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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.
The Villages at Southern Hills is an excellent choice for anyone seeking transitional care, therapy, and treatments for injury and illness recovery like strokes and cardiac surgeries. Assisted living, respite care, long-term care, and short-term and outpatient rehabilitation are some of the many options available at The Villages at Southern Hills. With a focus on social and counseling services, The Villages at Southern Hills also aims to provide all the necessary support to ensure the well-being of its residents.
Understanding that recovery can be a challenging time, The Villages at Southern Hills is dedicated to ensuring that residents feel supported and comfortable throughout their stay. Their goal is to create an environment that feels like home. With a wide range of services and a team of compassionate caregivers and staff, The Villages at Southern Hills is an excellent choice for anyone seeking quality care and support in their golden years.
Lee Sudbeck serves as the Administrator at The Villages at Southern Hills. Lee is the primary contact for the community and is dedicated to supporting residents and their families with care and assistance. Lee’s role ensures the smooth operation and welcoming environment of the community.
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 30th out of 36 homes in Oklahoma.| 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.
| 19m per day | ▼ 5% 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 37m per day | ▲ 73% State avg: 56m 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.
| 2h 6m per day | ▼ 18% 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.
| 3h 28m per day | ■ Avg State avg: 3h 29m per day · National avg: 3h 26m 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.
| 13m per day | ▼ 24% State avg: 17m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
30% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 39Payroll — State benchmarkedThis home is ranked 8th out of 39 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.
Lower than the Oklahoma average: 60.6%The Villages at Southern Hills is administrated by Lee Sudbeck.
Key information about the people who lead and staff this community.
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | OK Average | vs. OK Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 8 | This facility has 50% fewer total deficiencies than a typical Oklahoma nursing home (4 vs. OK avg 8). Click this badge to view the full Oklahoma ranking.↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 0.7 | 1.3 | This facility has 46% fewer deficiencies per year than a typical Oklahoma nursing home (0.7 vs. OK avg 1.3). Click this badge to view the full Oklahoma ranking.↓ 46% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 4, 2025, found no deficiencies at the facility. Earlier inspections were mostly free of deficiencies, with the exception of a complaint investigation in November 2023 that cited a failure to provide appropriate treatment and care for a resident with Moisture Associated Dermatitis. Prior reports noted medication management issues in August 2022, including unsecured medication carts and missing prescribed medication, but no enforcement actions or fines were listed in the available reports. Complaint investigations were generally unsubstantiated except for the November 2023 case involving wound care. The inspection history shows improvement, with recent surveys consistently free of deficiencies following earlier isolated issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOklahoma average 4.8
Last Health inspection on Nov 2023
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.
All 3 citations resulted from standard inspections.
100% better than Oklahoma averageOklahoma average: 0.6
100% better than Oklahoma averageOklahoma average: 0.4
Corrected
Corrected
Corrected
The Villages at Southern Hills is located in Tulsa, Oklahoma.
Here are the financial assistance programs available to residents in Oklahoma.
5.6 miles from city center
Estimated distance in miles from Tulsa's city center to The Villages at Southern Hills's address, calculated via Google Maps.
— 2.31 miles to nearest hospital (Laureate Psychiatric Clinic and Hospital)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
28% worse than Oklahoma average
11% better than Oklahoma average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
1,948 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 18,433 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 38 | 0 | 38 | 11,860 | 91 | 100% | 9.8 |
| RN Director of Nursing | 6 | 0 | 6 | 2,922 | 73 | 80% | 7.9 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,473 | 91 | 100% | 9.1 |
| Registered Nurse | 7 | 0 | 7 | 2,200 | 84 | 92% | 8.7 |
| Dental Services Staff | 3 | 0 | 3 | 1,536 | 64 | 70% | 8.2 |
| Other Dietary Services Staff | 0 | 2 | 2 | 975 | 76 | 84% | 7.9 |
| Dietitian | 0 | 2 | 2 | 974 | 69 | 76% | 7.7 |
| Administrator | 2 | 0 | 2 | 928 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 500 | 63 | 69% | 7.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 126 | 30 | 33% | 4.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 80 | 10 | 11% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
108Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data 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.
1.2
86% better than Oklahoma averageOklahoma average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
1.9
89% better 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
4.5%
69% better than Oklahoma averageOklahoma average: 14.4%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Oklahoma averageOklahoma average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.1%
94% better than Oklahoma averageOklahoma average: 17.8%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Oklahoma averageOklahoma average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
1.5%
71% better than Oklahoma averageOklahoma average: 5.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Oklahoma averageOklahoma average: 3.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Oklahoma averageOklahoma average: 3.7%
Percent of long-stay residents who have depressive symptoms
9.6%
188% worse than Oklahoma averageOklahoma average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
12.8%
17% better than Oklahoma averageOklahoma average: 15.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
10% better than Oklahoma averageOklahoma average: 90.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Oklahoma averageOklahoma average: 94.6%
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
98.3%
31% better 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
92.5%
25% better than Oklahoma averageOklahoma average: 74.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.7%
16% better than Oklahoma averageOklahoma average: 27.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
46% better than Oklahoma averageOklahoma average: 17.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
25% worse than Oklahoma averageOklahoma average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.3%
22% better than Oklahoma averageOklahoma average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.1%
5% 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Oklahoma State Department of Health, Protective Health Services.
| The Villages at Southern Hills |
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. | Tulsa (South Peoria) | 98 | 99.7% | +65% | 3.90 | -9% | -15% | $0 | 3 | 1.5 | - | 104 | A+ | 46 | Lee Sudbeck | $22.0M | $7.5M | 34.2% | 375546 | ||||
| Aspen Health and Rehab |
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. | Broken Arrow | 126 | 77.9% | +29% | 5.40 | -16% | +18% | $54.1k | 18 | 2.3 | 1 | 101 | A+ | 55 | Debora Inks | $17.7M | $7.3M | 41% | 375351 |
Historical financial and operational data for The Villages at Southern Hills based on CMS SNF Cost Reports.
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The Villages at Southern Hills is in the South Peoria neighborhood of Tulsa.
The Villages at Southern Hills has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to OK state health department records, The Villages at Southern Hills's license number is CC7207AL.
The Villages at Southern Hills's occupancy is 44%.
Lee Sudbeck is the administrator of The Villages at Southern Hills.
The Villages at Southern Hills has 98 beds.
Yes — there is 1 photo of The Villages at Southern Hills in the photo gallery on this page.
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