North Winds Living Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 29 beds and averages 27.0 residents a day — about 93% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.23 hrs/resident/day on weekends vs 3.07 on weekdays — about the same on weekends as weekdays. RN hours go from 0.31 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · J2025-05-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 05/12/25, a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect a resident from psychosocial abuse for Resident #2. A nurse note, dated 02/13/25 at 4:00 p.m., showed Resident #79 was heard yelling come out your room mother [explicit]. The note showed Resident #79 stated, get out here faggot. The note showed LPN #1 approached Resident #79 who was repeating come the [explicit] out, I'm gonna [explicit] you up. The note showed Resident #79 was holding a wet floor sign in their hand, slinging it around, and attempting to get into another resident's room. The note showed the other resident did nothing and kept their door shut. The note showed Resident #79 threw the wet floor sign at the door which hit LPN #1 on the lower right leg. The note showed three staff attempted to calm them down. The note showed Resident #79 then picked up a chair and threw it towards the door. The note showed the nurse went and got the administrator and DON. The note…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2025-05-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 05/12/25, a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to thoroughly investigate an allegation of abuse for Resident #2. A nurse note, dated 02/13/25 at 4:00 p.m., showed Resident #79 was heard yelling come out your room mother [explicit]. The note showed Resident #79 stated, get out here faggot. The note showed LPN #1 approached Resident #79 who was repeating come the [explicit] out, I'm gonna [explicit] you up. The note showed Resident #79 was holding a wet floor sign in their hand, slinging it around, and attempting to get into another resident's room. The note showed the other resident did nothing and kept their door shut. The note showed Resident #79 threw the wet floor sign at the door which hit LPN #1 on the lower right leg. The note showed three staff attempted to calm them down. The note showed Resident #79 then picked up a chair and threw it towards the door. The note showed the nurse went and got the administrator and DON. It…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2025-05-12 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident's complete advance directive was included in their medical record for 1 (#2) of 16 sampled residents reviewed for advance directives. RN #1 identified 27 residents resided in the facility. Findings: An advance directive policy, revised 12/2016, read in part, Advance directives will be respected in accordance with state law and facility policy.Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so.Information about whether or not the resident has executed an advance directive shall be displayed prominently in the medical record. Resident #2's clinical record contained only one page of their advance directive, dated 04/24/18, which was part four general provisions. The rest of the advance directive was not included in the clinical record. An advance directive acknowledgement form, dated 01/27/24, showed Resident #2 had executed an advance directive. An…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure resident's oxygen tubing was changed according to the standard of practice and physician order for 1 (#18) of 1 sampled resident reviewed for oxygen use. RN #1 identified 27 residents resided in the facility. Findings: On 05/04/25 at 8:40 a.m., Resident #18 was observed wearing oxygen. The tubing had a piece of tape with red writing that showed 3/23/25. On 05/08/25 at 10:01 a.m., Resident #18 was observed wearing oxygen. The tubing had a piece of tape with red writing that showed 3/23/25. Resident #18's physician order, dated 06/02/24, showed to Change oxygen tubing and humidifier bottles every week on Sunday 11/7 shift every night shift every Sunday. Resident #18's physician order, dated 01/15/25, showed Oxygen 2L/min via nasal cannula as needed. Resident #18's care plan, revised 01/22/25, showed oxygen at 2L per nasal cannula as needed. Resident #18's quarterly resident assessment, dated 04/13/25, showed oxygen use, and diagnoses which included chronic obstructive pulmonary disease and chronic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-12 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident was not administered the wrong medications for 1 (#4) of 6 sampled residents reviewed for medication administration. RN #1 identified 27 residents resided in the facility. Findings: An administering medications policy, revised 04/2019, read in part, Medications are administered in a safe and timely manner, and as prescribed.Medication errors are documented, reported, and reviewed by the QAPI committee to inform process changes and or the need for additional staff training. A medication error form for Resident #4, dated 02/07/25, read in part, at approximately [7:45 p.m.] acma came to this nurse and reported that a different resident's evening meds were missing, upon investigation this nurse found that meds were not missing they were given to this resident [Resident #4], and were administered at approximately [4:30 p.m.], vs obtained at [7:50 p.m.] t-97.3, bp- 120/77, p-83, resp even unlabored at 20, o2 sat 96% on r/a, fsbs-37 [error], resident alert and oriented to person, place and situation, as is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure EBP (Enhanced Barrier Precaution) signage was in place to ensure appropriate usage of PPE, for 1 (#24) of 1 sampled resident reviewed for infection control. RN #1 identified 27 residents resided in the facility. On 05/04/25 at 8:17 a.m., Resident #24 was observed in their room, on their bed under the covers, and did not respond to questions. No observation of EBP signage inside the residents room or anywhere outside of the residents room. On 05/05/25 at 12:33 p.m., there was no EBP signage on the outside of Resident #24's room/door. There was a three drawer plastic cabinet in the hall located next to the room which contained gowns, shields, masks, and gloves. Resident #24 stated the staff tape the port for showers. A resident admission assessment, dated 