Show Inspection Reports
Total health inspections
4
Oklahoma average 4.8
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Epworth Villa
Memory Care in Edmond
CMS overall rating
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.
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.
Epworth Villa
Memory Care in Edmond
CMS overall rating
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.
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.
Overview of Epworth Villa
Located in Edmond, Oklahoma, Epworth Villa is an assisted living community with specialized memory care services. With a focus on personalized care and comfortable living, Epworth Villa offers spacious suites equipped with convenient amenities, including in-suite washer and dryer, ensuring residents’ convenience and comfort. Residents have access to a wide range of benefits, including delicious dining options, engaging activities, scenic outdoor spaces, and more, providing a fulfilling and enjoyable lifestyle.
At Epworth Villa, affordability is a priority, with basic services starting at $4,425 per month. The community offers flexible care plans tailored to meet the unique needs and budget of each resident, ensuring they receive the appropriate level of care and support. The dedicated and compassionate staff at Epworth Villa are committed to enhancing the physical, mental, and spiritual well-being of residents. They provide assistance with daily tasks such as bathing, dressing, medication management, personal grooming, and meal reminders while respecting the dignity and independence of each individual. Residents are encouraged to engage in the vibrant social life of Epworth Villa, where they can forge new friendships, pursue their hobbies, and enjoy scheduled outings, fostering a sense of community and fulfillment.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 1st out of 42 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.
This home is ranked 1st out of 42 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.
6h 50m per day
vs Oklahoma avg
+34%
Standout metric
Physical Therapist is +898% above state avg
| 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 |
|
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 21m 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.
| 4h 33m per day | ▲ 31% 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: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
87
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.5%
Avg. Length of Stay
42 days
Occupancy rate
80.5%
Avg. Length of Stay
42 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
67% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
33% of new residents, often for short stays.
Typical stay
2 - 3 months
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$32.0M
Operating deficit
-$5.9M
Voluntary non-profit community
Operated by a church.
Home revenue
$32.0M
Operating deficit
-$5.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$25.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$37.9M
14 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Specific ProgramsOU Health
Operating HoursMonday-Friday: 8:00am–5:00pm
Inspection History
In Oklahoma, the State Department of Health, Protective Health Services is the regulatory body responsible for conducting unannounced inspections and reporting on facility compliance.
5 visits/inspections
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.
Latest inspection
Date
May 8, 2025
Other10 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Oklahoma average: 8 deficiencies
Inspection Report Summary for Epworth Villa
The most recent inspection on May 8, 2025, cited a deficiency for failure to provide adequate supervision and interventions to prevent elopement for a resident with exit seeking behaviors. Earlier inspections showed a pattern of deficiencies related to resident care planning, medication documentation, and safety measures such as bed rail consent and snack provision. Complaint investigations included a substantiated case involving improper documentation of controlled medications. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with care coordination and safety protocols, with some corrective actions implemented after each finding.
Health Inspection History
Inspections
Total health citations
9
Oklahoma average 23.5
Citations per inspection
2.25
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than Oklahoma averageOklahoma average: 0.6
Serious Health citations
1
1
150% worse than Oklahoma averageOklahoma average: 0.4
1 critical citation
1 serious citation
7 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 11, 2023
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.
Compare Memory Care around Edmond The information below is reported by the Oklahoma State Department of Health, Protective Health Services.
Filter by care type
| Quail Ridge Senior Living |
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 (Northwest Oklahoma City) | 184 | No | 64 | - | 19 | 82.1% | A+ | Krista Beucke | 16 | 8 | 5 | 11 |
| Epworth Villa |
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 (Northwest Oklahoma City) | 87 | No | 50 | - | 14 | 80.5% | A+ | - | 5 | 1 | 4 | 10 |
| StoneCreek Assisted Living and Memory 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.
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. | Edmond (Northwest Oklahoma City) | - | Yes | 56 | - | - | - | - | - | 0 | 0 | 0 | 0 |
| Arbor House Assisted Living |
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. | Midwest City | - | No | 29 | - | - | - | - | - | 0 | 0 | 0 | 0 |
| Proveer at Quail Creek |
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 (Northwest Oklahoma City) | - | No | 49 | - | - | - | - | - | 0 | 0 | 0 | 0 |
Financial Assistance for
Memory Care in Oklahoma
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Places of interest near Epworth Villa
10.7 miles from city center
Estimated distance in miles from Oklahoma City's city center to Epworth Villa's address, calculated via Google Maps.
