Boyce Manor Nursing Home
1600 East Highway · Holdenville, OK · 74848 · 4053795443
155 certified beds For profit - Limited Liability company Chain: Bgm Estate
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $90,499 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$90,499 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.76 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 2.50 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $90,499 |
Inspection citations (32 in the current record)
-
Immediate jeopardy · J May 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 23, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 11, 2025
Ensure each resident receives an accurate assessment.
Corrected February 23, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E February 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 23, 2025 · Quality of Life and Care
-
Potential for harm · E February 11, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 23, 2025 · Nursing and Physician Services
-
Potential for harm · D February 11, 2025
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.
Corrected February 23, 2025 · Pharmacy Service
-
Immediate jeopardy · J December 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 7, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 22, 2024 · Resident Rights
-
Potential for harm · E December 7, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E December 7, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E December 7, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected January 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D December 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D December 7, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected January 22, 2024 · Quality of Life and Care
-
Potential for harm · D December 7, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 22, 2024 · Pharmacy Service
-
Potential for harm · D December 7, 2023
Ensure 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.
Corrected January 22, 2024 · Pharmacy Service
-
Potential for harm · F December 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 22, 2024 · Nutrition and Dietary
-
Potential for harm · E December 7, 2023
Provide and implement an infection prevention and control program.
Corrected January 22, 2024 · Infection Control
-
Potential for harm · F December 7, 2023 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 5, 2024 · Administration
-
Immediate jeopardy · K December 5, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2023 · Quality of Life and Care
-
Potential for harm · D December 5, 2022
Honor 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.
Corrected December 23, 2022 · Resident Rights
-
Potential for harm · E December 5, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 20, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2022
Assess the resident when there is a significant change in condition
Corrected December 23, 2022 · Resident Assessment and Care Planning
-
Potential for harm · E December 5, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 20, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 3, 2025 | Fine | $12,463 |
| December 17, 2024 | Fine | $78,036 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375557 · certified since October 18, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.