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Nursing HomeMedicaid Investigative

Stillwater Creek Skilled Nursing and Therapy

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1215 West 10th Street, Stillwater, OK 74074112 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 36 Google reviews

5
4
3
2
1
Stillwater Creek Skilled Nursing and Therapy Nursing Home in Stillwater, OK — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (12 vs median 6.0)
  • High staff turnover (53%)

Below average in OK · Critically understaffed (RN) · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While some patients report successful rehabilitation, the high frequency of reports regarding neglect and poor communication is concerning. If you consider this facility, we strongly recommend conducting an unannounced visit and asking specifically about their staff-to-patient ratios and their process for handling urgent family concerns.

Google Reviews

Google Reviews

36 reviews on Google
Stillwater Creek Skilled Nursing and Therapy presents a deeply polarized experience for families. While some residents and their families praise the facility for effective physical therapy and friendly staff, a significant number of reviewers report severe neglect, unprofessional behavior, and poor communication. Families should be aware of recurring allegations regarding inadequate staffing levels and a lack of responsiveness to basic patient needs.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms2.0Value5.0

Strengths

  • Effective physical therapy programs
  • Helpful and friendly nursing staff
  • Positive rehabilitation outcomes for some patients

Concerns

  • Neglect and lack of basic patient care (mentioned by 7 reviewers)
  • Understaffing and slow response times (mentioned by 5 reviewers)
  • Poor communication and unresponsiveness to family inquiries (mentioned by 4 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

2343.02021(2)3.02022(2)1.02023(5)4.82024(19)1.72025(11)1.52026(2)

Distribution · 41 analyzed

5
22
4
0
3
0
2
1
1
18

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that some families have expressed difficulty in getting timely updates, what is your specific process for keeping family members informed about their loved one's daily health status?
  • 2I noticed the facility has had some recent challenges with staffing levels; how do you ensure that residents receive prompt assistance when they use their call lights?
  • 3With physical therapy being a noted strength here, how do you integrate those therapy goals into the resident's daily routine outside of scheduled sessions?
  • 4Could you walk me through your protocol for ensuring consistent, high-quality bedside care, especially during shift changes or busy periods?
  • 5What steps is the leadership team currently taking to improve the overall responsiveness and communication style of the staff?
  • 6How do you handle medical emergencies or sudden changes in a resident's condition during the night shift when staffing levels are lower?

Personalized based on this facility's data


Key Review Excerpts

Emergency removed my grandfather from this hell hole this morning. Almost like a prison break! He called from his personal cell begging for help because he was slouched in a wheel chair unable to sit up because he has no strength.

Long-term resident's family · 2026☆☆☆☆

This isn't a place for a loved one to be cared for. It's a place you send someone to die. The most recent 5-star reviews have to be from friends of staff.

Rehab patient's family · 2025☆☆☆☆

The staff is very polite and kind. The therapy took good care of me and taught me things to better myself.

Rehab patient · 2024★★★★★
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
35%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
OK
3.3%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.5%
OK
25.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
OK
90.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
15.3%
OK
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
14.4%
OK
13.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
5.3%
OK
3.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.0%
Better than Avg
Here
94.0%
US
81.8%
OK
75.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.2%
Better than Avg
Here
90.2%
US
79.8%
OK
74.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
OK
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Well above state avg (7.2)
1 complaint-triggered

This facility shows recurring problems across multiple areas with one complaint-triggered deficiency from families regarding failure to notify them of resident incidents. The most persistent issues involve fire safety and building infrastructure, medication management, and care planning, with many deficiencies repeating across surveys from 2019 to 2024. While all violations have reported correction dates, the pattern of recurring deficiencies in critical areas like family notification and medication oversight suggests ongoing quality challenges.

Mar 5, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Mar 15, 2024Routine
17
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0770Potential for harm · PatternCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Jan 27, 2023Routine
15
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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.

0646Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 10, 2019Routine
15
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stillwater Creek Skilled Nursing and Therapy

Organization Type

for profit

Chain Affiliation

Chain Name

Bridges Health

Chain Size

34 facilities nationwide

Chain avg rating: 3.6/5 · Rank 31 of 33

Ownership & Management

Owners

Bridges Employee Stock Ownership Trust

Owner (parent company) · Organization

100%

Key personnel

Deroin, KristyW-2 Managing EmployeeCoble, WilliamOfficer / DirectorBridges Esop, INCManagerCoble, WilliamManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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