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Nursing HomeMedicaid Top Rated

Blue River Healthcare, INC

Strong Medicare quality ratings; families often praise warm, welcoming atmosphere. Still worth an in-person visit.

1105 East Main, Tishomingo, OK 7346070 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 20 Google reviews

5
4
3
2
1
Blue River Healthcare, INC Nursing Home in Tishomingo, OK — Street View
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What this means for your family

While many families praise the warm, home-like environment and friendly staff, there are serious, specific reports of neglect regarding hygiene and safety. When touring, we strongly recommend asking for a detailed explanation of how the facility ensures consistent personal care for residents who require assistance with daily hygiene tasks.

Google Reviews

Google Reviews

20 reviews on Google
Blue River Healthcare receives polarized feedback, with recent reviews showing a sharp divide between glowing praise for the facility's atmosphere and serious allegations of neglect. While some families describe a warm, family-like environment where staff are attentive and kind, others have raised critical concerns regarding basic hygiene and resident safety.

Quality Themes

Tap a score for details
Food10.0Staff6.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Warm, welcoming atmosphere
  • Friendly and personable staff
  • Clean and well-maintained facility
  • Strong sense of community

Concerns

  • Neglect of basic hygiene and personal care (mentioned by 2 reviewers)
  • Lack of responsiveness to resident needs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02016(1)5.02019(1)5.02020(1)5.02022(1)1.02023(5)1.02024(2)4.62025(11)

Distribution · 22 analyzed

5
14
4
0
3
0
2
0
1
8

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It’s wonderful to see such a clean and well-maintained facility; how do you ensure that high standard of cleanliness is maintained in the residents' private rooms?
  • 2We noticed the staff is very friendly and welcoming; what steps do you take to ensure that level of attentive, personal care is consistent for every resident throughout the day?
  • 3With the high CMS health inspection rating, how does your clinical team manage medical emergencies or sudden changes in a resident's health during the night?
  • 4What kind of daily activities or community events do you have planned to help residents stay engaged and connected with one another?
  • 5I saw that the management team engages with feedback online; how does the facility use resident or family suggestions to improve day-to-day care?
  • 6How do you ensure that personal care needs, like grooming and hygiene, are closely monitored and addressed promptly for every resident?

Personalized based on this facility's data


Key Review Excerpts

The staff, from the nurses to the CNAs and the administrative team, are truly ange

Family member · 2025★★★★★

I have had 2 Aunts in this facility and have always found it to be clean and with a friendly staff!

Family member · 2020★★★★★

Didn’t help my grandma wash her butt, she could have hurt herself

Family member · 2023☆☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.07hrs
OK
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility38.9%
Worse than Avg
Here
38.9%
US
19.5%
OK
25.4%
Johnston
16.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.3%
Worse than Avg
Here
35.3%
US
15.3%
OK
14.7%
Johnston
23.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.5%
OK
17.2%
Johnston
14.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
14.4%
OK
13.8%
Johnston
17.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.4%
OK
17.3%
Johnston
20.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.6%
Mixed vs Avgs
Here
4.6%
US
12.1%
OK
3.3%
Johnston
12.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility43.1%
Worse than Avg
Here
43.1%
US
81.8%
OK
75.0%
Johnston
92.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OK
1.8%
Johnston
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (7.2)
5 complaint-triggered

Families have filed multiple complaint reports, triggering inspections that found serious issues including inadequate protection from abuse and neglect, and problems with resident care and daily living assistance. The facility shows recurring problems with fire safety systems (emergency lighting, smoke barriers) and quality of care issues appearing across multiple years. While all deficiencies show correction dates, the pattern of repeated safety violations and complaint-triggered inspections raises concerns about sustained care quality.

Sep 26, 2024Complaint
2
0584Potential for harm · PatternCorrected

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.

0600Potential for harm · PatternCorrected

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.

Aug 29, 2024Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 29, 2024Routine
2
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Aug 11, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jul 27, 2023Routine
4
0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0806Potential for harm · IsolatedCorrected

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.

Mar 10, 2022Routine
6
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0661Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Blue River Healthcare, INC

Organization Type

for profit

Chain Affiliation

Chain Name

Elmbrook Management Company

Chain Size

11 facilities nationwide

Chain avg rating: 3.2/5 · Rank 2 of 11 (Best)

Ownership & Management

Owners

Blue River Healthcare INC.

Owner · Organization

Coble, Tom

Owner (parent company)

Key personnel

Coble, TomOfficer / DirectorLodes, JasonOfficer / DirectorBlue River Healthcare INC.ManagerCoble, TomManagerDixson, JamesManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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