The Lakes
5701 West Britton Road, Oklahoma City, OK 73132 · Oklahoma County · 120 certified beds · avg 78 residents/day · certified since Jun 13, 2001
Part of chain: PHOENIX HEALTHCARE (6 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 16, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 18, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 18, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 21, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 11, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 11, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Oct 11, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 12, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 12, 2024 | D · Potential for harm, one-off | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint |
| Sep 28, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 8, 2022 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 8, 2022 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 8, 2022 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jun 8, 2022 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 8, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 3 | 0 | E |
| 2024 | 18 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $19,073, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2024 | Fine | $11,052 |
| Oct 11, 2024 | Fine | $8,021 |
| Oct 11, 2024 | Payment Denial | 14 days from Nov 2, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oklahoma avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.62 | 4.58 | 3.95 | top 43% in Oklahoma; top 20% in the U.S. |
| Registered Nurse hours | 0.57 | 0.41 | 0.69 | top 17% in Oklahoma; bottom 47% in the U.S. |
| Weekend total nurse staffing | 4.42 | 4.16 | 3.50 | top 32% in Oklahoma; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.28 | 0.48 | top 5% in Oklahoma; top 30% in the U.S. |
| Total nursing staff turnover (%) | 53.8 | 55.5 | 45.8 | top 46% in Oklahoma; bottom 28% in the U.S. |
| RN turnover (%) | 33.3 | 53.6 | 42.9 | top 20% in Oklahoma; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 0.49, weekend 3.81. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cain, Larry | Individual | 5% or Greater Direct Ownership Interest | — | 09/29/2004 |
| Phoenix Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | — | 09/29/2004 |
| Floyd, Shanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2010 |
| Floyd, Shanna | Individual | ADP of the SNF | NOT APPLICABLE | 06/14/2010 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/14/2004 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Hermance, Terry | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/22/2023 |
| Hermance, Terry | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Jay, Judy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/05/2022 |
| Jay, Judy | Individual | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Midwest Land & Investment Company | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2005 |
| Moxley, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Phoenix Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/29/2004 |
| Phoenix Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Phoenix Rehab LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/29/2004 |
| Young, Cathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2009 |
| Young, Cathy | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2009 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St. Ann's Skilled Nursing and Therapy | 1.6 mi | Oklahoma City, OK | ★★★★☆ | 4/5 | |
| The Health Center at Concordia | 1.8 mi | Oklahoma City, OK | ★★★★★ | 5/5 | |
| Warr Acres Nursing Center | 1.9 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 | |
| Baptist Village of Oklahoma City | 2.1 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | abuse |
| Bellevue Health & Rehabilitation Center | 2.7 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 | |
| Ignite Medical Resort Okc, LLC | 2.8 mi | Oklahoma City, OK | ★★☆☆☆ | 3/5 | |
| Heritage at Brandon Place Health & Rehabilitation | 2.9 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| Tuscany Village Nursing Center | 3.4 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Northwest Nursing Center | 3.8 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| Heritage Manor | 4.0 mi | Oklahoma City, OK | ★☆☆☆☆ | 2/5 | |
| The Lodge at Brookline | 4.0 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| The Grand at Bethany Skilled Nursing and Therapy | 4.3 mi | Bethany, OK | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375396.