| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E19 | F7 |
| Minimal | A· | B· | C3 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 24, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Oct 24, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 23, 2024 | Fire safety | Fire Safety Standard | 1 | Minimal | 1 | Open → |
| May 23, 2024 | Health | Health Complaint, Health Standard | 13 | Actual harm | — | Open → |
| Feb 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 10, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 24, 2025 | Civil money penalty (fine) | $8,323 | — | 375502|Fine|98275 |
| May 23, 2024 | Civil money penalty (fine) | $21,810 | — | 375502|Fine|98174 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E19 | F7 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 22, 2026 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Jun 5, 2026 | Complaint |
| Nov 21, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 29, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Christian Hollaway | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2024 |
| Adamson Underwood | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | Apr 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Christian Hollaway | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2024 |
| Adamson Underwood | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | Apr 1, 2024 |
| Christian Hollaway | Individual | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Apr 1, 2024 |
| Voyage Management of Ok, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Christian Hollaway |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Windsor Hills Nursing Center 2416 North Ann Arbor, Oklahoma City, OK 73127 CCN 375400Abuse icon | 1.8 km | 112 | Sep 11, 2025 | 351 IJ2 harm | $29k | |
| North Winds Living Center 3718 North Portland, Oklahoma City, OK 73112 CCN 37E568Abuse icon | 2.1 km | 29 | May 12, 2025 | 222 IJ | — | |
| The Grand at Bethany Skilled Nursing and Therapy 7000 Northwest 32nd Street, Bethany, OK 73008 CCN 375107 | 2.6 km | 161 | Jan 7, 2026 | 462 IJ1 harm | $23k | |
| Heritage Park 6912 Northwest 23rd Street, Bethany, OK 73008 CCN 375511 | 3.1 km | 55 | Jul 8, 2026 | 34 | — | |
| Warr Acres Nursing Center 6501 North Macarthur, Oklahoma City, OK 73132 CCN 375275 | 3.5 km | 103 | Apr 25, 2025 | 25 | — | |
| Ignite Medical Resort Okc, LLC 6312 North Portland, Oklahoma City, OK 73112 CCN 375412 | 3.6 km | 75 | Sep 11, 2025 | 19 | — | |
| The Lodge at Brookline 5301 North Brookline, Oklahoma City, OK 73112 CCN 375574 | 3.8 km | 132 | Jul 10, 2026 | 501 IJ | $25k | |
| Bellevue Health & Rehabilitation Center 6500 North Portland Avenue, Oklahoma City, OK 73116 CCN 375349 | 3.8 km | 142 | Dec 18, 2025 | 27 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 375502 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 375502 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Nov 21, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 29, 2025 |
| Nov 21, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 29, 2025 |
| Nov 21, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 29, 2025 |
| Nov 21, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 29, 2025 |
| Nov 21, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 29, 2025 |
| Nov 21, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 24, 2025 |
| Nov 21, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 24, 2025 |
| Nov 21, 2025 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Nov 24, 2025 |
| Nov 21, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 24, 2025 |
| Nov 21, 2025 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 10, 2025 |
| Nov 21, 2025 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 10, 2025 |
| Nov 21, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 29, 2025 |
| Nov 21, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 29, 2025 |
| Mar 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 4, 2025 | Complaint |
| Oct 24, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 24, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| May 23, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 1, 2024 | Complaint |
| May 23, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0725 | 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 · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 1, 2024 | Complaint |
| May 23, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 1, 2024 |
| May 23, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Plan of correction, not yet verified Jun 20, 2024 |
| Feb 8, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 5, 2024 | Complaint |
| Apr 10, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2023 |
| Apr 10, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2023 |
| Apr 10, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2023 |
| Apr 10, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2023 |
| Apr 10, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 15, 2023 |
| Apr 10, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 15, 2023 |
| Apr 10, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 15, 2023 |
| Apr 10, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.31 (case-mix index 1.10).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Nov 19, 2024 |
| Teney John | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 12, 2024 |
| Nedra Marcum | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 14, 2024 |
| Adamson Underwood | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 14, 2024 |
| Christian Hollaway | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2024 |
| Adamson Underwood | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2024 |
| Judy M Crane Living Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2024 |
| Manor Home Property, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 19, 2024 |
| Voyage Management of Ok, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 19, 2024 |
| Christian Hollaway | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 19, 2024 |
| Teney John | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2024 |
| Nedra Marcum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 14, 2024 |
| Adamson Underwood | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2024 |