{"schema_version":"1.0.0","facility":{"id":"cms-375482","ccn":"375482","name":"Barnsdall Nursing Home","source_name":"BARNSDALL NURSING HOME","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OK","address":{"line1":"411 S 4th Street","city":"Barnsdall","state":"OK","zip":"74002","county_name":"Osage County","county_fips":"40113","county_method":"name_match","ssa_county_code":"560","urban":true},"location":{"lat":36.5593,"lon":-96.161,"method":"cms_published_coordinates"},"phone":"9188472572","certification":{"authority":"CMS","ccn":"375482","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2023-08-18","certified_beds":40,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/375482"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":40,"avg_residents_footnote":"10"},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":3},"quality_measures":{"footnote":"2"},"long_stay_qm":{"footnote":"2"},"short_stay_qm":{"footnote":"2"},"staffing":{"value":1,"footnote":"23"},"universe":"cms_certified_nursing_homes"},"staffing":{"footnote":"23","nursing_turnover_footnote":"26","rn_turnover_footnote":"26","administrator_turnover_footnote":"26","source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2023-08-18","cycle1_deficiencies":4,"cycle1_score":28,"cycle2_date":"2021-05-10","cycle23_deficiencies":9,"cycle23_score":72,"total_weighted_score":39},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/375482","provenance":[{"source_id":"cms_provider_info","source_record_id":"375482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"375482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"ownership_not_available":true,"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2023-08-18","latest_standard_health":"2023-08-18","earliest_date":"2019-02-13","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":34,"health_count":27,"fire_count":7,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":34},"by_scope_severity":{"F":4,"E":24,"D":6},"by_concept":{"environment_life_safety":8,"resident_rights":8,"clinical_care":7,"medication":5,"staffing":3,"food_nutrition":2,"infection_prevention":1},"type_ids":["cms-k0353","cms-f0584","cms-f0657","cms-f0755","cms-f0686","cms-k0291","cms-k0293","cms-k0222","cms-k0741","cms-f0656","cms-f0725","cms-f0727","cms-f0756","cms-f0758","cms-f0761","cms-f0842","cms-f0921","cms-k0271","cms-f0565","cms-f0574","cms-f0677","cms-f0689","cms-f0805","cms-f0812","cms-f0880","cms-f0600","cms-f0607","cms-f0609","cms-f0610"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-375482","ccn":"375482","name":"Barnsdall Nursing Home","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OK","city":"Barnsdall","zip":"74002","county_fips":"40113","county_name":"Osage County","address":"411 S 4th Street","beds":40,"ownership":"for_profit","lat":36.5593,"lon":-96.161,"overall":2,"health_rating":3,"staffing_rating":1,"inspections":6,"last_inspection":"2023-08-18","deficiencies":34,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0353","cms-f0584","cms-f0657","cms-f0755","cms-f0686","cms-k0291","cms-k0293","cms-k0222","cms-k0741","cms-f0656","cms-f0725","cms-f0727","cms-f0756","cms-f0758","cms-f0761","cms-f0842","cms-f0921","cms-k0271","cms-f0565","cms-f0574","cms-f0677","cms-f0689","cms-f0805","cms-f0812","cms-f0880","cms-f0600","cms-f0607","cms-f0609","cms-f0610"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-375482-20230818-fire","ccn":"375482","date":"2023-08-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-26","std":1,"tv":"New"}]},{"id":"cms-375482-20230818-health","ccn":"375482","date":"2023-08-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-09","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-09","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-09","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-09","std":1}]},{"id":"cms-375482-20210510-fire","ccn":"375482","date":"2021-05-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2021-07-01","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2021-07-01","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2021-07-01","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1,"tv":"New"}]},{"id":"cms-375482-20210510-health","ccn":"375482","date":"2021-05-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0727","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-01","std":1}]},{"id":"cms-375482-20190213-fire","ccn":"375482","date":"2019-02-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0271","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-24","std":1,"tv":"New"}]},{"id":"cms-375482-20190213-health","ccn":"375482","date":"2019-02-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0574","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-12","std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-12","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-12","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-12","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1}]}],"deficiency_types":{"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"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.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0727":{"code":"F-0727","title":"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.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0574":{"code":"F-0574","title":"The resident has the right to receive notices in a format and a language he or she understands.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375482&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OK","overall_rating":2.7,"health_inspection_rating":2.8,"qm_rating":2.8,"staffing_rating":2.7,"avg_residents_per_day":61.1,"cycle1_health_deficiencies":6.5,"cycle1_fire_deficiencies":2.5,"nurse_aide_hprd":2.55,"lpn_hprd":0.92,"rn_hprd":0.3357,"licensed_hprd":1.26,"total_nurse_hprd":3.81512,"weekend_total_nurse_hprd":3.44088,"weekend_rn_hprd":0.27,"pt_hprd":0.02,"nursing_turnover_pct":55.4,"rn_turnover_pct":52,"administrators_left":0.6,"case_mix_index":1.16825,"fines":0.8,"fine_amount":17843,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OK","name":"Oklahoma"},"county":{"fips":"40113","name":"Osage County"},"zip":"74002","city":"Barnsdall"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}