Chapters Living Of Tulsa

What the state also noted

• — This was not a clean survey. Three deficiencies were cited on 03/06/2025: incomplete dietitian-approved meals, which the state found was a pattern affecting several residents; failure to report an abuse allegation to OSDH, isolated to one or a few residents; and failure to notify the Nurse Aide Registry, also isolated to one or a few residents.
• — Only one survey (03/06/2025) plus its revisit is included here, so there is no earlier inspection in this bundle to compare against for a trend.
• — The center failed to report a November 2023 allegation - that a certified nurse aide hit a resident in the head with a water bottle and laughed - to the Oklahoma State Department of Health, and separately failed to notify the Nurse Aide Registry. The administrator told surveyors she did not believe she had to report allegations she considered unsubstantiated and "did not think it was an allegation."
• — In that same matter, the administrator stated no witness statements were collected, the resident was never asked what happened, and the aide involved "was never suspended and was currently working at facility" at the time of the survey.
• — The documents describe only the facility's own internal conclusion that the water-bottle allegation was unsubstantiated - a conclusion reached without witness statements or interviewing the resident. The state's citations were for the failure to report; these documents do not state OSDH's own conclusion about whether abuse occurred. Families should NOT read the absence of an abuse citation as the state clearing the incident.
• — The elopement complaint was not merely an unfounded claim: the investigation report references a State Reportable Incident and an employee who was suspended and then terminated "due to the risk of the residents safety." The documents do not describe what happened or whether a resident actually exited the building.
• — Residents were not receiving the complete dietitian-approved lunch: the kitchen culinary director said dessert had not been served for as long as she had worked there, affecting 6 of 8 sampled residents, and did not know who made that decision.
• — The OSDH investigative reports do not label any complaint substantiated or unsubstantiated, and the Statement of Deficiencies does not map citations to individual complaint numbers, so no count of substantiated complaints can be drawn from these documents.
• — OCR noise: one investigative report renders complaint #OK00067618 as "OK0006718," and one page header renders the street address as "1807 S Mingo Rd" instead of 7807. These are scanning artifacts, not discrepancies in the record.