CROSS TIMBERS NURSING AND REHABILITATION
CCN: 375573 · MIDWEST CITY, OK 73110 · Oklahoma County
Overview
- Address
- 1400 BUENA VISTA AVENUE, MIDWEST CITY, OK 73110
- Phone
- 4052519988
- Certified beds
- 187
- Avg daily residents
- 60 (32% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2018-02-15
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 2.63 | 2.81 | 3.60 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.14 | 0.49 | 0.20 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.79 | 0.62 | 1.09 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.69 | 1.70 | 2.32 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 0.94 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-02-26 | 3 | 3 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2024-08-23 | 28 | 5 | 23 | 744 | 1 | 744 |
Deficiencies (36)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-02-26 | 2025-04-11 |
| 0803 | Ensure 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. | D | 2025-02-26 | 2025-04-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-02-26 | 2025-04-11 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-06 | 2024-10-04 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-09-06 | 2024-10-04 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-08-23 | 2024-10-04 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-08-23 | 2024-10-04 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-23 | 2024-10-04 |
| 0727 | 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. | E | 2024-08-23 | 2024-09-27 |
| 0758 | 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. | D | 2024-08-23 | 2024-09-27 |
| 0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | 2024-03-15 | 2024-05-10 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-03-15 | 2024-05-10 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-03-15 | 2024-05-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-15 | 2024-05-10 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2023-11-16 | 2023-12-28 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-11-16 | 2023-12-08 |
| 0760 | Ensure that residents are free from significant medication errors. | G | 2023-11-16 | 2023-12-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-11-16 | 2023-12-28 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-11-16 | 2023-12-28 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-11-16 | 2024-02-05 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-08-04 | 2023-09-06 |
| 0567 | Honor the resident's right to manage his or her financial affairs. | E | 2023-08-04 | 2023-09-06 |
| 0584 | 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. | E | 2023-08-04 | 2023-09-06 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-08-04 | 2023-09-06 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-08-04 | 2023-09-06 |
| 0610 | Respond appropriately to all alleged violations. | E | 2023-08-04 | 2023-09-06 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-08-04 | 2023-09-06 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-04 | 2023-09-06 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2023-08-04 | 2023-09-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-08-04 | 2023-09-06 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | 2023-08-04 | 2023-09-06 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-05-17 | 2023-09-06 |
| 0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2023-05-17 | 2023-09-06 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-03-09 | 2023-04-07 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | K | 2023-03-09 | 2023-04-07 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-03-09 | 2023-04-07 |
Penalties (6)
| Date | Type | Fine amount |
|---|---|---|
| 2023-05-17 | Fine | $51,655 |
| 2023-11-16 | Fine | $126,808 |
| 2025-02-26 | Payment Denial | — |
| 2024-08-23 | Payment Denial | — |
| 2023-11-16 | Payment Denial | — |
| 2023-05-17 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: RIVERS EDGE OPERATIONS
- Chain ID
668- Facilities in chain
- 7
- Legal business name
- CROSS TIMBERS SNF OPERATIONS LLC
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| RIVERS EDGE OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/06/2023 |
| RIVERS EDGE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/01/2023 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| GANZ, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/06/2023 |
| KRAVETZ, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/06/2023 |
| OELBAUM, YITZCHOK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/06/2023 |
| RETTER, S. ARYEH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/06/2023 |
| GANZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| OELBAUM, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | since 01/06/2023 |
| GANZ, DAVID | CORPORATE OFFICER | since 10/01/2023 |
| VASSER, CHRISHUNA | W-2 MANAGING EMPLOYEE | since 08/07/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 1.01 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 96.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-79,075 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,020,366 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 44.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -3.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,945,008 | metrics.total_assets |
| Cost Report | Total Costs ($) | $158,089 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $191,615 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,753,393 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.08608 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.32066 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.19711 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.60385 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.04688 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 59.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.62455 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.69739 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.49228 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 2.81423 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.48045 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 668 | Chain ID |
| Provider Information | Chain Name | RIVERS EDGE OPERATIONS | Chain Name |
| Provider Information | City/Town | MIDWEST CITY | City/Town |
| Provider Information | CMS Certification Number (CCN) | 375573 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Oklahoma | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2018-02-15 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.4515 | Latitude |
| Provider Information | Legal Business Name | CROSS TIMBERS SNF OPERATIONS LLC | Legal Business Name |
| Provider Information | Location | 1400 BUENA VISTA AVENUE,MIDWEST CITY,OK,73110 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -97.418 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 187 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 2 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 7 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 4 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 0.99696 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.72367 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1400 BUENA VISTA AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CROSS TIMBERS NURSING AND REHABILITATION | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 540 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-02-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 744 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 23 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 744 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 28 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.14627 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 27 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 0.93532 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.79164 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.69153 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03553 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.14367 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 2.62685 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OK | State |
| Provider Information | Telephone Number | 4052519988 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 178463.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.22087 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 6 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 56.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 195.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 73110 | ZIP Code |