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Kingwood Skilled Nursing and Therapy

1921 Northeast 21st Street, Oklahoma City, OK 73111 · Oklahoma County · (405) 424-1449

105 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375155 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 6 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 17 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $15,180 in the last three years; the largest was $15,180, and the latest is dated December 11, 2024.

Nurses and nurse aides worked 3.44 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

39.0% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

CMS links it to Bridges Health, an affiliated group of 33 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
6E
1F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection, Complaint inspection · 6 citations
  1. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure:a. a discharge assessment was completed and transmitted for 2 (#25 and #54): b. an entry record was completed and transmitted for 2 (#54 and #81) of 17 sampled residents reviewed for timely encoding and transmitting of resident assessments. The administrator identified 68 residents resided in the facility.
  2. E
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on record review and interview, the facility failed to clearly distinguish the arbitration agreement from the admission agreement and ensure residents or their representatives were able to sign the admission agreement without consenting to the facilities arbitration agreement. The administrator identified 68 residents resided in the facility. The administrator and the admissions coordinator identified 68 residents/representatives had agreed to arbitration.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications had a physician's order, were documented, and secured for 1 (#65) of 1 sampled resident observed for self-administration of medication. The administrator identified one resident self-administered medications in the facility.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure an admission assessment was completed for 1 (#4) of 17 sampled residents reviewed for admission assessments. The administrator identified 68 residents resided in the facility.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide nail care assistance for 1 (#20) of 4 sampled residents observed for ADLs. The administrator identified 68 residents resided in the facility.
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 6, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure discontinued and expired medications were disposed of for 1 (#6) of 1 sampled resident whose medication was observed in the medication storage room refrigerator. The administrator identified one medication storage room in the facility.
December 11, 2024Standard inspection · 11 citations
  1. F
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteOn 12/10/24 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure their abuse policy was followed. On 12/10/24, the Oklahoma State Department of Health verified the existence of an IJ situation. On 12/10/24 at 1:13 p.m., the administrator was notified of the immediate jeopardy situation. On 12/11/24 at 8:41 a.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The facility plan of removal documented: On 12/10/24, The facility will ensure residents are free from abuse, neglect, and misappropriation of resident property and exploitation. 1) Resident #117 assessed by APRN for any signs of sexual abuse and orders to be followed for further treatment or evaluation. 2) Resident #53 was placed on one-on-one increased supervision on 12/09/2024 at approximately 12:30 p.m. [...]
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure resident assessments were accurately coded for two (#16 and #23) of 23 sampled residents reviewed for resident assessments. The Administrator identified a census of 67. Corporate Nurse Consultant #1 identified three residents with colostomies resided in the facility.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered as ordered for one (#23) of five sampled residents reviewed for unnecessary medications. The DON identified seven residents who received losartan potassium.
  4. E
    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
    F772 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview the facility failed to obtain physician ordered labs for two (#24 and #37) of five sampled residents reviewed for unnecessary medications. The Administrator identified 67 residents resided in the facility.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to pass ice in a manner which prevented cross contamination during one of one ice passes observed. The Administrator identified 67 residents resided in the facility.
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure the physician was notified when holding a medication without holding parameters for one (#23) of five sampled residents reviewed for unnecessary medications. The DON identified seven residents who received losartan potassium.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to report an allegation of resident to resident abuse to OSDH for two (#25 and #39) of four sampled residents reviewed for abuse. The Administrator identified 67 residents resided in the facility.
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to conduct a thorough investigation after an allegation of resident to resident abuse for two (#25 and #39) of four sampled residents reviewed for abuse. The Administrator identified 67 residents resided in the facility.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview the facility failed to coordinate care with a third party provider for one (#37) of three sampled resident reviewed for coordination of care. The DON identified one resident on (name-deleted) third party services resided in the facility.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident were transferred safely with a mechanical lift for one (#217) of one resident sampled resident reviewed for mechanical transfers. The Administrator identified 67 residents resided in the facility.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to coordinate care with a dialysis provider for one (#23) of one sampled resident reviewed for dialysis. The DON identified four residents who received dialysis services resided in the facility.
October 19, 2023Standard inspection · 0 citations

Fire safety inspections

6 fire safety citations on file: 1 on May 21, 2026, 2 on December 11, 2024, 3 on October 19, 2023.

Every fire safety citation6 citations
  1. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · May 21, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 11, 2024 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · December 11, 2024 · Corrected (the home has a date of correction)
  4. F
    Establish emergency prep training and testing.
    E 36 · October 19, 2023 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 19, 2023 · Corrected (the home has a date of correction)
  6. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 11, 2024Fine $15,180

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.443.793.86
Registered nurses0.650.340.69
All nursing staff on weekends3.383.443.42
Nurse aides2.00
Licensed practical nurses0.79
Nursing staff turnover (share who left in a year)39.0%55.5%45.8%
Registered nurse turnover11.1%53.6%42.9%
Administrators who left0

CMS expects 2.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 3.38 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.440.653.473.38 1.1%0 of 9070
Oct to Dec 20253.310.583.293.37 0.0%0 of 9272
Jul to Sep 20253.640.593.733.39 2.8%0 of 9270
Apr to Jun 20253.390.463.453.26 4.8%0 of 9175
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.913.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.52.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.64.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.613.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.74.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.017.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.53.01.8

Owners and operators

Legal business name: TERRACE GARDENS NURSING CENTER LLC. CMS links this home to Bridges Health, a group of 33 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Bridges Employee Stock Ownership Trust5% or greater indirect ownership interestOrganization100%12/31/2020
Deroin, KristyW-2 managing employeeIndividual06/30/2019
Coble, WilliamCorporate officerIndividual12/31/2020
Bridges Esop, IncOperational/managerial controlOrganization12/31/2020
Coble, WilliamOperational/managerial controlIndividual12/31/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 21, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 21, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 11, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on May 21, 2026: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Oklahoma average of 3.44.

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Oklahoma contacts for a concern about a nursing home

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Common questions

What is Kingwood Skilled Nursing and Therapy's Medicare star rating?
CMS rates Kingwood Skilled Nursing and Therapy 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kingwood Skilled Nursing and Therapy get at its last inspection?
6 health deficiencies at the standard inspection on May 21, 2026. The Oklahoma average is 6.4.
Has Kingwood Skilled Nursing and Therapy been fined?
Yes. CMS lists 1 fine totaling $15,180 in the last three years.
Does Kingwood Skilled Nursing and Therapy accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Kingwood Skilled Nursing and Therapy?
CMS lists 5 owners and managers, and links the home to Bridges Health. Legal business name: TERRACE GARDENS NURSING CENTER LLC.

Sources

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