Village Health Care Center

Name: Village Health Care Center
Address: 1709 South Main, Broken Arrow, OK, 74012, US
Telephone: 9182512626

1709 South Main, Broken Arrow, OK 74012 · Tulsa County · 90 certified beds · avg 50 residents/day · certified since Apr 15, 1994

1/5

Health inspection rating (on-site)

Serious findings on record

$28,744

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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)

▲ Immediate jeopardy, one-off · Feb 24, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Mar 23, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (38)

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
Apr 10, 2026	D · Potential for harm, one-off	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. · from a complaint
Feb 24, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 24, 2026	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint
Feb 24, 2026	D · Potential for harm, one-off	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. · from a complaint
Aug 28, 2025	F · Potential for harm, facility-wide	The 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.
Aug 28, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Aug 28, 2025	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Aug 28, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 28, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 28, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 11, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Apr 11, 2024	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.
Apr 11, 2024	D · Potential for harm, one-off	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.
Apr 11, 2024	D · Potential for harm, one-off	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. · from a complaint
Feb 24, 2023	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 24, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 24, 2023	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.
Feb 24, 2023	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.
Feb 24, 2023	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 24, 2023	E · Potential for harm, repeated	The 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.
Feb 24, 2023	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 24, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 24, 2023	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.
Feb 24, 2023	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.
Feb 24, 2023	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.
Feb 24, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 24, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Feb 24, 2023	E · Potential for harm, repeated	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.
Feb 24, 2023	E · Potential for harm, repeated	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Feb 24, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Feb 24, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Feb 24, 2023	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.
Feb 24, 2023	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.
Feb 24, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 24, 2023	D · Potential for harm, one-off	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.
Feb 24, 2023	D · Potential for harm, one-off	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.
Feb 24, 2023	D · Potential for harm, one-off	The 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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	23	0	E
2024	5	0	D
2025	6	0	F
2026	4	1	J ▲

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 $28,744.

Date	Type	Amount / length
Feb 24, 2026	Fine	$28,744

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)	0.00	4.58	3.95	—
Registered Nurse hours	0.00	0.41	0.69	—
Weekend total nurse staffing	0.00	4.16	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.28	0.48	—
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 0.00, RN 0.00, weekend 0.00. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Montgomery, Colton	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2022
Montgomery, Taralee	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2022
McGuire, Angela	Individual	ADP of the SNF	NOT APPLICABLE	04/29/2025
Montgomery, Colton	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Montgomery, Colton	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Montgomery, Taralee	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Woodhouse, Patty	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you track that every resident's quarterly assessment happens on time?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How often are beds and bed rails inspected, and who does those checks?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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
Aspen Health and Rehab	1.0 mi	Broken Arrow, OK	★★★☆☆	3/5
Broken Arrow Nursing Home, INC	1.3 mi	Broken Arrow, OK	★★★★☆	4/5
Cedarcrest Care Center	1.5 mi	Broken Arrow, OK	★★☆☆☆	2/5
Senior Suites Healthcare	2.3 mi	Broken Arrow, OK	★★☆☆☆	2/5
Forest Hills Care and Rehabilitation Center	2.9 mi	Broken Arrow, OK	★★★☆☆	3/5
Franciscan Villa	3.7 mi	Broken Arrow, OK	★★☆☆☆	3/5
Ignite Medical Resort Tulsa, LLC	4.2 mi	Tulsa, OK	★★★★★	4/5
The Cottage Extended Care	5.4 mi	Tulsa, OK	★★★☆☆	4/5
Montereau, INC.	6.9 mi	Tulsa, OK	★★★☆☆	3/5
Tulsa Center for Rehabilitation and Healthcare	7.0 mi	Tulsa, OK	★★☆☆☆	4/5
Leisure Village Health Care Center	7.3 mi	Tulsa, OK	★☆☆☆☆	1/5
Tulsa Nursing Center	8.1 mi	Tulsa, OK	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Broken Arrow →

Facility data as of CMS processing date 2026-08-01. CCN 375171.

The Care File

Visit checklist — Village Health Care Center

1709 South Main, Broken Arrow, OK 74012 · 9182512626

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $28,744

Most serious findings on record:

▲ Feb 24, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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 375171 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)