneer Nursing Home	13.9 mi	Seminole, OK	★☆☆☆☆	2/5
Seminole Care and Rehabilitation Center	14.4 mi	Seminole, OK	★★★★☆	3/5
McLoud Nursing Center	14.5 mi	McLoud, OK	★★☆☆☆	2/5
Meeker Nursing Center	17.2 mi	Meeker, OK	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Tecumseh →

Facility data as of CMS processing date 2026-08-01. CCN 375446.

The Care File

Visit checklist — Heritage Skilled Nursing and Therapy

201 West Walnut, Tecumseh, OK 74873 · 4055982167

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "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 375446 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)