In the first quarter of 2026, Bridges Esop, Inc. owned River Valley Skilled Nursing and Therapy, according to the Centers for Medicare and Medicaid Services (CMS). Located in Custer County, Bridges Esop, Inc. has held ownership since Dec. 31, 2020.
River Valley Skilled Nursing and Therapy is a for-profit operation.
At that time, the facility earned a five-star overall CMS rating, exceeding the Oklahoma statewide nursing home average rating of 2.7. The CMS rating system evaluates facilities based on essential metrics including health inspections, staffing levels, and the standard of care for residents.
Data shows River Valley Skilled Nursing and Therapy served an average of 48.9 residents each day in the first quarter of 2026 and had a total capacity of 100 beds. The facility is not affiliated with a hospital.
The nursing home reportedly had no fines or penalties during the period in question.
Custer County, Oklahoma, reported two for-profit nursing homes during this time.
Census Bureau estimates show the U.S. older adult population continues to rise while the number of children declines. Between 2020 and 2024, Americans age 65 and older increased by 13%, as the population under age 18 dropped by 1.7%. The nation’s older adult population has surged from 4.9 million in 1920 to over 61 million in 2024.
A 2021 report found that almost half of older adults, around 28 million, are likely to require long-term services and supports, with more than one-third expected to need care in a nursing home.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Clinton Therapy & Living Center | Joshua Kilgore | For profit – Corporation | 1 | 31.9 |
| River Valley Skilled Nursing and Therapy | Bridges Esop, Inc. | For profit – Partnership | 5 | 48.9 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
