THE LAKES
5701 WEST BRITTON ROAD, OKLAHOMA CITY, OK 73132 · CCN 375396
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 120
- Avg residents/day
- 68.3
- Phone
- 4057738900
Inspection history vs Oklahoma & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oklahoma avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-21 | 11 | 7.2 | 9.5 | +3.8 worse |
| 2 | 2023-09-28 | 10 | 8.0 | 9.8 | +2.0 worse |
| 3 | 2022-06-08 | 8 | 7.9 | 9.3 | +0.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.86 | 45.5% |
| RN staffing (reported) | 0.53 | 25.0% |
| Total nurse staffing (adjusted) | 5.44 | — |
Fines & penalties
- Total fines
- $19,073
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- PHOENIX HEALTHCARE
- Facilities in chain
- 6
- Chain avg overall
- 3.00 / 5
Inspection citations (29)1 immediate jeopardy1 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-18 · Health · corrected 2025-01-03
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2025-01-03
Actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-21 · Health · corrected 2024-12-19
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-11 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-11 · Health · corrected 2024-11-04
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-11 · Health · corrected 2024-11-16
Immediate jeopardy
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-08-12 · Health · corrected 2024-09-18
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-12 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-09-28 · Health · corrected 2023-11-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-28 · Health · corrected 2023-11-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-28 · Health · corrected 2023-11-07
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-11 · Health · corrected 2023-05-25
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-04-11 · Health · corrected 2023-05-25
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-04-11 · Health · corrected 2023-05-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-06-08 · Health · corrected 2022-07-07
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-08 · Health · corrected 2022-07-07
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-08 · Health · corrected 2022-07-07
Potential for more than minimal harm
- EF0688Provide 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.2022-06-08 · Health · corrected 2022-07-07
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-08 · Health · corrected 2022-07-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PHOENIX HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2004-09-29 |
| CAIN, LARRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2004-09-29 |
| FORVIS MAZARS LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-10-14 |
| PHOENIX HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-09-29 |
| PHOENIX REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-09-29 |
| FLOYD, SHANNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-06-14 |
| HERMANCE, TERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-22 |
| JAY, JUDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-05 |
| MOXLEY, HEATHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| YOUNG, CATHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-04-24 |
Other facilities in OKLAHOMA CITY
| Name | Overall | Beds |
|---|---|---|
| THE HEALTH CENTER AT CONCORDIA | ★★★★★ | 30 |
| THE WILSHIRE SKILLED NURSING AND THERAPY | ★★★★☆ | 56 |
| CAPITOL HILL SKILLED NURSING AND THERAPY | ★★★★☆ | 120 |
| KINGWOOD SKILLED NURSING AND THERAPY | ★★★★☆ | 105 |
| ST. ANN'S SKILLED NURSING AND THERAPY | ★★★★☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.