The Villages At Southern Hills
5721 S Lewis Ave, Tulsa, OK 74105


The Villages At Southern Hills is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 375546. The address is 5721 S Lewis Ave, Tulsa, OK 74105. The zip code is 74105. The phone number is 9184476447.


The Villages At Southern Hills · 5721 S Lewis Ave, Tulsa, OK 74105

Federal Provider Number 375546
Provider Name THE VILLAGES AT SOUTHERN HILLS
Address 5721 S LEWIS AVE
TULSA, OK 74105
Phone Number 9184476447
SSA County Code 710
County Name Tulsa
Ownership Type For profit - Partnership
Certified Beds 100
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SOUTH LEWIS SH OPCO LLC
Date First Approved to Provide Medicare Medicaid Services 08/23/2011
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.69837
Reported LPN Staffing Hours per Resident per Day 1.525
Reported RN Staffing Hours per Resident per Day 0.57826
Reported Licensed Staffing Hours per Resident per Day 2.10326
Reported Total Nurse Staffing Hours per Resident per Day 4.80163
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17717
Expected CNA Staffing Hours per Resident per Day 2.18325
Expected LPN Staffing Hours per Resident per Day 0.65664
Expected RN Staffing Hours per Resident per Day 1.30201
Expected Total Nurse Staffing Hours per Resident per Day 4.1419
Adjusted CNA Staffing Hours per Resident per Day 3.03263
Adjusted LPN Staffing Hours per Resident per Day 1.92762
Adjusted RN Staffing Hours per Resident per Day 0.33185
Adjusted Total Nurse Staffing Hours per Resident per Day 4.67295
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 06/08/2017
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 04/21/2016
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 03/12/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 17.333
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Villages At Southern Hills

Owner Name Role Association Date
CHC-GP, LLC (Organization) PARTNERSHIP INTEREST since 02/01/2011
CONTEMPORARY HEALTHCARE FUND I, LP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2011
FISHER, JAMES (Individual) PARTNERSHIP INTEREST since 02/01/2011
GP SIMPSON SENIOR HOUSING INVESTMENTS, LLC (Organization) PARTNERSHIP INTEREST since 02/01/2011
LAKE CREEK CAPITAL PARTNERS LP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2011
LC GENERAL PARTNER, LLC (Organization) PARTNERSHIP INTEREST since 02/01/2011
PIERCE, PAULA (Individual) DIRECTOR since 02/01/2011
PIERCE, PAULA (Individual) PARTNERSHIP INTEREST since 02/01/2011
SIMPSON, GLEN (Individual) PARTNERSHIP INTEREST since 02/01/2011
SMITH, ERIC (Individual) PARTNERSHIP INTEREST since 02/01/2011
SOUTHWEST SNF HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2014
STONEGATE SENIOR LIVING, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2011
SUDBECK, LEE (Individual) MANAGING EMPLOYEE since 07/17/2012
TAYLOR, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2011
WR INVESTMENTS GP MANAGER INC. (Organization) PARTNERSHIP INTEREST since 01/01/2014
WR INVESTMENTS GP, INC. (Organization) PARTNERSHIP INTEREST since 01/01/2014
WR INVESTMENTS, LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2014

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Wildwood Care Center, Inc 3333 East 28th Street, Tulsa, OK 74114
The Cottage Extended Care 2552 East 21st Street, Tulsa, OK 74114
Inverness Village 3800 West 71st Street South, Tulsa, OK 74132
University Village Retirement Community 8555 South Lewis Avenue, Tulsa, OK 74137
Maplewood Care Center 6202 East 61st Street, Tulsa, OK 74136
Ambassador Manor Nursing Center 1340 East 61st Street, Tulsa, OK 74136
Montereau, Inc 6800 South Granite Avenue, Tulsa, OK 74136
Leisure Village Health Care Center 2154 South 85th East Avenue, Tulsa, OK 74129
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OK · Nursing Home

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Via Christi Village Ponca City, Inc. 1601 Academy Road, Ponca City, OK 74604
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Brookside Nursing Center 310 Brookside Drive, Madill, OK 73446
Elmbrook Home 1811 9th Street Northwest, Ardmore, OK 73401
Garland Road Nursing & Rehab Center 1404 North Garland Road, Enid, OK 73703
Drumright Nursing Home Pine & Bristow, Drumright, OK 74030
Elmwood Manor Nursing Home 300 South Seminole, Wewoka, OK 74884
Forest Hills Care and Rehabilitation Center 4300 West Houston, Broken Arrow, OK 74012
University Village Retirement Community 8555 South Lewis Avenue, Tulsa, OK 74137
Montereau, Inc 6800 South Granite Avenue, Tulsa, OK 74136
St Ann's Home 9400 St Ann's Drive, Oklahoma City, OK 73162
Tulsa Nursing Center 10912 East 14th Street, Tulsa, OK 74128
Monroe Manor 226 East Monroe Street, Jay, OK 74346
Jan Frances Care Center 815 North Country Club Road, Ada, OK 74820
Plantation Village Nursing Center 2610 Cedar Creek Drive, Altus, OK 73521
Sequoyah Manor, LLC 615 East Redwood, Sallisaw, OK 74955
York Manor Nursing Home 500 South York, Muskogee, OK 74403
Memorial Nursing Center 319 East Josephine, Frederick, OK 73542
Windsor Hills Nursing Center 2416 North Ann Arbor, Oklahoma City, OK 73127
Glenhaven Retirement Village 3003 Iowa, Chickasha, OK 73023
Sequoyah East Nursing Center, LLC 701 South Taylor Road, Roland, OK 74954
Cedarcrest Care Center 1306 East College, Broken Arrow, OK 74012
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Haskell Care Center 405 North Choctaw, Haskell, OK 74436
Saint Simeons Episcopal Home 3701 Martin Luther King Jr Blvd, Tulsa, OK 74106
Epworth Villa Health Services 14901 North Penn Avenue, Oklahoma City, OK 73134
Pocola Health and Rehab 200 Home Street, Pocola, OK 74902
The Cottage Extended Care 2552 East 21st Street, Tulsa, OK 74114
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