— 2.68 miles to nearest hospital (Oklahoma Heart Hospital)
Calculate Travel Distance to Epworth Villa
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
207
Employees
125
Contractors
82
Staff to resident ratio
3.00:1
74% better than Oklahoma averageOklahoma average ratio: 1.72:1
Avg staff/day
57
Average shift
8.7 hours
6% better than Oklahoma averageOklahoma average: 8.2 hours
Total staff hours (quarter)
44,984
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
89
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
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.
Contractor staffing
Total hours from contractors
14.1%
6,360 contractor hours this quarter
Certified Nursing Assistant: 32
Medication Aide/Technician: 10
Licensed Practical Nurse: 10
Respiratory Therapy Technician: 8
Occupational Therapy Aide: 5
Physical Therapy Assistant: 4
Physical Therapy Aide: 3
Speech Language Pathologist: 3
Qualified Social Worker: 2
Medical Director: 2
Registered Nurse: 1
Other Physician: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
89 Certified Nursing Assistant
% of Days
100%
32 Medication Aide/Technician
% of Days
100%
32 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
5 RN Director of Nursing
% of Days
73%
8 Respiratory Therapy Technician
% of Days
80%
4 Physical Therapy Assistant
% of Days
85%
2 Other Dietary Services Staff
% of Days
100%
3 Speech Language Pathologist
% of Days
71%
3 Physical Therapy Aide
% of Days
75%
2 Nurse Practitioner
% of Days
70%
1 Dental Services Staff
% of Days
68%
2 Qualified Social Worker
% of Days
67%
1 Administrator
% of Days
66%
2 Dietitian
% of Days
65%
2 Medical Director
% of Days
69%
1 Other Physician
% of Days
59%
5 Occupational Therapy Aide
% of Days
14%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69
Medicare
33
47.8% of residents
Private pay or other
36
52.2% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.3
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
36% better than Oklahoma averageOklahoma average: 14.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.3%
Percent of long-stay residents whose ability to move independently worsened
34.3%
105% worse than Oklahoma averageOklahoma average: 16.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.2%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
47% worse than Oklahoma averageOklahoma average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.7%
Percent of long-stay high risk residents with pressure ulcers
7.7%
47% worse than Oklahoma averageOklahoma average: 5.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.7%
Percent of long-stay residents with a urinary tract infection
6.7%
124% worse than Oklahoma averageOklahoma average: 3.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
5% better than Oklahoma averageOklahoma average: 3.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oklahoma averageOklahoma average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.7%
Percent of long-stay residents who received an antipsychotic medication
11.7%
25% better than Oklahoma averageOklahoma average: 15.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.2%
7% worse than Oklahoma averageOklahoma average: 90.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
9% worse than Oklahoma averageOklahoma average: 94.6%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.38
Number of hospitalizations per 1,000 long-stay resident days.
0.38
83% better than Oklahoma averageOklahoma average: 2.28
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.91
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.91
69% better than Oklahoma averageOklahoma average: 2.91
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.6%
29% worse than Oklahoma averageOklahoma average: 75.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
65% better than Oklahoma averageOklahoma average: 2.0%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.0%
34% worse than Oklahoma averageOklahoma average: 74.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
7% better than Oklahoma averageOklahoma average: 27.0%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.1%
18% better than Oklahoma averageOklahoma average: 17.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
82% worse than Oklahoma averageOklahoma average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
53.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.0%
In line with Oklahoma averageOklahoma average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
65.9%
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.
Financial Trends
Historical financial and operational data for Epworth Villa based on CMS SNF Cost Reports.
Occupancy Rate
78.3%
↑ 2.0pp vs 2022
Net Income
-$5.9M
↓ ~$499.5K vs 2022
Total Payroll
$15.6M
↑ ~$1.6M vs 2022
Profit Margin
-53.4%
↓ 4.7pp vs 2022
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