Home / Oklahoma / Oklahoma City
Windsor Hills Nursing Center
2416 North Ann Arbor, Oklahoma City, OK 73127 · Oklahoma County · (405) 942-8566
112 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375400 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 8 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 28 health citations since August 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $29,472 in the last three years; the largest was $16,149, and the latest is dated September 11, 2025.
Nurses and nurse aides worked 3.68 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
CMS links it to Skyblue Healthcare, an affiliated group of 12 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.
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 28 health citations on file.
September 11, 2025Standard inspection, Complaint inspection · 8 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was not touched sexually by another resident for 1 (#3) of 3 sampled residents reviewed for abuse. The facility's failure to prevent this type of inappropriate, unwanted sexual contact would reasonably cause anyone to have psychosocial harm. The administrator identified 54 residents resided in the facility. On 09/08/25 at 10:43 a.m., Resident #3 was observed lying in bed, with the bed in the low position, with fall mat in place. Their room was clutter free and the trash can was empty. Resident #3's room was next to the nurse's station on hall 300. Resident #3 was unable to appropriately respond to surveyor. On 09/09/25 at 1:08 p.m., Resident #27 was in attendance during resident council. On 09/09/25 at 2:00 p.m., Resident #27 was observed playing bingo in the dining room. [...]
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on record review and interview, the facility failed to have a designated and trained infection preventionist to oversee the infection control program. The administrator identified 55 residents resided in the facility.
- E Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents accounts within $200 of the $2,000 resource received notices of the balances for 4 (#3, 12, 34, and #23) of 5 sampled residents reviewed for balances in the and trust accounts. This had the potential for Residents (#3, 12, 34, and #23 to lose their Medicaid eligibility. The facility identified 23 residents with Medicaid as a payor source and had the facility manage their funds.
- 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 observation, record review, and interview the facility failed to develop a care plan for the provision range of motion services for 1 (#6) of 1 sampled resident reviewed for range of motion. The administrator identified eight residents with range of motion deficits.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to implement infection control practices a. for the care of oxygen tubing for 2 (#9 and #36) of 2 sampled residents reviewed for respiratory care, and b. for utilizing EBP during the provision of wound care for 2 (#8 and #12) of 2 sampled residents reviewed for wound care. The administrator identified 14 residents who had orders for oxygen and 18 residents that required the use of EBP.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure call lights were within reach for 2 (#10 and #19) of 23 sampled residents reviewed for call light accessibility. The administrator identified 55 residents resided in the facility.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview the facility failed to ensure care plans were updated to reflect the current status of medications for 1 (#53) of 5 sampled residents reviewed for unnecessary medications. The administrator identified 35 residents received psychoactive medications.
- D 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 observation, record review, and interview the facility failed to provide range of motion services for 1 (#6) of 1 sampled resident reviewed for range of motion services. The administrator identified eight residents with range of motion deficits.
May 9, 2025Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteOn 05/09/25 at 10:15 a.m., a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to have a system in place to ensure residents were monitored for safe smoking and the use of electronic vaping devices. Resident #1 was a known vape device user, in their room with continuous oxygen use. Resident #1 did not have a care plan that addressed the vape device, and the use of the device in their room. Staff confirmed the knowledge of the use of the vaping devices in the room and they charged them. On 05/02/25, Resident #1 while in their room with oxygen on lit a cigarette causing flash burns to his face. [...]
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure care plans were developed and revised for smoking and the use of electronic vaping devices for 1 (#1) of 4 sampled residents reviewed for smoking and electronic vaping use. The DON identified one resident who vaped, three unsupervised smokers and nine supervised smokers.
September 27, 2024Standard inspection, Complaint inspection · 11 citations
- G Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review and interview, the facility failed to ensure a physician's order for monthly catheter changes was followed and failed to ensure a resident with a indwelling urinary catheter received services to help prevent urinary tract infections for one (#35) of two sampled residents reviewed for catheters. The deficient practice resulted in a bladder stone. The MDS Resident Matrix, dated 09/23/24, identified four residents with catheters.
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview, the facility failed to ensure the advance directive acknowledgement forms were completed for two (#7 and #23) of three sampled residents reviewed for advance directives. The Administrator identified 58 residents resided in the facility.
- 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 ensure an accurate comprehensive care plan was developed and implemented for three (#7, #23, and #53) of 24 sampled residents who were reviewed for accurate comprehensive care plans. The Administrator identified 58 residents resided in the facility.
- E Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, record review, and interview, the facility failed to have effective communication using picture exchange communication for one (#53) of one resident who required pictures and/or words for their activities of daily living. The Administrator identified 58 residents resided in the facility.
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident who received an antipsychotic medication had an appropriate diagnosis for the use of medication for one (#36) of five sampled residents for psychotropic medication. The Administrator identified 58 residents resided in the facility.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure accurate menus were posted and followed for three of three meal services observed.
- 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, record review, and interview, the facility failed to ensure food was maintained at an appropriate temperature for two of two kitchen observations and maintain a sanitary tray line for one of two kitchen observations. The administrator identified 58 residents resided in the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident Assessments were accurately coded for one (#17) of 15 residents reviewed for assessments. The Administrator identified 58 residents resided in the facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to provide dietary interventions as ordered by the physician for one (#5) of one resident whose clinical records were reviewed for nutrition. The Administrator identified 58 residents 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 and interview, the facility failed to ensure the medication room was secured when not in use. The Administrator identified 58 residents resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure glucometers were disinfected appropriately before and after use on residents. The administrator identified 58 residents resided in the facility.
July 26, 2024Complaint inspection · 2 citations
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on record review and interview, the facility failed to ensure a physician ordered psychiatric evaluation was arranged for one (#2) of three sampled residents reviewed for outside appointments. The ADON identified 56 residents resided in the facility.
