Home / Oklahoma / Oklahoma City
The Lakes
5701 West Britton Road, Oklahoma City, OK 73132 · Oklahoma County · (405) 773-8900
120 certified beds, about 78 residents a day · For profit - Individual · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375396 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 21, 2024, inspectors cited 11 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 26 health citations since June 2022, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $19,073 in the last three years; the largest was $11,052, and the latest is dated November 21, 2024.
Nurses and nurse aides worked 3.99 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
53.8% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Phoenix Healthcare, an affiliated group of 6 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.
506/22
309/23
208/24
310/24
1111/24
212/24
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 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
13E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2024Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent a resident from a fall resulting in a close head injury during the provision of care for one (#3) of three sampled residents reviewed for accidents. The administrator identified 67 residents resided in the facility and 34 residents required assistance with activities of daily living.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was free from abuse for one (#2) of three sampled residents reviewed for abuse. The administrator identified 67 residents resided in the facility.
November 21, 2024Standard inspection · 11 citations
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident with a new diagnosis of a serious mental health condition had a pre-admission screening and resident review updated for one (#1) of one sampled resident reviewed for PASARR level two. The DON identified 28 residents with serious mental health diagnoses.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan for: a. IV and antibiotic usage for one (#20); b. visual function for one (#6); and c. antipsychotic medication use for one (#35) of 18 sampled residents whose care plans were reviewed. The DON identified 71 residents who resided in the facility.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure wound treatments were provided for one (#18) of two sampled residents reviewed for pressure ulcers. The DON identified three residents had been admitted to the facility with wounds since 10/01/24.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review and interview, the facility failed to: a. ensure an insulin label indicated the order had changed for one (#41); and b. ensure medications were administered following standards of practice for one (#41) of ten sampled residents observed during medication pass. The DON identified five residents with orders for a lidocaine patch. The Resident Matrix, dated 11/18/24, documented 16 residents received insulin.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview, the facility failed to: a. maintain a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system; b. adhere to enhanced barrier precautions for one (#18) of 18 sampled residents reviewed for infection control; c. remove gloves and/or wash or sanitize hands in order to prevent cross contamination for six (#2, 22, 23, 26, 41, and #49); and d. clean out the nebulizer canister after use for one (#26) of ten sampled residents observed during medication pass. The DON identified 71 residents resided in the facility and eight residents with orders for nebulizer treatments. The Resident Matrix, dated 11/18/24, documented 16 residents received insulin.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facilty failed to provide documentation the facility administered the pneumococcal vaccine for two (#62 and #69) of five sampled residents reviewed for immunizations. The DON identified 71 residents who resided in the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, record review and interview, the facility failed to notify the attending physician of a wound without a treatment order for one (#18) of two sampled residents with wounds. The DON identified three residents had been admitted to the facility with wounds since 10/01/24.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a MDS was coded accurately for one (#30) of 18 sampled residents reviewed for accuracy of MDS assessments. The DON identified 71 residents resided in the facility.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and interview, the facility failed to complete a discharge summary for one (#72) of one sampled resident reviewed for discharge. The Admission/Discharge To/From Report, dated 05/01/24 through 11/18/24, documented 10 residents discharged from the facility within the last six months.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure: a. oxygen tubing was changed; and b. oxygen was administered as ordered for one (#6) of one sampled resident reviewed for oxygen. The DON identified six residents with orders for oxygen resided in the facility.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure treatment carts were secured when not in use for one observation observed on hall 500 for medication storage. The DON identified 71 residents resided in the facility.
October 11, 2024Complaint inspection · 3 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteOn 10/09/24, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to provide adequate supervision to prevent elopement for Resident #1 with severe cognitive impairment, daily wandering behaviors, and a history of elopement. An initial State Reportable Incident, dated 10/06/24, documented the facility charge nurse was called and notified by the local church Resident #1 was at their facility. It documented the resident was assessed and noted to have bruising to left and right lower extremities, and bilateral knees. It documented the resident reported they fell but did not hit their head. It documented the resident was sent to the ER and would be placed on 1:1 with staff to ensure safety. An Incident Note, dated 10/06/24 at 1:29 p.m., documented Resident #1 returned to the facility from the hospital with no new orders. [...]
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility failed to implement their abuse policy for three (#2, 5, and #6) of three sampled residents reviewed for abuse. The DON identified 70 residents resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed report an allegation of abuse to APS and local law enforcement for two (#5 and #6) of three sampled residents reviewed for abuse. The DON identified 70 residents resided in the facility.
August 12, 2024Complaint inspection · 2 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to ensure wound and skin assessments were completed for one (#1) of three sampled residents reviewed for wounds and skin assessments. The director of nursing identified 26 residents with skin issues and/or wounds.
- D Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were provided within two working days for one (#1) of one sampled residents reviewed for medical records request. The administrator identifed only one record request since 06/01/24, and 64 residents who resided in the facility
September 28, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure stored and opened food items were dated or labeled inside of the refrigerator. The Resident Census and Conditions of Residents report, dated 09/26/23, documented 59 residents resided in the facility. The DON identified 54 residents received their meals from the kitchen and three residents receive nothing by mouth.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a call light was in reach for one (#25) of 24 sampled residents reviewed for call lights. The Resident Census and Conditions of Residents report, dated 09/26/23, documented 59 residents resided in the facility.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide grooming for one (#4) of two sampled residents reviewed for ADLs. The Resident Census and Conditions of Residents report, dated 09/26/23, documented 59 residents resided in the facility and required some assistance with ADLs.
