Windsor Hills Nursing Center
2416 North Ann Arbor · Oklahoma City, OK · 73127 · 4059428566
112 certified beds For profit - Limited Liability company Chain: Skyblue Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $29,247 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $55,026 |
Inspection citations (31 in the current record)
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Actual harm · G September 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 11, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · E September 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · E September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 3, 2025 · Infection Control
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Potential for harm · F September 11, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 3, 2025 · Infection Control
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Potential for harm · E September 11, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 3, 2025 · Environmental
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Immediate jeopardy · J May 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 13, 2025 · Resident Assessment and Care Planning
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Actual harm · G September 27, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · E September 27, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · E September 27, 2024
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.
Corrected October 29, 2024 · Resident Rights
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Potential for harm · E September 27, 2024
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.
Corrected October 29, 2024 · Pharmacy Service
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Potential for harm · D September 27, 2024
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.
Corrected October 29, 2024 · Pharmacy Service
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Potential for harm · D September 27, 2024
Provide and implement an infection prevention and control program.
Corrected October 29, 2024 · Infection Control
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Potential for harm · D September 27, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 27, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · E September 27, 2024 · found via complaint
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.
Corrected October 29, 2024 · Nutrition and Dietary
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Potential for harm · E September 27, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 29, 2024 · Nutrition and Dietary
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Potential for harm · D July 26, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected August 1, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 1, 2024 · Pharmacy Service
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Potential for harm · E August 9, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 9, 2023
Assess the resident when there is a significant change in condition
Corrected August 25, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 11, 2025 | Fine | $13,098 |
| May 9, 2025 | Fine | $16,149 |
| July 25, 2023 | Fine | $25,779 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375400 · certified since October 5, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.