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Western Skilled Nursing and Therapy
111 Walnut Drive, Buffalo, OK 73834 (opens Google Maps) · Harper County · (580) 735-2415· 76 certified beds · avg 28 residents/day · certified since May 1, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: BRIDGES HEALTH (33 facilities, chain avg rating 3.6★)
5/5
Health inspection rating (on-site)
inspected Nov 21, 2024
0
Serious findings on record
$0
Fines, last 3 years
4.32
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. F-0604
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. F-0727
View all 5 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 7, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 6, 2023 | E · Potential for more than minimal harm, pattern | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Jan 6, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0727 |
| Jan 6, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOklahoma averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.32
Oklahoma average: 4.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.73
Oklahoma average: 0.41
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.18
Oklahoma average: 4.16
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 53.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Western Skilled Nursing and Therapy. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 5 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Bridges Health — 33 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Wildewood Skilled Nursing and Therapy — Oklahoma City, OK · overall 3/5
- Woodward Skilled Nursing and Therapy — Woodward, OK · overall 4/5
- Ambassador Manor Nursing Center — Tulsa, OK · overall 2/5
- Bradford Village Healthcare Center — Edmond, OK · overall 4/5
- Brookwood Skilled Nursing and Therapy — Oklahoma City, OK · overall 1/5
- Capitol Hill Skilled Nursing and Therapy — Oklahoma City, OK · overall 3/5
- Claremore Skilled Nursing and Therapy — Claremore, OK · overall 3/5
- Cottonwood Creek Skilled Nursing & Therapy — Chickasha, OK · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 32 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 375259.
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