June 8, 2022Standard inspection · 5 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to complete weekly skin assessments for a resident with wounds for one [#43] of one sampled resident reviewed for non pressure skin conditions. The Resident Census and Conditions of Residents report, dated 06/02/22, documented 56 residents resided in the facility.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to ensure weekly skin assessments were conducted for one (#27) of one sampled resident reviewed for pressure ulcers. The Resident Census and Conditions of Residents report, dated 06/02/22, documented 56 residents resided in the facility and one resident had a pressure ulcer.
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident was provided services to prevent further decrease in range of motion for one (#43) of one sampled resident reviewed for limited range of motion. The Resident Census and Conditions of Residents report, dated 06/02/22, documented 18 residents who had contractures. The DON identified there were no residents receiving restorative services.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure medications were administered to the correct resident for one (#105) of six sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 06/02/22, documented 56 residents resided in the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure an MDS was coded accurately for pressure ulcers for one (#27) of 11 sampled residents reviewed for accurate MDS assessments. The Resident Census and Conditions of Residents report, dated 06/02/22, documented 56 residents resided in the facility.
Fire safety inspections
14 fire safety citations on file: 2 on November 21, 2024, 8 on September 28, 2023, 4 on June 8, 2022.
Every fire safety citation14 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Properly provide smoke detection systems in areas open to corridors.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 21, 2024 | Fine | $11,052 |
| October 11, 2024 | Fine | $8,021 |
| October 11, 2024 | Payment Denial | 14 days from November 2, 2024 |
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.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.99 | 3.79 | 3.86 |
| Registered nurses | 0.49 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.44 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 53.8% | 55.5% | 45.8% |
| Registered nurse turnover | 33.3% | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.31 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 4.06 on weekdays and 3.81 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.68 in April to June 2025 to 3.99 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.99 | 0.49 | 4.06 | 3.81 | 0.0% | 0 of 90 | 78 |
| Oct to Dec 2025 | 4.61 | 0.47 | 4.74 | 4.28 | 0.0% | 1 of 92 | 74 |
| Jul to Sep 2025 | 4.86 | 0.53 | 4.99 | 4.54 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 4.68 | 0.56 | 4.85 | 4.24 | 0.0% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 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.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.1 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.8 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 3.0 | 1.8 |
Owners and operators
Legal business name: PHOENIX HEALTHCARE LLC. CMS links this home to Phoenix Healthcare, a group of 6 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Phoenix Healthcare LLC | 5% or greater direct ownership interest | Organization | 09/29/2004 | |
| Cain, Larry | 5% or greater direct ownership interest | Individual | 09/29/2004 | |
| Forvis Mazars LLP | Operational/managerial control | Organization | 10/14/2004 | |
| Phoenix Healthcare LLC | Operational/managerial control | Organization | 09/29/2004 | |
| Phoenix Rehab LLC | Operational/managerial control | Organization | 09/29/2004 | |
| Floyd, Shanna | Operational/managerial control | Individual | 06/14/2010 | |
| Hermance, Terry | Operational/managerial control | Individual | 05/22/2023 | |
| Jay, Judy | Operational/managerial control | Individual | 04/05/2022 | |
| Moxley, Heather | Operational/managerial control | Individual | 09/01/2024 | |
| Young, Cathy | Operational/managerial control | Individual | 04/24/2009 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 07/10/2025 | |
| Midwest Land & Investment Company | Adp of the SNF | Organization | 11/01/2005 | |
| Phoenix Healthcare LLC | Adp of the SNF | Organization | 07/10/2025 | |
| Floyd, Shanna | Adp of the SNF | Individual | 06/14/2010 | |
| Hermance, Terry | Adp of the SNF | Individual | 07/11/2025 | |
| Jay, Judy | Adp of the SNF | Individual | 07/10/2025 | |
| Young, Cathy | Adp of the SNF | Individual | 04/24/2009 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on December 18, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on November 21, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 18, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on November 21, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- St. Ann's Skilled Nursing and Therapy Oklahoma City, 1.6 mi · 4 of 5 stars · 23 citations
- The Health Center at Concordia Oklahoma City, 1.8 mi · 5 of 5 stars · 7 citations
- Warr Acres Nursing Center Oklahoma City, 1.8 mi · 3 of 5 stars · 15 citations
- Baptist Village of Oklahoma City Oklahoma City, 2.1 mi · 2 of 5 stars · 25 citations
- Bellevue Health & Rehabilitation Center Oklahoma City, 2.7 mi · 3 of 5 stars · 19 citations
- Ignite Medical Resort Okc, LLC Oklahoma City, 2.8 mi · 3 of 5 stars · 16 citations
- Heritage at Brandon Place Health & Rehabilitation Oklahoma City, 2.9 mi · 2 of 5 stars · 22 citations
- Tuscany Village Nursing Center Oklahoma City, 3.4 mi · 1 of 5 stars · 55 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is The Lakes's Medicare star rating?
- CMS rates The Lakes 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Lakes get at its last inspection?
- 11 health deficiencies at the standard inspection on November 21, 2024. The Oklahoma average is 6.4.
- Has The Lakes been fined?
- Yes. CMS lists 2 fines totaling $19,073 in the last three years.
- Does The Lakes 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 The Lakes?
- CMS lists 17 owners and managers, and links the home to Phoenix Healthcare. Legal business name: PHOENIX HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.