Grand Lake Villa
Grove, Delaware County, Oklahoma · CCN 375116 · For-profit (LLC) · part of Marsh Pointe Management (6 facilities, chain average 2.5 stars)
CMS rates Grand Lake Villa 2 of 5 overall as of August 2026. 100 certified beds, 66 residents a day on average. 15 citations on record from the current inspection cycles, 3 at immediate jeopardy; 1 fine totalling $32,576.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 4.11896 hours per resident per day |
|---|---|
| Registered nurses | 0.65813 hours per resident per day |
| Weekend total | 3.80036 hours per resident per day |
| Nursing staff turnover | 40.6% (registered nurses 30.8%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · tag F0848 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2026-04-29 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-06 |
| 2025-06-13 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-27 |
| 2024-07-08 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-13 |
| 2023-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-03 |
| 2023-05-05 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-03 |
| 2023-05-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-03 |
| 2023-05-05 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-03 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-29 | Fine | $32,576 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Oklahoma Financial LLC Organization | 5% or greater direct ownership interest | 35% | 2020-07-30 |
| Oklahoma Operating LLC Organization | 5% or greater direct ownership interest | 65% | 2020-07-30 |
| Marsh Pointe Management LLC Organization | adp of the snf | — | 2025-05-20 |
| Oklahoma Financial LLC Organization | adp of the snf | — | 2020-07-30 |
| Oklahoma Operating LLC Organization | adp of the snf | — | 2020-07-30 |
| Marsh Pointe Management LLC Organization | operational/managerial control | — | 2014-03-01 |
| Brogdon, Connie Individual | 5% or greater indirect ownership interest | 65% | 2020-07-30 |
| Brogdon, Christopher Individual | adp of the snf | — | 2011-07-29 |
| Brogdon, Connie Individual | adp of the snf | — | 2020-07-30 |
| Nichols, Cheryl Individual | adp of the snf | — | 2016-04-06 |
| Tidwell, Richard Individual | adp of the snf | — | 2018-08-09 |
| Brogdon, Christopher Individual | corporate officer | — | 2011-07-29 |
| Nichols, Cheryl Individual | corporate officer | — | 2016-04-06 |
| Brogdon, Christopher Individual | managing control - governing body | — | 2011-07-29 |
| Brogdon, Christopher Individual | operational/managerial control | — | 2011-07-29 |
| Nichols, Cheryl Individual | operational/managerial control | — | 2024-03-20 |
| Tidwell, Richard Individual | operational/managerial control | — | 2018-08-09 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Grand Lake Villa.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Delaware County.