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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Epworth Villa Health Services is a 130-bed skilled nursing facility administrated by Barbara Harter at 14901 North Penn Avenue in Oklahoma City, Oklahoma 73134, in Oklahoma County. The facility is owned by Central Oklahoma United Methodist Retirement Facility Inc and operates as a voluntary non-profit Life Plan Community partnered with OU Health for comprehensive geriatric care. Epworth Villa provides independent living, assisted living, memory care, and skilled nursing with 24-hour staffing, accepting Medicare for short-term rehabilitation and private pay.
The facility maintains an overall CMS rating of 4 out of 5, exceeding the Oklahoma state average of 3.4 out of 5. Health inspection ratings are 4 out of 5; staffing ratings are 4 out of 5; quality measure ratings are 4 out of 5. Epworth Villa provides 6 hours 50 minutes of nursing care per resident per day, 34 percent above the Oklahoma average. The facility employs 207 staff members at a 3:1 staff-to-resident ratio, 74 percent better than the state average. Occupancy is 83.1 percent with 108 residents in 130 beds. The community primarily serves Medicare patients in short-term rehabilitation (average 24-day stay) and private-pay residents in longer stays of 2 to 3 months.
Epworth Villa’s inspection history reflects areas of ongoing concern. Four health inspections in the past three years yielded 9 citations, including 1 critical citation for quality of care in May 2025 and 1 serious citation for quality of care from 2022. Additional citations addressed nutrition, care planning, and infection control. Substantiated complaint investigations from 2022 through 2025 documented medication administration and neglect concerns, though several complaints were unsubstantiated. All cited deficiencies were corrected. A 2023 reinspection confirmed correction of earlier issues, indicating some improvement. No fines, immediate jeopardy findings, or license suspensions appear in available documentation. Quality of life and care deficiencies represent 44 percent of documented findings over the past three years.
Occupancy stands in line with state average. The facility demonstrates complexity in quality measures. Epworth Villa shows mixed outcomes across quality indicators: strengths in depressive symptom rates (0 percent versus state average 3.3 percent) and antipsychotic medication usage (11.7 percent versus 15.5 percent state average), alongside concerns including falls with major injury (6.5 percent versus 4.4 percent state average), pressure ulcers in high-risk residents (7.7 percent versus 5.2 percent state average), and urinary tract infections (6.7 percent versus 3.0 percent state average).
Located 10.7 miles from downtown Oklahoma City, Epworth Villa provides 24-hour staffing, rehabilitation services, respite care, and short-term rehabilitation. Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.
Epworth Villa Health Services suits Medicare short-stay rehabilitation patients and private-pay residents with complex medical needs managed by strong staffing. Families should ask directly about the facility’s specific protocols for medication management, infection control procedures, fall prevention strategies, pressure ulcer prevention, and corrective actions taken following 2022-2025 quality of care citations before placement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 1st out of 35 homes in Oklahoma.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▲ 20% State avg: 20m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 21m per day | ▲ 47% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 25m per day | ▲ 33% State avg: 2h 34m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 41m per day | ▲ 63% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 10m per day | ▲ 898% State avg: 1m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▲ 47% State avg: 17m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
67% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 38Payroll — state benchmarkedThis home is ranked 2nd out of 38 homes in Oklahoma.Shows total annual staff payroll benchmarked to the Oklahoma average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Oklahoma average: 60.6%Epworth Villa Health Services is administrated by Barbara Harter.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
In Oklahoma, the State Department of Health, Protective Health Services is the regulatory body responsible for conducting unannounced inspections and reporting on facility compliance.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Oklahoma average: 8 deficiencies
The most recent inspection on November 4, 2025, did not include deficiencies as it was a change of information submission related to memory care services. Earlier inspections showed a pattern of deficiencies primarily involving medication management and staff training, including issues with medication cart security, medication administration errors, and incomplete staff abuse training. Complaint investigations from 2022 through 2025 substantiated some medication administration and neglect concerns but also included several unsubstantiated complaints. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility appears to have addressed some prior deficiencies, as a 2023 reinspection confirmed correction of earlier issues, indicating some improvement over time.