- D 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: a. medication was administered as ordered for one (#2); and b. medication was available for administration for one (#2) of three sampled residents reviewed for pain. The ADON identified 56 residents resided in the facility.
August 9, 2023Standard inspection · 5 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility failed to complete background checks for three of seven staff members whose employee files were reviewed for completed background checks. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 56 residents resided in the facility.
- 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 ensure staff: a. cleaned insulin vials prior to administration for two (#35, and #154), and b. did not draw insulin from an insulin pen per manufacturer guidelines for one (#35) of two sampled residents observed for insulin administration. The IP identified 15 residents received injectable insulin.
- 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, record review, and interview, the facility failed to ensure food items were properly dated and stored in a sanitary manner. The dietary manager identified 54 residents who received food from the kitchen.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview, the facility failed to ensure a significant change assessment was completed for one (#7) of 14 sampled residents whose MDS assessments were reviewed. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 56 residents resided in the facility. It documented five residents were receiving hospice care.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to administer a pneumonia vaccine for one (#6) of five sampled residents reviewed for immunizations. The Resident Census and Conditions of Residents report, dated 08/08/23, documented 56 residents resided in the facility.
Fire safety inspections
7 fire safety citations on file: 4 on September 11, 2025, 3 on August 9, 2023.
Every fire safety citation7 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Have simulated fire drills held at unexpected 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 Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have restrictions on the use of portable space heaters.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 11, 2025 | Fine | $13,323 |
| May 9, 2025 | Fine | $16,149 |
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) | 3.68 | 3.79 | 3.86 |
| Registered nurses | 0.66 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.44 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.15 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 3.91 on weekdays and 3.12 on weekends, 20% 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 3.82 in April to June 2025 to 3.68 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 | 3.68 | 0.66 | 3.91 | 3.12 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 3.60 | 0.48 | 3.84 | 3.01 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.43 | 0.46 | 3.54 | 3.14 | 0.0% | 0 of 92 | 55 |
| Apr to Jun 2025 | 3.82 | 0.48 | 3.93 | 3.53 | 0.0% | 0 of 91 | 53 |
| 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 | 13.8 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 3.0 | 1.8 |
Owners and operators
Legal business name: WINDSOR HILLS SNF OPERATIONS LLC. CMS links this home to Skyblue Healthcare, a group of 12 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rivers Edge Operations III LLC | Direct ownership interest | Organization | 06/01/2025 | |
| Rivers Edge Partners II LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Ganz, David | Indirect ownership interest | Individual | 06/01/2025 | |
| Hanover, Yaacov | Indirect ownership interest | Individual | 06/01/2025 | |
| Kravetz, Avrohom | Indirect ownership interest | Individual | 06/01/2025 | |
| Retter, S. Aryeh | Indirect ownership interest | Individual | 06/01/2025 | |
| Windsor Hills Realty LLC | 5% or greater mortgage interest | Organization | 06/01/2025 | |
| Ganz, David | Managing control - governing body | Individual | 06/01/2025 | |
| Retter, S. Aryeh | Managing control - governing body | Individual | 06/01/2025 | |
| Skyblue Healthcare Management LLC | Operational/managerial control | Organization | 06/01/2025 | |
| Diaz, Anna | Operational/managerial control | Individual | 06/01/2025 | |
| Ganz, David | Operational/managerial control | Individual | 06/01/2025 | |
| Raju, Senthil | Operational/managerial control | Individual | 06/01/2025 | |
| Retter, S. Aryeh | Operational/managerial control | Individual | 06/01/2025 | |
| Rivers Edge Property Holdings III LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Skyblue Healthcare Management LLC | Adp of the SNF | Organization | 01/26/2026 | |
| Windsor Hills Realty LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Diaz, Anna | Adp of the SNF | Individual | 06/01/2025 | |
| Ganz, David | Adp of the SNF | Individual | 06/01/2025 | |
| Hanover, Yaacov | Adp of the SNF | Individual | 06/01/2025 | |
| Raju, Senthil | Adp of the SNF | Individual | 06/01/2025 | |
| Retter, S. Aryeh | Adp of the SNF | Individual | 06/01/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on September 11, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on September 11, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on September 11, 2025: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on September 27, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Oklahoma average of 3.44.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Heritage Manor Oklahoma City, 1.1 mi · 1 of 5 stars · 30 citations
- Heritage Park Bethany, 1.4 mi · 1 of 5 stars · 28 citations
- The Grand at Bethany Skilled Nursing and Therapy Bethany, 1.5 mi · 2 of 5 stars · 33 citations
- North Winds Living Center Oklahoma City, 1.9 mi · 2 of 5 stars · 17 citations
- Fairmont Skilled Nursing and Therapy Oklahoma City, 2.3 mi · 3 of 5 stars · 24 citations
- The Lodge at Brookline Oklahoma City, 3.1 mi · 2 of 5 stars · 44 citations
- Warr Acres Nursing Center Oklahoma City, 3.2 mi · 3 of 5 stars · 15 citations
- Ignite Medical Resort Okc, LLC Oklahoma City, 3.3 mi · 3 of 5 stars · 16 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 Windsor Hills Nursing Center's Medicare star rating?
- CMS rates Windsor Hills Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Windsor Hills Nursing Center get at its last inspection?
- 8 health deficiencies at the standard inspection on September 11, 2025. The Oklahoma average is 6.4.
- Has Windsor Hills Nursing Center been fined?
- Yes. CMS lists 2 fines totaling $29,472 in the last three years.
- Does Windsor Hills Nursing Center 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 Windsor Hills Nursing Center?
- CMS lists 22 owners and managers, and links the home to Skyblue Healthcare. Legal business name: WINDSOR HILLS SNF OPERATIONS 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.