01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-03 | 2 | 2024-10-03 | 3 |
| Cycle 2 | 2023-08-11 | 4 | 2023-08-11 | 0 |
| Cycle 3 | 2022-07-26 | 3 | 2022-07-26 | 3 |
CMS CCN 3754732026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Epworth Villa Health Services
14901 North Penn Avenue · Oklahoma City, OK 73134 · Oklahoma County
Certified beds87CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-08 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-05-01 · complaint2024-10-03 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-10-03 · HEALTHF0809Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-10-03 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-10-03 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-10-03 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-11-082023-08-11 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-09-182023-08-11 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-09-182023-08-11 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2023-09-18 · complaint2022-07-26 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-07-26 · HEALTHF0697Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-07-26 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-07-26 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-07-26 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-07-26 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2022-08-2503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/01/1990
- CALDWELL, VICTORIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- COMPTON, VINCENTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- DAVIS, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- FORD, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- JEAN, JACOBIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KNUTSON, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- PAPIN, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- PERRY, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SPINKS, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- STEELE, VALERIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- BROWN, DAWNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/03/2022
- CRAIG, RITAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
- CUSHMAN, JENNIFERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
- KELLY, RONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/25/2017
- LOGSDON, KATHYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
- TAYLOR, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
- WATKINS, SHANEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.61per resident day
RN hours0.27per resident day
Weekend nurse hours4.26per resident day
Staff turnover36.1%CMS reported field
06 / LOCAL RECORDS
Open the Oklahoma City ledger →Other published facilities nearby
Accel At Crystal Park69 beds · CMS overall 1/544 citation rowsBellevue Health & Rehabilitation Center142 beds · CMS overall 3/527 citation rowsBaptist Village Of Oklahoma City120 beds · CMS overall 2/531 citation rowsBrookwood Skilled Nursing And Therapy137 beds · CMS overall 1/535 citation rowsCapitol Hill Skilled Nursing And Therapy120 beds · CMS overall 3/532 citation rowsEmerald Care Center Southwest Llc112 beds · CMS overall 1/551 citation rowsFairmont Skilled Nursing And Therapy125 beds · CMS overall 2/531 citation rowsHeritage At Brandon Place Health & Rehabilitation118 beds · CMS overall 2/522 citation rows