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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 continuum of care facility at 14901 North Penn Avenue, Oklahoma City, Oklahoma County, Oklahoma, operated by Central Oklahoma United Methodist Retirement Facility Inc, a nonprofit organization. The community offers independent living, assisted living, memory care with 40 dedicated Alzheimer’s and dementia beds, skilled nursing, long-term care, and respite care with 24-hour staffing, rehabilitation services, and a partnership with OU Health. Current occupancy is 108 of 130 beds (83 percent) as of June 2025, with growth from 60 residents in May 2019 to peaks of 112 in June 2022 and 2023. The facility accepts Medicare but not Medicaid.
Nursing care averages 34 percent above the Oklahoma state benchmark. CMS ratings stand at 4/5 for Health Inspection, 4/5 for Staffing, and 4/5 for Quality Measures.
Medication management practices have been the primary focus of recent deficiencies; fourteen inspections from May 2019 through November 2025 yield 2.7 deficiencies per year, 45 percent better than the Oklahoma average of 4.9. Recent complaint investigations show mixed results: the June 2025 elopement allegation was unsubstantiated; the February 2025 investigation found 3 deficiencies related to medication cart security and nebulizer storage; and the January 2024 abuse allegation was unsubstantiated. Significant deficiencies clustered in 2023 and 2022. The November 2023 complaint investigation documented 6 deficiencies spanning bankruptcy reporting, medication management including discontinued narcotic reconciliation and unauthorized administration, and comprehensive assessment failures following falls.
The June 2023 relicensure survey identified 4 deficiencies: incomplete resident interviews in comprehensive assessments, unsafe shower water temperature at 143 degrees Fahrenheit, missing CPR training for direct care staff, and inadequate abuse training timelines. A July 2023 follow-up confirmed all June deficiencies were corrected. The December 2022 complaint investigation substantiated 2 deficiencies in medication reorder and reconciliation program and physician order compliance. The June 2022 complaint investigation substantiated 3 deficiencies including medication administration errors and neglect resulting in resident injury; the May 2022 complaint investigation found all allegations unsubstantiated.
Three consecutive renewal licenses (November 2022, August 2021, August 2020, September 2019) found zero deficiencies. The May 2019 relicensure survey identified 1 deficiency regarding medication administration record documentation. No fines or immediate jeopardy findings appear in the available record.
Occupancy has grown steadily from 60 to 108 residents, suggesting sustained market demand and operational confidence. Oklahoma City is the state capital; Integris Baptist Medical Center and OU Medicine are major nearby acute-care resources.
Families should ask administrators directly about medication administration protocols, staff training requirements, and corrective measures taken following the February 2025 medication cart security findings.
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 46 homes in Oklahoma. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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 |
|
Weekend Total Nursing
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 |
|
Weekend RN
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 |
Higher than the Oklahoma average: 60.6%Epworth Villa Health Services is administrated by Barbara Harter.
In Oklahoma, the State Department of Health, Protective Health Services is the regulatory body responsible for conducting unannounced inspections and reporting on facility compliance.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oklahoma state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OK Average | vs. OK Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 8 | This facility has 138% more total deficiencies than a typical Oklahoma nursing home (19 vs. OK avg 8).↑ 138% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 2.7 | 1.1 | This facility has 145% more deficiencies per year than a typical Oklahoma nursing home (2.7 vs. OK avg 1.1).↑ 145% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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
150% worse than Oklahoma averageOklahoma average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
72% better than Oklahoma average
5% better than Oklahoma average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
34 total: 20 full-time employees and 14 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
86 total: 50 full-time employees and 36 contractors.
86
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,827 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 36 | 86 | 17,048 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 19 | 8 | 27 | 7,998 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 20 | 14 | 34 | 7,818 | 92 | 100% | 9.7 |
| Registered Nurse | 8 | 1 | 9 | 1,936 | 92 | 100% | 9.2 |
| RN Director of Nursing | 4 | 0 | 4 | 1,912 | 70 | 76% | 8.1 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,096 | 68 | 74% | 5.3 |
| Nurse Practitioner | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 767 | 81 | 88% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 683 | 71 | 77% | 5.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 526 | 71 | 77% | 5.5 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Physician | 0 | 2 | 2 | 480 | 65 | 71% | 3.9 |
| Qualified Social Worker | 0 | 2 | 2 | 479 | 59 | 64% | 5.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 474 | 65 | 71% | 4 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Medical Director | 0 | 2 | 2 | 242 | 58 | 63% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 76 | 13 | 14% | 5.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
67% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
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.
Historical financial and operational data for Epworth Villa Health Services based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 50Payroll — State benchmarkedThis home is ranked 2nd out of 50 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Epworth Villa Health Services is located in OKLAHOMA CITY, Oklahoma.
Here are the financial assistance programs available to residents in Oklahoma.
The information below is reported by the Oklahoma State Department of Health, Protective Health Services.
| Trinity Woods |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Tulsa | 84 | 71.3% | +18% | 5.96 | +24% | +30% | $0 | 5 | 2.5 | - | 57 | 37 | Trinity Woods | $24.8M | $11.8M | 47.6% | 375454 | ||||
| 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 | 83.1% | +37% | 6.83 | -22% | +49% | $0 | 9 | 2.3 | 2 | 108 | 23 | Central Oklahoma United Methodist Retirement Facility Inc | $32.0M | $15.6M | 48.8% | 375473 | ||||
| St. Ann‘s Skilled Nursing & Therapy |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oklahoma City (Eagle Hill) | 80 | - | - | 4.86 | +42% | +6% | $0 | 21 | 5.3 | - | 111 | 28 | - | $10.5M | $5.2M | 49.8% | 375561 | ||||
| Ignite Medical Resort 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oklahoma City (Central Oklahoma City) | 75 | - | - | 3.27 | +37% | -29% | $0 | 17 | 2.4 | - | 72 | 52 | Ignite Oklahoma Jv, LLC | $18.9M | $7.6M | 40.1% | 375412 | ||||
| The Fountains at Canterbury | - |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oklahoma City (Northwest Oklahoma City) | 218 | - | - | - | - | - | - | - | - | - | - | - | - | - | 27 | #N/A | $10.9M | $4.4M | 40.2% | 375183 |
Epworth Villa Health Services has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
Epworth Villa Health Services's occupancy is 83%.
Barbara Harter is the administrator of Epworth Villa Health Services.
Epworth Villa Health Services has 130 beds.
Yes — there are 2 photos of Epworth Villa Health Services in the photo gallery on this page.
Epworth Villa Health Services is located at 14901 NORTH PENN AVENUE.
(405) 752-1200 will put you in contact with the team at Epworth Villa Health Services.
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