F

Windsor Hills Nursing Center

2416 North Ann Arbor, Oklahoma City, OK 73127
Score: 12 / 100

With a score of 12/100, Windsor Hills Nursing Center ranks in the bottom tier of Oklahoma nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Windsor Hills Nursing Center is near the national average, with 3.43 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 30 deficiencies at Windsor Hills Nursing Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.43 3.8 Average
Registered Nurses (RN) 0.46 0.7 Below Average
Licensed Practical Nurses (LPN) 1.01 0.7 Above Average
Certified Nursing Assistants (CNA) 1.96 2.4 Below Average
Weekend Total Nursing 3.14 3.8 Below Average
Weekend RN Hours 0.56 0.7 Below Average

🔍 Inspection & Deficiency History

30
Total Deficiencies
Sep 10, 2025
Most Recent Inspection
🟠 29 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 10, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    May 8, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0690 Severity G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Sep 26, 2024 · Quality of Life and Care Deficiencies
  • Tag 0578 Severity E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Sep 26, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.9% 4.5% Worse
Falls with major injury 4.3% 3.0% Worse
On antipsychotic medication 11.6% 14.5% Better
Urinary tract infections 2.9% 2.5% Worse
ADL decline (daily activities) 9.1% 14.0% Better
Excessive weight loss 2.1% 7.5% Better
New/worsened incontinence 11.4% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $62,078

How This Grade Was Calculated

This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
112
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 26, 2024
Deficiencies (Cycle 1)
13