EPWORTH VILLA HEALTH SERVICES

The information listed below provides an in-depth look into the type and quality of care offered at Epworth Villa Health Services. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

EPWORTH VILLA HEALTH SERVICES
14901 NORTH PENN AVENUE
OKLAHOMA CITY, OK 73134
(405) 752-1200

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 79
  • Certified Beds: 87

This Facility Accepts

  • Medicare

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Edmond | Bethany | Temple

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Epworth Villa Health Services. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.3%
Total Percent:1.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
ADL Index Range: 2-102.6%
Total Percent:3.6%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1610.1%
ADL Index Range: 6-1013.0%
ADL Index Range: 0-54.2%
Total Percent:27.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.0%
ADL Index Range: 6-1026.7%
ADL Index Range: 0-54.6%
Total Percent:43.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-108.1%
ADL Index Range: 0-53.7%
Total Percent:16.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.7%
ADL Index Range: 6-102.7%
Total Percent:5.4%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.07%
Total Percent:0.07%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.6%
Total Percent:0.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- Signs of depression
0.6%
Total Percent:0.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.8%
ADL Index Range: 2-5
- No Signs of depression
0.07%
Total Percent:0.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For Epworth Villa Health Services

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours53 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 3 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 21 Minutes2 Hours and 41 Minutes
Total Licensed Nurse Hours1 Hour and 56 Minutes1 Hour and 56 Minutes
Total Nurse Hours5 Hours and 17 Minutes4 Hours and 37 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oklahoma are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOklahoma Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%40%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%11%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%23%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores7%13%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/23/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/20/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/25/2010
  • Correction Date: 03/26/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 01/23/2009
  • Correction Date: 02/20/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 03/25/2010
  • Correction Date: 03/26/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/23/2011
  • Correction Date: 07/07/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)03/25/2010$1,800
Civil Money Penalty (CMP)01/23/2009$3,000
Civil Money Penalty (CMP)01/23/2009$5,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Epworth Villa Health Services, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/18/2011
  • Correction Date: 02/18/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/23/2009
  • Correction Date: 05/12/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/23/2009
  • Correction Date: 02/20/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 01/23/2009
  • Correction Date: 03/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 01/23/2009
  • Correction Date: 03/17/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/18/2011
  • Correction Date: 02/18/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 01/23/2009
  • Correction Date: 02/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/23/2011
  • Correction Date: 07/07/2011

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 01/23/2009
  • Correction Date: 05/12/2009

Resident Rights

Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Complaint Filed: 05/06/2008
  • Correction Date: 05/30/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 01/23/2009
  • Correction Date: 02/20/2009
Have a Private Telephone Available for Use.
  • Complaint Filed: 01/23/2009
  • Correction Date: 02/20/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Epworth Villa Health Services had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 03/25/2010
  • Correction Date: 03/31/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 05/19/2011
  • Correction Date: 06/17/2011
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/19/2011
  • Correction Date: 06/17/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/19/2011
  • Correction Date: 06/17/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/21/2009
  • Correction Date: 02/19/2009

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 05/19/2011
  • Correction Date: 06/17/2011
Source: Medicare Nursing Home Compare; Oklahoma State Department of Health - Retrieved 2011