OklahomaTulsa

University Village Retirement Community

8555 South Lewis Avenue, Tulsa, OK 74137 · Tulsa County · 80 certified beds · avg 69 residents/day · certified since Jun 5, 2009

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.72
Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 (15)

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

DateSeverityWhat the facility was cited for
Dec 5, 2024E · Potential for harm, repeatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 5, 2024E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 5, 2024E · Potential for harm, repeatedThe facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.
Dec 5, 2024D · Potential for harm, one-offThe facility did not keep residents' personal and medical information private and confidential.
Dec 5, 2024D · Potential for harm, one-offThe 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 5, 2024D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 5, 2024D · Potential for harm, one-offThe facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Dec 5, 2024D · Potential for harm, one-offThe 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.
Oct 31, 2024D · Potential for harm, one-offThe facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint
Sep 26, 2023E · Potential for harm, repeatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 26, 2023E · Potential for harm, repeatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 26, 2023E · Potential for harm, repeatedThe 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.
Sep 26, 2023D · Potential for harm, one-offThe 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.
Sep 26, 2023D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 8, 2021D · Potential for harm, one-offThe 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

Citations from standard inspections increased between the last two inspection cycles (5 → 8).

YearCitationsSerious (G–L)Worst severity that year
202110D
202350E
202490E

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)

MeasureThis facilityOklahoma avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.724.583.95top 38% in Oklahoma; top 18% in the U.S.
Registered Nurse hours1.010.410.69top 1% in Oklahoma; top 15% in the U.S.
Weekend total nurse staffing4.264.163.50top 41% in Oklahoma; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.720.280.48top 3% in Oklahoma; top 15% in the U.S.
Total nursing staff turnover (%)48.155.545.8top 28% in Oklahoma; bottom 42% in the U.S.
RN turnover (%)30.853.642.9top 19% in Oklahoma; top 30% 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 4.36, RN 0.94, weekend 3.94. Staffing rating: 5/5.

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: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Fail, BlakeIndividual5% or Greater Direct Ownership Interest38%07/29/2011
Gawey, MatthewIndividual5% or Greater Direct Ownership Interest38%07/29/2011
Roberts, KeithIndividual5% or Greater Direct Ownership Interest24%07/29/2011
Brown, TammyIndividualOperational/Managerial ControlNOT APPLICABLE01/12/2025
Brown, TammyIndividualADP of the SNFNOT APPLICABLE01/12/2025
Fail, BlakeIndividualCorporate OfficerNOT APPLICABLE07/29/2011
Gawey, MatthewIndividualCorporate OfficerNOT APPLICABLE07/29/2011
Luiskutty, ThomasIndividualOperational/Managerial ControlNOT APPLICABLE10/03/2022
Luiskutty, ThomasIndividualADP of the SNFNOT APPLICABLE10/03/2022
Neal, VanessaIndividualOperational/Managerial ControlNOT APPLICABLE07/29/2011
Neal, VanessaIndividualADP of the SNFNOT APPLICABLE07/29/2011
Roberts, KeithIndividualCorporate OfficerNOT APPLICABLE07/29/2011
Triad Aspen Partners, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/01/2011
Triad Aspen Partners, LLCOrganizationADP of the SNFNOT APPLICABLE05/15/2025

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Grace Skilled Nursing and Therapy Jenks0.9 miJenks, OK★★☆☆☆2/5
Zarrow Pointe2.0 miTulsa, OK★★★★★4/5
Ambassador Manor Nursing Center2.6 miTulsa, OK★★☆☆☆2/5
The Villages at Southern Hills2.8 miTulsa, OK★★★★★5/5
Montereau, INC.3.2 miTulsa, OK★★★☆☆3/5
Colonial Manor Nursing Home3.6 miTulsa, OK★★★★☆3/5
Tulsa Center for Rehabilitation and Healthcare3.7 miTulsa, OK★★☆☆☆4/5
Southern Hills Rehabilitation Center3.8 miTulsa, OK★★★☆☆3/5
The Cottage Extended Care4.0 miTulsa, OK★★★☆☆4/5
Covenant Living at Inverness4.3 miTulsa, OK★★★★★5/5
Ignite Medical Resort Tulsa, LLC5.1 miTulsa, OK★★★★★4/5
Glenwood Skilled Nursing and Therapy5.7 miGlenpool, OK★★★☆☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 375531.