Nursing homeActive

University Park Skilled Nursing And Therapy Memory

1201 North Vinita Avenue, Tahlequah, OK 744649184566181139 certified beds · 48 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
28
0280
Penalties · 3 yrs
none on file
Last survey
2025-03-10
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Oklahoma State Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-03-10Standard050CMS-2567 (Care Compare)
2025-01-27Complaint030CMS-2567 (Care Compare)
2023-11-30Standard050CMS-2567 (Care Compare)
2022-10-11Standard0150CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Oklahoma State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-03-10Standard survey · 5 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 375185-20250310-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 375185-20250310-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 375185-20250310-F698
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 375185-20250310-F730
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 375185-20250310-F880
2025-01-27Complaint survey · 3 deficienciesOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-11Record 375185-20250127-F622
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-11Record 375185-20250127-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-11Record 375185-20250127-F842
2023-11-30Standard survey · 5 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-27Record 375185-20231130-F584
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-27Record 375185-20231130-F679
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-27Record 375185-20231130-F688
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-27Record 375185-20231130-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-27Record 375185-20231130-F812
2022-10-11Standard survey · 15 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F578
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F610
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F756
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F801
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F812
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-10Record 375185-20221011-F919

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.32
Facility
Oklahoma
National
Oklahoma 0.34 · National 0.69
Total nurse hours per resident day3.93
Facility
Oklahoma
National
Oklahoma 3.79 · National 3.86
Weekend total nurse hours3.95
Facility
Oklahoma
National
Oklahoma 3.44 · National 3.42
Total nursing staff turnover35%
Facility
Oklahoma
National
Oklahoma 56% · National 46%
Registered nurse turnover43%
Facility
Oklahoma
National
Oklahoma 54% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOklahomaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.8%4.7%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.9%4.7%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.6%17.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%2.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
7.3%13.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.6%3.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
41.8%25.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bridges Employee Stock Ownership Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Bridges Esop, Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coble, William
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coble, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Crane, Joanna
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Deroin, Kristy
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Deroin, Kristy
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Bridges Health33 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Oklahoma.

No county cost figures on file for Cherokee.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Cherokee County Nursing Center
Tahlequah
0.9 mi2025-07-03080
Sequoyah Pointe Skilled Nursing And Therapy
Tahlequah
1.0 mi2025-05-150110
Fort Gibson Care & Rehab Center
Fort Gibson
17.8 mi2025-01-150181
Stilwell Nursing And Rehab
Stilwell
20.6 mi2025-04-090150
Eastgate Village Care & Rehab Center
Muskogee
23.2 mi2025-07-020181
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01