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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeOklahomaWindsor Hills Nursing Center

Windsor Hills Nursing Center

2416 North Ann Arbor, Oklahoma City, OK 731274059428566
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
4/5
Beds
112
certified
This facility has been flagged for abuse.
3 fine(s) totaling $62,078

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 112 certified beds with an average of 55.1 residents per day (49% occupancy)

• Last health inspection found 13 deficiencies (inspected Sep 27, 2024)

• Has been fined a total of $62,078 across 3 fine(s)

• Total nursing staff: 3.43 hours per resident per day

• Part of the Diakonos Group chain (7 facilities)

Windsor Hills Nursing Center is a 1-star Medicare and Medicaid certified nursing home in Oklahoma City, Oklahoma with 112 certified beds. It has been operating since 2001. The facility scored below average compared to Oklahoma facilities.

Beds
112
Avg Residents/Day
55.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 5, 2001
Sprinklers
Yes
Council
Resident
County
Oklahoma
Last Inspection
Sep 27, 2024
Deficiencies (Cycle 1)
13
Weighted Score
119.0
Infection Citations
0

Deficiency Citations (30)

F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0657Potential for Harm

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

Survey: May 9, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: May 9, 2025Corrected: NoCycle: 1
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0690Actual Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 27, 2024Corrected: NoCycle: 1
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Sep 27, 2024Corrected: NoCycle: 2
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 9, 2023Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Aug 9, 2023Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Aug 9, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 9, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 9, 2023Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Jul 25, 2023Corrected: NoCycle: 3
F0657Potential for Harm

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

Survey: Jul 25, 2023Corrected: NoCycle: 3
F0689Actual Harm

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

Survey: Jul 25, 2023Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Aug 23, 2022Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Aug 23, 2022Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 23, 2022Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 23, 2022Corrected: NoCycle: 3
F0809Potential for Harm

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.

Survey: Aug 23, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 23, 2022Corrected: NoCycle: 3
Total Fines
$62,078
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMay 9, 2025
$16,149
FineSep 11, 2025
$20,150
FineJul 25, 2023
$25,779

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.35 hrs
LPN1.01 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.68 hrs
Total Nursing3.43 hrs
National avg: 3.89 hrs
Weekend Total3.14 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
LEP HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2019
PILGRIM, LEE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2019
PILGRIM, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2019
SMITH, ANTOINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2019
SMITH, ANTOINEW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2019

Nearby Nursing Homes

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Fairmont Skilled Nursing and Therapy

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Frequently Asked Questions

What is the CMS rating for Windsor Hills Nursing Center?▾
Windsor Hills Nursing Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
Has Windsor Hills Nursing Center had any health inspection violations?▾
Windsor Hills Nursing Center had 13 deficiency citations in its most recent health inspection (Sep 27, 2024). The facility has been fined a total of $62,078 across 3 fine(s).
What are the staffing levels at Windsor Hills Nursing Center?▾
Windsor Hills Nursing Center provides 3.43 total nursing staff hours per resident per day, including 0.46 RN hours, 1.01 LPN hours, and 1.96 nurse aide hours.
How many beds does Windsor Hills Nursing Center have?▾
Windsor Hills Nursing Center has 112 certified beds with an average of 55.1 residents per day, resulting in approximately 49% occupancy. The facility is For profit - Limited Liability company owned and is part of the Diakonos Group chain.
Are there other nursing homes near Windsor Hills Nursing Center?▾
Yes, there are 27 other nursing homes in Oklahoma City, Oklahoma with an average rating of 2.3/5. You can compare all facilities on the Oklahoma City nursing homes page.

Part of Diakonos Group

This chain operates 7 facilities. View all →