03/10/25, showed Resident #24 received dialysis, was cognitively intact with a BIMS of 15, and had diagnosis of end stage renal disease. A physicians order, dated 03/06/25, showed Enhanced Barrier Precautions every shift related to end stage renal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-12 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to utilize an infection assessment screening to identify whether or not antibiotics were necessary for 2 (#6 and #10) of 5 sampled residents reviewed for antibiotic stewardship. The Resident Matrix, dated 05/04/25, showed 11 residents with infections resided in the facility. Findings: An infection prevention and control program policy, dated 05/12/23, read in part, An antibiotic stewardship program will be implemented as part of the overall infection prevention and control program .Antibiotic use protocols and a system to monitor antibiotic use will be implemented as part of the antibiotic stewardship program. The January 2025 infection surveillance showed Resident #6 received zithromax (an antibiotic) 250 mg for an upper respiratory infection started on 01/16/25. It showed Resident #10 received azithromycin (an antibiotic) 250 mg started on 01/18/25. There were no laboratory results or infection assessment screening located in the residents' clinical record for the above antibiotic use. The February 2025 infection…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a care plan had been developed/revised for a resident who received dialysis for one (#8) of 28 residents reviewed for care plans. The Resident Matrix dated 02/12/24, documented 28 residents resided in the facility. One resident received dialysis. Findings: A Care Planning policy, dated 01/01/24, read in part, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident .Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change . Resident #8 had diagnoses which included Chronic Kidney Disease. A physician order, dated 07/27/23, documented to monitor the dialysis port to right upper chest area for signs and symptoms of infection every shift. A physician order, dated 07/27/23 documented no blood pressure, labs or lifting in arm with the dialysis port every shift. A physician order, dated 07/28/23,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident's code status was identified in their health record for one (#19) of 16 sampled residents reviewed for code status. The Resident Matrix, dated 02/12/24, documented 28 residents resided in the facility. Findings: Resident #19 had diagnoses which included cerebral infarction and major depression. On 02/12/24 at 10:45 a.m., Resident #19's code status in their electronic health record was blank. On 02/12/24 at 1:08 p.m., LPN #1 stated residents' code status were found on their electronic health record and paper chart. They stated Resident #19 was a full code. On 02/12/24 at 1:13 p.m., LPN #1 stated Resident #19's code status on the electronic health record was blank and there was no physician order for a code status. On 02/12/24 at 1:17 p.m., the DON stated code status for residents were located on the electronic health record and there should be a physician's order for the code status. On 02/12/24 at 1:18 p.m., the DON stated the code status for Resident #19 on the electronic health record was blank and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure there was ongoing communication with the dialysis center and ongoing assessment of a resident before and after dialysis for one (#8) of one sampled resident reviewed for dialysis services. The Resident Matrix, dated 02/12/24, documented 28 residents resided in the facility. Findings: A Hemodialysis Access Care policy, dated 09/10, read in part, .The general medical nurse should document in the resident's medical record every shift as follows: 1. Location of catheter. 2. Condition of dressing .3. If dialysis was done during shift. 4. Any part of report from dialysis nurse post-dialysis being given. 5. Observations post-dialysis. Resident #8 had diagnoses which included Chronic Kidney Disease. A physician order, dated 07/27/23, documented to monitor the dialysis port to right upper chest area for signs and symptoms of infection every shift. A physician order, dated 07/27/23 documented no blood pressure, labs or lifting in arm with the dialysis…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to complete annual skills competency for two (CNA #1 and CNA #2) of two CNAs whose employee files were reviewed for skills competencies. The Resident Matrix, dated 02/12/24, documented 28 residents resided in the facility. There were four CNA's documented on the staff roster who had been employed over one year. Findings: The In-Service Training Program, Nurse Aide policy, revised 2019, read in part, .The facility completes a performance review of nurse aides at least every 12 months . CNA #1 was hired on 10/29/22. There was no annual skills competency in CNA #1's employee file for 2023. CNA #2 was hired on 12/28/15. There was no annual skills competency in CNA #2's employee file for 2023. On 02/14/24 at 11:49 a.m., the CNO stated CNA skill competencies were done annually. The CNO stated they were unable to locate the annual skill competencies for CNA #1 and CNA #2.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-15 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure medications were administered as ordered for one (#2) of three sampled residents reviewed for medication administration. The Resident Matrix, dated 02/12/24, documented 28 residents resided in the facility. Findings: An Administering Medications policy, revised 04/19, read in part, .Medications are administered in accordance with prescriber orders, including any required time frame medications are administered within one hour of their prescribed time, unless otherwise specified . Resident #2 had diagnoses which included human immunodeficiency virus disease. A Physician Order, dated 01/11/24, documented darunavir oral tablet 600 mg give 1 tablet by mouth two times a day related to human immunodeficiency virus disease. On 02/13/24 at 8:54 a.m., darunavir was not available to be administered as ordered to Resident #2. ACMA #1 was observed to have ordered darunavir once it was determined to be unavailable. On 02/13/24 at 8:56 a.m., ACMA #1 stated it could take the pharmacy anywhere from a few hours to 10…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in OK