Western Skilled Nursing and Therapy
111 Walnut Drive, Buffalo, OK 73834 · Harper County · 76 certified beds · avg 28 residents/day · certified since May 1, 1996
Part of chain: BRIDGES HEALTH (33 facilities, chain avg rating 3.6★)
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 (5)
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 |
|---|---|---|
| Dec 7, 2023 | 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. |
| Jan 6, 2023 | E · Potential for harm, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 6, 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. |
| Jan 6, 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. |
| Jan 6, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | 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) | 4.32 | 4.58 | 3.95 | bottom 37% in Oklahoma; top 28% in the U.S. |
| Registered Nurse hours | 0.73 | 0.41 | 0.69 | top 8% in Oklahoma; top 34% in the U.S. |
| Weekend total nurse staffing | 4.18 | 4.16 | 3.50 | top 47% in Oklahoma; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.28 | 0.48 | top 5% in Oklahoma; top 28% in the U.S. |
| Total nursing staff turnover (%) | 52.4 | 55.5 | 45.8 | top 41% in Oklahoma; bottom 31% in the U.S. |
| 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 3.39, RN 0.57, weekend 3.28. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Partnership
| 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 | 12/31/2020 |
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?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Protection Valley Manor | 25.4 mi | Protection, KS | ★★★★★ | 5/5 | |
| Woodward Skilled Nursing and Therapy | 32.5 mi | Woodward, OK | ★★★★☆ | 4/5 | |
| Pioneer Lodge | 33.5 mi | Coldwater, KS | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375259.