01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-29 | 2 | 2024-08-29 | 2 |
| Cycle 2 | 2023-07-27 | 3 | 2023-07-27 | 3 |
| Cycle 3 | 2022-03-10 | 3 | 2022-03-10 | 4 |
CMS CCN 3753022026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Blue River Healthcare, Inc
1105 East Main · Tishomingo, OK 73460 · Johnston County
Certified beds70CMS provider file
Recent citation rows17current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
17 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-09-26 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-11-01 · complaint2024-09-26 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-01 · complaint2024-08-29 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-08-29 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-08-29 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-10-152024-08-29 · FIREK0912Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2024-10-152023-08-11 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-08-31 · complaint2023-07-27 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2023-08-312023-07-27 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-07-27 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2023-11-282023-07-27 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-12-292022-03-10 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2022-03-292022-03-10 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-03-292022-03-10 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2022-03-292022-03-10 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-03-292022-03-10 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2022-03-292022-03-10 · FIREK0741Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2022-03-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BLUE RIVER HEALTHCARE INC.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/21/2022
- COBLE, TOMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/23/2020
- COBLE, TOMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/23/2020
- LODES, JASONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/06/2023
- BLUE RIVER HEALTHCARE INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/21/2022
- COBLE, TOMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/23/2020
- DIXSON, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- LODES, JASONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/06/2023
- MCGLAMERY, DENAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/06/2025
- BLUE RIVER HEALTHCARE INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 11/21/2025
- COBLE, TOMIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/23/2020
- DIXSON, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- LODES, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/06/2023
- MCGLAMERY, DENAIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/06/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.61per resident day
RN hours0.84per resident day
Weekend nurse hours3.09per resident day
Staff turnover66.0%CMS reported field
06 / LOCAL RECORDS
Open the Oklahoma ledger →Other published facilities nearby
No second facility in the same city met the directory rule.