Nursing Care Index

Blue River Healthcare, Inc.

Tishomingo, Johnston County, Oklahoma · CCN 375302 · For-profit (Individual) · part of Elmbrook Management Company (11 facilities, chain average 3.4 stars)

CMS rates Blue River Healthcare, Inc. 5 of 5 overall as of August 2026. 70 certified beds, 37 residents a day on average. 8 citations on record from the current inspection cycles; no fines on record.

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★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / — of 5

Staffing

Total nurse staffing3.60905 hours per resident per day
Registered nurses0.84424 hours per resident per day
Weekend total3.08958 hours per resident per day
Nursing staff turnover66% (registered nurses 33.3%)

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.

SurveyFindingSeverityStatus
2024-09-26
complaint survey
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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-01
2024-09-26
complaint survey
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-01
2024-08-29
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-01
2024-08-29
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-01
2023-08-11
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2023-07-27 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-31
2022-03-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-03-29
2022-03-10 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · tag F0661
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-29

Fines and payment denials

No fines or payment denials on record since 2023.

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.

NameRoleShareSince
Blue River Healthcare Inc.
Organization
adp of the snf2025-11-21
Blue River Healthcare Inc.
Organization
direct ownership interest2022-11-21
Blue River Healthcare Inc.
Organization
operational/managerial control2022-11-21
Coble, Tom
Individual
adp of the snf2020-12-23
Dixson, James
Individual
adp of the snf2022-07-01
Lodes, Jason
Individual
adp of the snf2023-03-06
Mcglamery, Dena
Individual
adp of the snf2025-09-06
Coble, Tom
Individual
corporate officer2020-12-23
Lodes, Jason
Individual
corporate officer2023-03-06
Coble, Tom
Individual
indirect ownership interest2020-12-23
Coble, Tom
Individual
operational/managerial control2020-12-23
Dixson, James
Individual
operational/managerial control2022-07-01
Lodes, Jason
Individual
operational/managerial control2023-03-06
Mcglamery, Dena
Individual
operational/managerial control2025-09-06

What changed

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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 Johnston County.