Oklahoma average 4.8
Last Health inspection on May 2025
Oklahoma average 23.5
Oklahoma average 4.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 9 citations resulted from standard inspections; 1 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).
67% worse than Oklahoma averageOklahoma average: 0.6
1
150% worse than Oklahoma averageOklahoma average: 0.4
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 11, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Epworth Villa Health Services is located in OKLAHOMA CITY, Oklahoma.
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10.7 miles from city center
Estimated distance in miles from OKLAHOMA CITY's city center to Epworth Villa Health Services's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
74% better than Oklahoma averageOklahoma average ratio: 1.72:1
6% better than Oklahoma averageOklahoma average: 8.2 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Total hours from contractors
6,360 contractor hours this quarter
| Certified Nursing Assistant | 57 | 32 | 89 | 16,914 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 22 | 10 | 32 | 7,515 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 22 | 10 | 32 | 7,143 | 91 | 100% | 10 |
| Registered Nurse | 11 | 1 | 12 | 3,012 | 91 | 100% | 9.1 |
| RN Director of Nursing | 5 | 0 | 5 | 2,008 | 66 | 73% | 8.3 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 1,304 | 73 | 80% | 6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,043 | 77 | 85% | 7.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 967 | 91 | 100% | 7.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 960 | 65 | 71% | 7.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 906 | 68 | 75% | 7.1 |
| Nurse Practitioner | 2 | 0 | 2 | 680 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 491 | 61 | 67% | 6.5 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 2 | 0 | 2 | 472 | 59 | 65% | 8 |
| Medical Director | 0 | 2 | 2 | 284 | 63 | 69% | 4 |
| Other Physician | 0 | 1 | 1 | 216 | 54 | 59% | 4 |
| Occupational Therapy Aide | 0 | 5 | 5 | 68 | 13 | 14% | 5.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.3
38% worse than Oklahoma averageOklahoma average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
10% worse than Oklahoma averageOklahoma average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
36% better than Oklahoma averageOklahoma average: 14.4%
Percent of long-stay residents whose ability to move independently worsened
34.3%
105% worse than Oklahoma averageOklahoma average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.2%
43% better than Oklahoma averageOklahoma average: 17.8%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
47% worse than Oklahoma averageOklahoma average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
7.7%
47% worse than Oklahoma averageOklahoma average: 5.2%
Percent of long-stay residents with a urinary tract infection
6.7%
124% worse than Oklahoma averageOklahoma average: 3.0%
Percent of long-stay residents who lose too much weight
3.5%
5% better than Oklahoma averageOklahoma average: 3.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oklahoma averageOklahoma average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
11.7%
25% better than Oklahoma averageOklahoma average: 15.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.2%
7% worse than Oklahoma averageOklahoma average: 90.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
9% worse than Oklahoma averageOklahoma average: 94.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.38
83% better than Oklahoma averageOklahoma average: 2.28
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.91
69% better than Oklahoma averageOklahoma average: 2.91
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.6%
29% worse than Oklahoma averageOklahoma average: 75.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
65% better than Oklahoma averageOklahoma average: 2.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.0%
34% worse than Oklahoma averageOklahoma average: 74.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
7% better than Oklahoma averageOklahoma average: 27.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.1%
18% better than Oklahoma averageOklahoma average: 17.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
82% worse than Oklahoma averageOklahoma average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.0%
In line with Oklahoma averageOklahoma average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.9%
30% better than Oklahoma averageOklahoma average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Epworth Villa Health Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Oklahoma City | 130 | 78.3% | +29% | 6.83 | -1% | +49% | 0 | 9 | 2.3 | 2 | 64 | - | Central Oklahoma United Methodist Retirement Facility Inc | $32.0M | $12.8M | 40.1% | 375473 | ||||
| Baptist Village of Enid |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Enid | 40 | 77.7% | +28% | 5.97 | -25% | +31% | 0 | 19 | 4.8 | 0 | 61 | - | Abbott, Paul | $3.6M | $1.9M | 53.5% | 375406 | ||||
| Ash Street Place | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Guthrie | 37 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
| Baptist Village of Oklahoma City | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Oklahoma City | 50 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
| Bartlesville Assisted Living | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bartlesville | 65 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for Epworth Villa Health Services based on CMS SNF Cost Reports.
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