D65

THE LAKES

Grade D 65/100 composite score

For profit - Individual

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Individual

Total Fines

$19,073

Last Survey

N/A

5701 WEST BRITTON ROAD, OKLAHOMA CITY, OK 73132
4057738900

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.59h
LPN
1.12h
CNA
3.74h
Total
5.44h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PHOENIX HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2004

CAIN, LARRY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2004

FORVIS MAZARS LLP

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2004

PHOENIX HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2004

PHOENIX REHAB LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2004

FLOYD, SHANNA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2010

HERMANCE, TERRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2023

JAY, JUDY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

MOXLEY, HEATHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

YOUNG, CATHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2009

Penalties & Fines (3)

$19,073total fines
DateTypeDescriptionAmount
Nov 21, 2024Fine$11,052
Oct 11, 2024Fine$8,021
Oct 11, 2024Payment Denial

Health Inspection Deficiencies (29)

December 18, 2024Health2 deficiencies1 severe
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 3, 2025
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 3, 2025
November 21, 2024Health11 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Dec 19, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 19, 2024
0644EMinimal harm, Pattern

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 19, 2024
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 19, 2024
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 19, 2024
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 19, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 19, 2024
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 19, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Dec 19, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 19, 2024
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Dec 19, 2024
October 11, 2024Health3 deficiencies1 severe
0607EMinimal harm, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 4, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 4, 2024
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 16, 2024
August 12, 2024Health2 deficiencies
0573DMinimal harm, Isolated

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Resident Rights Deficiencies

Corrected Sep 18, 2024
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 18, 2024
September 28, 2023Health3 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 7, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Nov 7, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 7, 2023
April 11, 2023Health3 deficiencies
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected May 25, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected May 25, 2023
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected May 25, 2023
June 8, 2022Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 7, 2022
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 7, 2022
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jul 7, 2022
0688EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Jul 7, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jul 7, 2022

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Frequently Asked Questions

What is the CareGrader rating for THE LAKES?

THE LAKES in OKLAHOMA CITY, Oklahoma has a CareGrader grade of D (Below Average), with a composite score of 64.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for THE LAKES?

THE LAKES has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does THE LAKES have?

THE LAKES has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has THE LAKES been fined?

Yes. THE LAKES has $19,073 in total fines from CMS enforcement actions across 3 penalties.

How many beds does THE LAKES have?

THE LAKES has 120 certified beds with approximately 68 current residents (57% occupancy). The facility is located at 5701 WEST BRITTON ROAD, OKLAHOMA CITY, Oklahoma 73132. It is a for profit - individual facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.